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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>522463</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39742</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE HEWSON</PersonNm>
        <TitleTxt>EVP CENTER FOR COMMUNITY BASED PRIMARY CARE</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>469181</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37112</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS JACKSON</PersonNm>
        <TitleTxt>EVP &amp; CHIEF DATA &amp; ANALYTICS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>333458</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41563</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYDIA NEWMAN</PersonNm>
        <TitleTxt>EVP &amp; CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>428538</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40269</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM TAYLOR</PersonNm>
        <TitleTxt>EVP BUSINESS DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>392790</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28554</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD SMITH</PersonNm>
        <TitleTxt>EXECUTIVE BUSINESS ADVISOR</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>523959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28563</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT TREMAYNE</PersonNm>
        <TitleTxt>SVP FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>357981</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41465</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA BULLOCK</PersonNm>
        <TitleTxt>SVP GOVERNANCE</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>308191</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34935</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISHNA VENUGOPAL</PersonNm>
        <TitleTxt>SVP &amp; CHIEF TECHNOLOGY OFF</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>319117</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15185</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY WATKINS</PersonNm>
        <TitleTxt>SENIOR MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>31.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>298153</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32167</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4674134</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>382522</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>108</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCENTUATE STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3200 FAIRHILL DR</AddressLine1Txt>
            <CityNm>RALEIGH</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>25203793</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL EDGE RECRUITMENT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8686 NEW TRAILS DRIVE SUITE 120</AddressLine1Txt>
            <CityNm>THE WOODLANDS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77381</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>24477624</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JENNIFER TEMPS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 75343</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606755343</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>3147413</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NC ALLIANCE OF PUBLIC HEALTH AGENCIES I</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>222 N PERSON STREET STE 208</AddressLine1Txt>
            <CityNm>RALEIGH</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>2435022</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMM CARE PARTNERS OF GREATER MECKLENBER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4701 HEDGEMORE DRIVE STE 301</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CARE MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>2016000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>62</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>104102518</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>50000</AllOtherContributionsAmt>
      <TotalContributionsAmt>104152518</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICES/RENT - AFFILIATE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>90918946</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90918946</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN PRACTICE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16078576</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16078576</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4465663</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4465663</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCOME FROM PROGRAM INVESTMENT</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>527464</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>527464</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>18541</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18541</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>112009190</TotalProgramServiceRevenueAmt>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16497</TotalRevenueColumnAmt>
        <ExclusionAmt>16497</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>16497</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>216178205</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>112009190</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>16497</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1175000</TotalAmt>
        <ProgramServicesAmt>1175000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3132538</TotalAmt>
        <ProgramServicesAmt>358025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2288942</ManagementAndGeneralAmt>
        <FundraisingAmt>485571</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>37761067</TotalAmt>
        <ProgramServicesAmt>30758998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6514134</ManagementAndGeneralAmt>
        <FundraisingAmt>487935</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1926892</TotalAmt>
        <ProgramServicesAmt>1518391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>373624</ManagementAndGeneralAmt>
        <FundraisingAmt>34877</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>15232096</TotalAmt>
        <ProgramServicesAmt>12708759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2348471</ManagementAndGeneralAmt>
        <FundraisingAmt>174866</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2956812</TotalAmt>
        <ProgramServicesAmt>2328300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>575032</ManagementAndGeneralAmt>
        <FundraisingAmt>53480</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>42359</TotalAmt>
        <ProgramServicesAmt>3654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38705</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>100504</TotalAmt>
        <ManagementAndGeneralAmt>100504</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>124966570</TotalAmt>
        <ProgramServicesAmt>118916602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6007273</ManagementAndGeneralAmt>
        <FundraisingAmt>42695</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>74768</TotalAmt>
        <ProgramServicesAmt>9469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60365</ManagementAndGeneralAmt>
        <FundraisingAmt>4934</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1767798</TotalAmt>
        <ProgramServicesAmt>1228683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>533748</ManagementAndGeneralAmt>
        <FundraisingAmt>5367</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>4183800</TotalAmt>
        <ProgramServicesAmt>4025982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156680</ManagementAndGeneralAmt>
        <FundraisingAmt>1138</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>199421</TotalAmt>
        <ProgramServicesAmt>93332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104221</ManagementAndGeneralAmt>
        <FundraisingAmt>1868</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>163825</TotalAmt>
        <ProgramServicesAmt>110446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46433</ManagementAndGeneralAmt>
        <FundraisingAmt>6946</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>185753</TotalAmt>
        <ProgramServicesAmt>35563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144213</ManagementAndGeneralAmt>
        <FundraisingAmt>5977</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>398089</TotalAmt>
        <ProgramServicesAmt>398089</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>708418</TotalAmt>
        <ProgramServicesAmt>65877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>637254</ManagementAndGeneralAmt>
        <FundraisingAmt>5287</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>666152</TotalAmt>
        <ProgramServicesAmt>483440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171646</ManagementAndGeneralAmt>
        <FundraisingAmt>11066</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>AFFILIATE BAD DEBT</Desc>
        <TotalAmt>7529596</TotalAmt>
        <ProgramServicesAmt>7529596</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RISK RESERVE EXPENSE</Desc>
        <TotalAmt>1699674</TotalAmt>
        <ProgramServicesAmt>1699674</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>249586</TotalAmt>
        <ProgramServicesAmt>241498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8088</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>205120718</TotalAmt>
        <ProgramServicesAmt>183689378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20109333</ManagementAndGeneralAmt>
        <FundraisingAmt>1322007</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>56106470</BOYAmt>
        <EOYAmt>61534370</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <EOYAmt>2805682</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>24314984</BOYAmt>
        <EOYAmt>29383313</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1452440</BOYAmt>
        <EOYAmt>1458044</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4204214</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3631506</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>982012</BOYAmt>
        <EOYAmt>572708</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>2122323</BOYAmt>
        <EOYAmt>2251108</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3008500</BOYAmt>
        <EOYAmt>211588</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>87986729</BOYAmt>
        <EOYAmt>98216813</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>17629445</BOYAmt>
        <EOYAmt>17712915</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>28510023</BOYAmt>
        <EOYAmt>27464682</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>46139468</BOYAmt>
        <EOYAmt>45177597</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>40297760</BOYAmt>
        <EOYAmt>51489715</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1549501</BOYAmt>
        <EOYAmt>1549501</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>41847261</BOYAmt>
        <EOYAmt>53039216</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>87986729</BOYAmt>
        <EOYAmt>98216813</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>11057487</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-163643</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>298111</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>7349502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3066716</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>83678148</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>156508597</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>104152518</CurrentTaxYearAmt>
        <TotalAmt>354755481</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>7349502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3066716</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>83678148</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>156508597</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>104152518</CurrentTaxYearAmt>
        <TotalAmt>354755481</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>354755481</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>6588</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3216</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>319</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16497</CurrentTaxYearAmt>
        <TotalAmt>26620</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>354782101</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>263434896</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99990</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 6,588. 2020 AMOUNT: $ 3,216. 2021 AMOUNT: $ 319. 2022 AMOUNT: $ 16,497.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>100504</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>100504</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>183689378</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>183789882</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>106500</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>124115</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>100504</CurrentYearMinus1Amt>
        <CurrentYearAmt>100504</CurrentYearAmt>
        <TotalAmt>431623</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>151042</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>67311</DepreciationAmt>
        <BookValueAmt>83731</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3186195</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2748826</DepreciationAmt>
        <BookValueAmt>437369</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>866977</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>815369</DepreciationAmt>
        <BookValueAmt>51608</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>572708</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILATE</Desc>
        <Amt>7529596</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACT LIABILITIES</Desc>
        <Amt>19478564</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>254801</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>201721</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>27464682</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CCNC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3) AND THE APPLICABLE STATE TAX STATUTES. IN ADDITION, CCNC QUALIFIES FOR THE CHARITABLE CONTRIBUTIONS DEDUCTION UNDER SECTION 170(B)(1)(A) OF THE IRC. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GAAP. MANAGEMENT BELIEVES CCNC CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2023. CCPN, CCID, AND CCNC ADMIN, PURSUANT TO A DECISION OF ITS MEMBERS, HAVE EACH ELECTED UNDER THE IRC TO BE TAXED AS A LIMITED LIABILITY ORGANIZATION ("LLC"). CCPN AND CCNC ADMIN ARE BASED IN NORTH CAROLINA, AND CCID IS BASED IN IDAHO. IN LIEU OF CORPORATION FEDERAL INCOME TAXES, THE MEMBER OF EACH LLC IS TAXED ON THEIR PROPORTIONATE SHARE OF THE RESPECTIVE LLC'S TAXABLE INCOME. CCNC IS TAX EXEMPT, AND THUS THERE IS NO PROVISION FOR FEDERAL INCOME TAXES IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THAT CCNC HAD NO SIGNIFICANT UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2023 OR 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ECU MEDICAL &amp; HEALTH SCIENCES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2200 S CHARLES BLVD SUITE 1500</AddressLine1Txt>
          <CityNm>GREENVILLE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27858</ZIPCd>
        </USAddress>
        <RecipientEIN>237138921</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ENDOWMENT FOR PROFESSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE LEUKEMIA &amp; LYMPHOMA SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3 INTERNATIONAL DR SUITE 200</AddressLine1Txt>
          <CityNm>RYE BROOK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10573</ZIPCd>
        </USAddress>
        <RecipientEIN>135644916</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP FOR FINDING A CURE FOR BLOOD CANCERS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAKE TECHNICAL COMMUNITY COLLEGE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9101 FAYETTEVILLE RD</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27603</ZIPCd>
        </USAddress>
        <RecipientEIN>237017752</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ASSIST FOSTER CHILDREN TRANSITION TO INDEPENDENCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NC ASSOCIATION OF FREE &amp; CHARITABLE CLINICS (NCAFCC)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1399 ASHLEYBROOK LN SUITE 110</AddressLine1Txt>
          <CityNm>WINSTON SALEM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27103</ZIPCd>
        </USAddress>
        <RecipientEIN>562062170</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPRING HEALTH CARE CAMPAIGN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FOOD BANK OF CENTRAL &amp; EASTERN NC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1924 CAPITAL BLVD</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27604</ZIPCd>
        </USAddress>
        <RecipientEIN>561283426</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPLY FOOD FOR SCHOOL PANTRY PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REINVESTMENT PARTNERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1929</AddressLine1Txt>
          <CityNm>DURHAM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27702</ZIPCd>
        </USAddress>
        <RecipientEIN>311587628</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>310000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE FOOD TO NC MEDICAID PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RONALD MCDONALD HOUSE OF CHAPEL HILL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 OLD MASON FARM RD</AddressLine1Txt>
          <CityNm>CHAPEL HILL</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27507</ZIPCd>
        </USAddress>
        <RecipientEIN>561413188</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE RESPITE FOR FAMILIES OF CHILDREN BEING TREATED AT THE HOSPITAL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SECOND HARVEST FOOD BANK OF NORTHWEST NC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3330 SHOREFAIR DR</AddressLine1Txt>
          <CityNm>WINSTON SALEM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27105</ZIPCd>
        </USAddress>
        <RecipientEIN>581457912</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOOD DISTRIBUTION AND NUTRITION PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NC ACADEMY OF FAMILY PHYSICIANS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2501 BLUE RIDGE RD SUITE 120</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27607</ZIPCd>
        </USAddress>
        <RecipientEIN>561686052</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT STUDENT AND RESIDENTIAL PROGRAMS TO MEET HEALTHCARE NEEDS IN NC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CPESN USA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 DONMOOR COURT</AddressLine1Txt>
          <CityNm>GARNER</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27529</ZIPCd>
        </USAddress>
        <RecipientEIN>815242394</RecipientEIN>
        <CashGrantAmt>150000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EVALUATE THE NEED FOR BUILDING NEW FAMILY MEDICINE CLINICS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CAROLINA PEDIATRIC SOCIETY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 WAKE FOREST RD SUITE 200</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27604</ZIPCd>
        </USAddress>
        <RecipientEIN>311657902</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR MENTORING PROGRAMS FOR MEDICAL STUDENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOLDSBORO PEDIATRICS PA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2706 MEDICAL OFFICE PLACE</AddressLine1Txt>
          <CityNm>GOLDSBORO</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27534</ZIPCd>
        </USAddress>
        <RecipientEIN>561249036</RecipientEIN>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ASSIST WITH THE PLACEMENT OF MEDICAL STUDENTS IN PRACTICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLINTON MEDICAL CLINIC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>403 FAIRVIEW ST</AddressLine1Txt>
          <CityNm>CLINTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28328</ZIPCd>
        </USAddress>
        <RecipientEIN>560955090</RecipientEIN>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ASSIST WITH THE PLACEMENT OF MEDICAL STUDENTS IN PRACTICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GRANITE FALLS FAMILY MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4132 HICKORY BLVD</AddressLine1Txt>
          <CityNm>GRANITE FALLS</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28630</ZIPCd>
        </USAddress>
        <RecipientEIN>582487115</RecipientEIN>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ASSIST WITH THE PLACEMENT OF MEDICAL STUDENTS IN PRACTICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST CAROLINA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 EAST 5TH ST</AddressLine1Txt>
          <CityNm>GREENVILLE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27858</ZIPCd>
        </USAddress>
        <RecipientEIN>566000403</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM FOR MEDICAL STUDENTS RETURNING TO NC RURAL SETTINGS AS PHYSICIANS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>11</Total501c3OrgCnt>
      <TotalOtherOrgCnt>4</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO AND THE EXECUTIVE TEAM REVIEW APPLICATIONS FOR GRANT APPLICANTS. ONCE APPROVED, A CONTRACT IS DRAFTED THAT CONTAINS THE TERMS FOR USE OF THE FUNDING. FUNDING IS TO BE UTILIZED IN ACCORDANCE WITH THE APPLICANT'S 501( C )(3) PURPOSE AND AS DIRECTED IN THE CONTRACT. GRANT RECIPIENTS WILL PROVIDE REPORTS ON GRANT PARTICIPATION ENROLLMENT, UTILIZATION, AND RESPONSES TO BE DELIVERED ON A REGULAR SCHEDULE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>THOMAS WROTH</PersonNm>
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        <OtherCompensationFilingOrgAmt>1641</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>602333</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>CHRISTOPHER WOODFIN</PersonNm>
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        <TotalCompensationFilingOrgAmt>562205</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD SMITH</PersonNm>
        <TitleTxt>EXECUTIVE BUSINESS ADVISOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>126755</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1643</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12434</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16129</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>552522</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE HEWSON</PersonNm>
        <TitleTxt>EVP CENTER FOR COMMUNITY BASED PRIMA</TitleTxt>
        <BaseCompensationFilingOrgAmt>368505</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>98168</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2508</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21862</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>506293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYDIA NEWMAN</PersonNm>
        <TitleTxt>EVP &amp; CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>331808</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>95108</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1622</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14904</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25365</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>468807</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM TAYLOR</PersonNm>
        <TitleTxt>EVP BUSINESS DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>306166</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>84321</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2303</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13304</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>421344</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT TREMAYNE</PersonNm>
        <TitleTxt>SVP FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>259969</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>96830</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1182</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26215</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>399446</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLOS JACKSON</PersonNm>
        <TitleTxt>EVP &amp; CHIEF DATA &amp; ANALYTICS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>260549</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>71496</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1413</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26313</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>375021</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TANYA BULLOCK</PersonNm>
        <TitleTxt>SVP GOVERNANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>228320</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>78574</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1297</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19685</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>343126</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISHNA VENUGOPAL</PersonNm>
        <TitleTxt>SVP &amp; CHIEF TECHNOLOGY OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>252500</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>65417</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1200</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12525</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2660</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>334302</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROY WATKINS</PersonNm>
        <TitleTxt>SENIOR MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>233242</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>62827</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2084</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13204</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18963</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>330320</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CCNC USED THE FOLLOWING PROCEDURES TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN COMPENSATION CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE WILL ANNUALLY REVIEW THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS TO ENSURE CONSISTENCY WITHIN THIS POLICY. THE COMMITTEE DELEGATES TO THE CEO THE RESPONSIBILITY TO ADMINISTER COMPENSATION AND BENEFIT PROGRAMS CONSISTENT WITH THIS PHILOSOPHY FOR ALL EXECUTIVE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CCNC'S INCENTIVE COMPENSATION PLAN IS PARTIALLY BASED ON ACHIEVING CERTAIN NET INCOME GOALS ESTABLISHED BY THE BOARD OF DIRECTORS. TOTAL INCENTIVE PAYMENTS WERE APPROXIMATELY 17% OF TOTAL SALARY EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MEDADVANTAGE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>A BOARD MEMBER OWNS MORE THAN 35% OF MED ADVANTAGE, LLC</RelationshipDescriptionTxt>
        <TransactionAmt>150767</TransactionAmt>
        <TransactionDesc>PAYMENT FOR PROFESSIONAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>WILLIAM L STEWART</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>102161</TransactionAmt>
        <TransactionDesc>PAYMENT FOR PROFESSIONAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOHN THOMAS NEWTON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>124427</TransactionAmt>
        <TransactionDesc>PAYMENT FOR PROFESSIONAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, MISSION STATEMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY CHARITABLE EXEMPT PURPOSE OF CCNC IS TO FOSTER AND ENHANCE QUALITY, EFFICIENCY, AND ACCESS TO HEALTH CARE SERVICES FOR PATIENTS IN NEED OF SUCH SERVICES, PARTICULARLY PATIENT POPULATIONS THAT ARE VULNERABLE AND/OR UNDERSERVED BY REASON OF THEIR LOW INCOME STATUS, LOCATION OF THEIR RESIDENCE IN RELATION TO AVAILABLE CLINIC LOCATION, THEIR CHRONIC CONDITIONS OR CHARACTERISTICS. SERVICES PROVIDED SUPPORT THE ENHANCEMENT OF QUALITY, EFFICIENCY, AND ACCESS TO HEALTH CARE SERVICES, BY DEVELOPING AND PERFECTING TECHNOLOGY, PROGRAMMATIC AND HUMAN RESOURCES TO ENABLE THE IMPLEMENTATION OF CARE COORDINATION, POPULATION HEALTH MANAGEMENT, AND RELATED STRATEGIES. CCNC PROVIDES CARE COORDINATION, POPULATION HEALTH MANAGEMENT AND RELATED SERVICES AND RESOURCES TO CLINICAL SERVICE PROVIDERS AND OTHER ORGANIZATIONS, PARTICULARLY THOSE SERVING VULNERABLE PATIENT POPULATIONS, ACROSS THE ENTIRE CONTINUUM OF CARE THROUGHOUT THE UNITED STATES, AND FORMS AND INVESTS IN ENTITIES WHO MAY FURTHER SAID PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY MANAGEMENT AND PROVIDED TO EACH VOTING MEMBER OF THE BOARD IN FULL BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR AND PRINCIPAL OFFICER SIGNS A STATEMENT ANNUALLY. THE CORPORATION SHALL CONDUCT PERIODIC REVIEWS OF ITS ACTIVITIES TO ENSURE THAT IT IS OPERATING IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT IS NOT ENGAGING IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER WOULD RECUSE THEMSELF FROM THE DISCUSSION AND VOTING PROCESS. ALL PERSONNEL, INDEPENDENT CONTRACTORS AND MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED TRAINING AND GUIDANCE ON CONFLICTS OF INTEREST, AND REQUIRED TO DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS ON AN ANNUAL BASIS. THE HUMAN RESOURCES, LEGAL, AND GOVERNANCE, RISK, COMPLIANCE AND CONTROLS (GRC) DEPARTMENTS REVIEW AND ENFORCE COMPLIANCE AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CCNC'S COMPENSATION PHILOSOPHY, OVERSEEN BY THE EVALUATION AND COMPENSATION COMMITTEE (ECC) OF THE BOARD OF DIRECTORS, IS DESIGNED TO 1) ATTRACT AND RETAIN EXECUTIVES TO MEET THE CHALLENGES OF THE RAPIDLY CHANGING HEALTHCARE INDUSTRY, 2) MOTIVATE AND REWARD THOSE EXECUTIVES FOR SUPERIOR PERFORMANCE MEASURED BY THE FULFILLMENT OF THE MISSION AND EXECUTION OF CORPORATE GOALS AND STRATEGIC IMPERATIVES, AND 3) ENSURE THAT TOTAL COMPENSATION PROVIDED TO EXECUTIVES IS REASONABLE, EQUITABLE AND MARKET COMPETITIVE. THE ECC ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM AN ANNUAL EXECUTIVE COMPENSATION STUDY UTILIZING DATA FROM PUBLISHED SURVEYS OF ORGANIZATIONS OF SIMILAR SIZE, SCOPE, COMPLEXITY AND BUSINESS SECTOR TO CCNC. FOR ALL OTHER EMPLOYEES, HUMAN RESOURCES BENCHMARKS AGAINST MARKET DATA PROVIDED BY INDUSTRY-RECOGNIZED COMPENSATION SURVEYS. THEY ALSO REGULARLY CONDUCT INTERNAL ASSESSMENTS TO ENSURE INTERNAL PAY EQUITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE OFFICE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 31,174,629. MANAGEMENT AND GENERAL EXPENSES 1,863,569. FUNDRAISING EXPENSES 42,695. TOTAL EXPENSES 33,080,893. PHYSICIAN PRACTICE PAYMENTS: PROGRAM SERVICE EXPENSES 19,509,749. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,509,749. SERVICES PROVIDED BY AFFILIATE: PROGRAM SERVICE EXPENSES 68,232,224. MANAGEMENT AND GENERAL EXPENSES 4,143,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,375,928.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE PHYSICIANS NETWORK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 DONMOOR COURT</AddressLine1Txt>
          <CityNm>GARNER</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27529</ZIPCd>
        </USAddress>
        <EIN>371808774</EIN>
        <PrimaryActivitiesTxt>CLINICALLY INTEGRATED NETWORK SUPPORTING PRIMARY CARE PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <TotalIncomeAmt>83374077</TotalIncomeAmt>
        <EndOfYearAssetsAmt>25017366</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF NORTH CAROLINA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF IDAHO LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>223 N 6TH STREET SUITE 405</AddressLine1Txt>
          <CityNm>BOISE</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83702</ZIPCd>
        </USAddress>
        <EIN>843444983</EIN>
        <PrimaryActivitiesTxt>CLINICALLY INTEGRATED NETWORK SUPPORTING PRIMARY CARE PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <TotalIncomeAmt>737706</TotalIncomeAmt>
        <EndOfYearAssetsAmt>737706</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF NORTH CAROLINA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF NORTH CAROLINA ADMINISTRATORS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 DONMOOR COURT</AddressLine1Txt>
          <CityNm>GARNER</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27529</ZIPCd>
        </USAddress>
        <EIN>853274463</EIN>
        <PrimaryActivitiesTxt>ORGANIZATION SUPPORTING MULTIPLE EMPLOYER WELFARE ARRANGEMENT FOR CCPN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <TotalIncomeAmt>171442</TotalIncomeAmt>
        <EndOfYearAssetsAmt>34660</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF NORTH CAROLINA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 DONMOOR COURT</AddressLine1Txt>
          <CityNm>GARNER</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27529</ZIPCd>
        </USAddress>
        <EIN>205408367</EIN>
        <PrimaryActivitiesTxt>BUILD AND SUPPORT BETTER COMMUNITY BASED HEALTH CARE SYSTEMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF NORTH CAROLINA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INDEPENDENT CARE HEALTH BENEFIT TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 DONMOOR COURT</AddressLine1Txt>
          <CityNm>GARNER</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27529</ZIPCd>
        </USAddress>
        <EIN>856586606</EIN>
        <PrimaryActivitiesTxt>MANAGE HEALTH CARE BENEFITS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(9)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>INDEPENDENT CARE HEALTH BENEFIT TRUST</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>105975</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>2080777</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1601909</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>17889993</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1232621</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA COMMUNITY CARE NETWORKS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>5021282</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <UnrelatedOrgTxblPartnershipGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CPESN USA LLC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>110 DONMOOR COURT</AddressLine1Txt>
          <CityNm>GARNER</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27529</ZIPCd>
        </USAddress>
        <EIN>815242394</EIN>
        <PrimaryActivitiesTxt>PHARMACY SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <PredominateIncomeDesc>RELATED</PredominateIncomeDesc>
        <AllPartnersC3SInd>0</AllPartnersC3SInd>
        <ShareOfTotalIncomeAmt>-201284</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1918015</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </UnrelatedOrgTxblPartnershipGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
