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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1810704</TotalRevenueColumnAmt>
        <ExclusionAmt>1810704</ExclusionAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>50812</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>11778</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROPERTY TAXES</Desc>
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        <ManagementAndGeneralAmt>384</ManagementAndGeneralAmt>
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        <EOYAmt>385744</EOYAmt>
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        <EOYAmt>501560</EOYAmt>
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        <EOYAmt>34552372</EOYAmt>
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        <EOYAmt>380645</EOYAmt>
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        <EOYAmt>1671204</EOYAmt>
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        <EOYAmt>34552372</EOYAmt>
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        <CurrentTaxYearAmt>7571282</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>821119</CurrentTaxYearMinus3YearsAmt>
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      <PublicSupportPY170Pct>0.87260</PublicSupportPY170Pct>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <BookValueAmt>95399</BookValueAmt>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <OtherRevenueAmt>276</OtherRevenueAmt>
      <RevenueNotReportedAmt>509388</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10547160</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>104794</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>104794</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>12446821</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>517896</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>517896</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11928925</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>104794</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>520000</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>624794</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12553719</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY THE PROVISIONS OF U.S. GAAP RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT HAS EVALUATED ALL TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THE ORGANIZATION HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF JULY 31, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE OF CCME FOUNDATION 276.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES OF CCME FOUNDATION 517,896.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT TO CCME FOUNDATION 520,000.</ExplanationTxt>
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    </IRS990ScheduleD>
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          <BusinessNameLine1Txt>CAROLINAS CENTER FOR MEDICAL EXCELLENCE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>501 SILVERSIDE ROAD SUITE 123</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19809</ZIPCd>
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        <RecipientEIN>832066990</RecipientEIN>
        <IRCSectionDesc>IRC 501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ONLY MAKES GRANTS TO THE CCME FOUNDATION. THE ORGANIZATION HAS SIGNIFICANT REPRESENTATION ON THE FOUNDATION'S BOARD AND THE CLOSE RELATIONSHIP BETWEEN THE ORGANIZATIONS SERVES TO MONITOR THE USE OF THE FUNDS.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>192422</TotalCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>8776</DeferredCompensationFlngOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE MANAGEMENT TEAM REVIEWS AND APPROVES THE FORM 990. THE 990 IS DISTRIBUTED TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF SEMI-ANNUALLY SIGN AND ALL BOARD MEMBERS ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONSTELLATION CORPORATE COMPLIANCE PROGRAM; (2) HAS READ AND UNDERSTANDS THE CONSTELLATION CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; (3) HAS AGREED TO COMPLY WITH THE CONSTELLATION CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; AND, (4) UNDERSTANDS THAT CONSTELLATION IS A NOT-FOR-PROFIT ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND WHICH DO NOT, DIRECTLY OR INDIRECTLY, IMPROPERLY INURE TO THE BENEFIT OF ANY PRIVATE PERSON. IN THE EVENT OF A CONFLICT, THE CONFLICT MUST BE IMMEDIATELY REMEDIES, OR THE DIRECTOR, OFFICER, MEMBER OF A COMMITTEE, OR STAFF MEMBER WILL BE DISMISSED. IN ADDITION, THE CONSTELLATION BOARD MUST FORMALLY DECLARE THEIR OWNERSHIP AND AFFILIATION STATUS IN WRITING ANNUALLY AND AT OTHER TIMES SHOULD THEIR INDIVIDUAL STATUS CHANGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY OF THE PRESIDENT AND CEO IS BASED ON EXECUTIVE COMPENSATION SURVEYS FOR SIMILAR ORGANIZATIONS AND AN ANNUAL PERFORMANCE EVALUATION CONDUCTED BY THE BOARD CHAIRMAN AND EXECUTIVE COMMITTEE. THE COMPENSATION AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. CONSTELLATION'S HUMAN RESOURCES STAFF DOES AN EXTERNAL MARKET SURVEY EVERY OTHER YEAR OF ALL STAFF SALARIES TO ENSURE THEY ARE WITHIN AN APPROPRIATE RANGE GEOGRAPHICALLY. RAISES ARE GIVEN BASED ON A MERIT BASED PERFORMANCE SYSTEM. INTERNAL EQUITY IS ALSO CONSIDERED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT PROVIDED TO THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 175,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,995. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 654,378. MANAGEMENT AND GENERAL EXPENSES 1,410,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,065,235. PHYSICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 9,661. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,661. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 166,543. MANAGEMENT AND GENERAL EXPENSES 202,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,765.</ExplanationTxt>
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