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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
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      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>674394</DuesAssessmentsAmt>
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      <TaxableAmt>0</TaxableAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>4243</DepreciationAmt>
        <BookValueAmt>1485</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1485</TotalBookValueLandBuildingsAmt>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LESLIE A BARDEN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>261622</BaseCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17100</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>278722</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BASE COMPENSATION, BONUS &amp; INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, RETIREMENT AND OTHER DEFERRED COMPENSATION, AND NONTAXABLE BENEFITS COMPENSATION AMOUNTS DISCLOSED FOR LESLIE BARDEN WERE PAID BY AN UNRELATED ORGANIZATION, WAKEMED. THE COMPENSATION WAS DISCLOSED IN PART VII, SECTION A AS IF THE FILING ORGANIZATION PAID THE COMPENSATION BASED ON THE FORM 990 INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6 VOLUNTEERS</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-COMPENSATED BOARD OF DIRECTORS MEMBERS ARE INCLUDED AS VOLUNTEERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A MATERIAL DIFFERENCES IN VOTING RIGHTS</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY - THE BOARD OF DIRECTORS FOR SOUTHERN ATLANTIC HEALTHCARE ALLIANCE IS COMPRISED OF THE CHIEF EXECUTIVE OFFICERS (OR THEIR DELEGATES) OF THE MEMBER HOSPITALS. EACH MEMBER OF THE BOARD OF DIRECTORS IS A SINGLE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY - THE BOARD OF DIRECTORS FOR THE SOUTHERN ATLANTIC HEALTHCARE ALLIANCE IS COMPRISED OF THE CHIEF EXECUTIVE OFFICERS (OR THEIR DELEGATES) OF THE MEMBER HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS SENT VIA EMAIL TO THE BOARD OF DIRECTORS UPON COMPLETION FOR REVIEW BEFORE THE RETURN IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>HE ORGANIZATION ENFORCES THE CONFLICT OF INTEREST POLICY IN VARIOUS WAYS. THE POLICY CREATES AN ONGOING DUTY FOR DIRECTORS, PRINCIPAL OFFICERS AND COMMITTEE MEMBERS TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. EACH YEAR THESE INTERESTED PERSONS ARE REQUIRED TO COMPLETE AND SIGN A STATEMENT AFFIRMING THEY HAVE READ AND UNDERSTAND THE CONFLICT OF INTEREST. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY KNOWN POSSIBLE FINANCIAL AND NONFINANCIAL CONFLICT OF INTEREST WITHIN 30 DAYS OF DISCOVERING THE CONFLICT. KNOWN CONFLICTS OF INTEREST WILL THEN BECOME A MATTER OF RECORD THROUGH A WRITTEN DISCLOSURE. IF ANY DIRECTOR OR COMMITTEE HAS CAUSE TO BELIEVE ANOTHER DIRECTOR HAS A CONFLICT OF INTEREST WITH RESPECT TO A MATTER COMING BEFORE THE BOARD, THEN THE DIRECTOR OR COMMITTEE MUST INFORM THE EXECUTIVE COMMITTEE. REMEDIAL MEASURES IMPLEMENTED TO ADDRESS CONFLICTS INCLUDE ABSTENTION FROM VOTING ON CERTAIN ISSUES, AS WELL AS RECUSAL FROM THE DECISION-MAKING PROCESS AND PARTICIPATION INVOLVING THE IDENTIFIED ISSUE/AREA. IF THE BOARD DETERMINES AN INTERESTED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE BOARD WILL TAKE APPROPRIATE DISCIPLINARY ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOUTHERN ATLANTIC HEALTHCARE ALLIANCE HAS NOT RECEIVED ANY REQUESTS FOR GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS. HOWEVER, HARD COPIES WILL BE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>