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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOUNTAIN RIDGE HEALTH &amp; REHAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>611 OLD US HWY 70 EAST</AddressLine1Txt>
            <CityNm>BLACK MOUNTAIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28711</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>108498</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FUSION MANAGED IT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>119 N MARKELY STREET</AddressLine1Txt>
            <CityNm>GREENVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>103708</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>443632</AllOtherContributionsAmt>
      <TotalContributionsAmt>443632</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>3253840</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3253840</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>163785</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>163785</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIANS</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>99469</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>99469</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMERCIAL INSURANCE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>41396</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41396</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT PAY</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>11535</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11535</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>7350</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>258</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>7092</UnrelatedBusinessRevenueAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>3577375</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>124308</TotalRevenueColumnAmt>
        <ExclusionAmt>124308</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>261625</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>261625</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>261625</TotalRevenueColumnAmt>
        <ExclusionAmt>261625</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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        <OtherAmt>19210765</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>17952119</TotalRevenueColumnAmt>
        <ExclusionAmt>17952119</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>2872</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>7234</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-4362</TotalRevenueColumnAmt>
        <ExclusionAmt>-4362</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>RUTHERFORD THRIFT</Desc>
        <BusinessCd>459510</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>556988</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>556988</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>4127271</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>7092</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>18333690</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>799652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>730729</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3532310</TotalAmt>
        <ProgramServicesAmt>1845697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1686613</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>120000</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>169866</TotalAmt>
        <ManagementAndGeneralAmt>169866</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>48575</TotalAmt>
        <ProgramServicesAmt>1466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47109</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>22664</TotalAmt>
        <ProgramServicesAmt>2233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20431</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>248018</TotalAmt>
        <ProgramServicesAmt>53114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194904</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <FundraisingAmt>5695</FundraisingAmt>
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        <ManagementAndGeneralAmt>540409</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>136541</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>432964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6762</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5422</ProgramServicesAmt>
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        <ProgramServicesAmt>663</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138306</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELECOMMUNICATIONS</Desc>
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        <ProgramServicesAmt>2326</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>30580</ManagementAndGeneralAmt>
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        <FundraisingAmt>5695</FundraisingAmt>
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        <EOYAmt>54847826</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>52878</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>11386241</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6029466</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>5356775</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2800944</EOYAmt>
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        <EOYAmt>66649</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>63144962</EOYAmt>
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        <EOYAmt>106845</EOYAmt>
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        <EOYAmt>4689</EOYAmt>
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        <EOYAmt>1690089</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1801623</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>42439154</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>61343339</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>63144962</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>15624741</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1532993</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1570795</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>320606</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>443632</CurrentTaxYearAmt>
        <TotalAmt>4316368</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1532993</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1570795</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>320606</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>443632</CurrentTaxYearAmt>
        <TotalAmt>4316368</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1082806</SubstantialContributorsTotAmt>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>181065</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>266338</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>233512</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>424975</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>723719</CurrentTaxYearAmt>
        <TotalAmt>1829609</TotalAmt>
      </GrossInvestmentIncome170Grp>
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      <GrossReceiptsRltdActivitiesAmt>58137335</GrossReceiptsRltdActivitiesAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      </BuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5356775</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL AND RELATED LIABILITIES</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>1628367</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1690089</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RITA R BURCH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>178780</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>1333362</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>1530382</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>VP OF BUSINESS DEVELOPMENT</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CONNIE BAILEY</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A COMPENSATION SURVEY TO DETERMINE COMPENSATION AND THE COMPENSATION IS APPROVED BY THE PERSONNEL COMMITTEE AND BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>RITA BURCH $140,960.87 HEIDI OWEN $123,770.52 CONNIE BAILEY $49,706.64 RONDA PATTON $61,539.75 RHONDA LYTLE $43,154.10</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SOLD ONE OF ITS THRIFT SHOP LOCATIONS DURING MARCH 2022. THE ORGANIZATION SOLD ITS HOSPICE AND PALLIATIVE CARE LICENSES DURING MAY 2022. THESE SALES REPRESENT A STRATEGIC SHIFT THAT HAS A MAJOR EFFECT ON THE ORGANIZATION'S OPERATIONS AND IS THEREFORE, REQUIRED TO BE REPORTED SEPARATELY AS DISCONTINUED OPERATIONS. AS OF MAY 31, 2022, PLANS WERE UNDER WAY TO CREATE THE CAROLINA FOOTHILLS FOUNDATION (THE FOUNDATION) FROM THE FUNDS OF THESE SALES. THE FOUNDATION IS PLANNED TO BE A COMMUNITY BASED 501(C)(3) CHARITABLE ORGANIZATION THAT PROVIDES FUNDS AND OTHER SUPPORT IN THE FORM OF DIRECT SUPPORT TO SELECTED NON-PROFITS TO IMPACT INDIVIDUAL AND COMMUNITY WELLNESS TO MEET THE MANY HEALTH CHALLENGES THAT FACE PEOPLE IN THE RUTHERFORD AND POLK COUNTY AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CHANGED IT MISSION TO BE: THE CAROLINA FOOTHILLS FOUNDATION (CFF) IS A COMMUNITY-BASED, 501(3) CHARITABLE ORGANIZATION THAT PROVIDES FUNDS AND OTHER SUPPORT TO MEET THE MANY HEALTH CHALLENGES THAT FACE PEOPLE IN RUTHERFORD AND POLK COUNTIES. WE PROVIDE DIRECT SUPPORT AND EMPOWER CAREFULLY SELECTED NON-PROFITS TO IMPACT INDIVIDUAL AND COMMUNITY WELLNESS IN THE AREAS WE SERVE, WHICH ARE ELDERCARE, YOUTH DEVELOPMENT, AND WELLNESS. THE ORGANIZATION CHANGED ITS NAME TO BE: CAROLINA FOOTHILLS FOUNDATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 IS PRESENTED TO THE BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS PART OF THE STANDARD OPERATING PROCEDURES AND PERSONNEL HANDBOOK. THE PERSONNEL COMMITTEE AND BOARD OF DIRECTORS ENSURE THAT NO CONFLICTS EXIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE EXECUTIVE DIRECTOR AND EMPLOYEES IS APPROVED BY THE PERSONNEL COMMITTEE AND BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST AT THE ADMINISTRATIVE OFFICE LOCATED AT HUDLOW RD FOREST CITY, NC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII, LINE 1, COLUMN D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR RITA R. BURCH, CEO LISTED IN PART VII, LINE 1, COLUMN D INCLUDES DEFERRED COMPENSATION OF $1,175,161 RELATED TO A 2012 CONTRACT WITH THE HOSPICE OF RUTHERFORD COUNTY. THIS AMOUNT WAS PAID OUT FROM THE HOSPICE OF RUTHERFORD COUNTY PRIOR TO THE ORGANIZATION CHANGING OVER TO CAROLINA FOOTHILLS FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAROLINA FOOTHILLS HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>376 HUDLOW ROAD</AddressLine1Txt>
          <CityNm>FOREST CITY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28043</ZIPCd>
        </USAddress>
        <EIN>561337169</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <TotalIncomeAmt>261625</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5281141</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CAROLINA FOOTHILLS FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
