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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>4963764</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-15570</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>450178</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>592200</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>592200</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>258455</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>958</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35955</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.65670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsPY170Ind>X</ThirtyThrPctSuprtTestsPY170Ind>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <InvestmentEarningsOrLossesAmt>2846</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>53916</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>4406</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>51070</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-195</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>46664</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>2071</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>46859</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EquipmentGrp>
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        <DepreciationAmt>146</DepreciationAmt>
        <BookValueAmt>3745</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3745</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5223453</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-15570</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>146906</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>131336</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5092117</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5092117</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>275259</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>146906</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>146906</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>128353</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>128353</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FASB ASC 740-10 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. BASED ON AN EVALUATION OF UNCERTAIN TAX POSITIONS MANAGEMENT IS REQUIRED TO MEASURE POTENTIAL TAX LIABILITIES THAT COULD HAVE A RISK GREATER THAN A 50% LIKELIHOOD OF BEING RELIZED UPON SETTLEMENT. AS OF SEPTEMBER 30, 2019 MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAS NO SUCH RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AUTHORITIES FOR YEARS PRIOR TO 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS FOR EDUCATIONAL OPPORTUNITIES IN HEALTH RELATED CAREERS FOR STUDENTS IN WESTERN NORTH CAROLINA</GrantTypeTxt>
        <RecipientCnt>16</RecipientCnt>
        <CashGrantAmt>35381</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHLORSHIPS ARE PROVIDED FOR STUDENTS IN WESTERN NORTH CAROLINA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TO SUPPORT THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IN WESTERN NORTH CAROLINA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PREVIOUSLY THE FOUNDATION SUPPORTED THE MISSION AND PROGRAMS OF MCDOWELL HOSPITAL WHICH WAS SOLD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 WILL BE SENT BY EMAIL TO ALL BOARD MEMBERS AND REVIEWED AND APPROVED BY THE BOARD CHAIR AND TREASURER AND THEN REVIEWED AT THE NEXT BOARD MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL SUBMISSION OF COMPLIANCE AND CONFLICT FORMS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CONSULTS WITH A SEARCH FIRM AND ANOTHER NONPROFIT ON COMPENSATION LEVELS WHEN EMPLOYING THE CURRENT EMPLOYEES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>WILL BE ON GUIDESTAR, WILL DISTRIBUTE IF REQUIRED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>