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        <ExclusionAmt>75742</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>44273</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>17049499</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>120015</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>942</TotalAmt>
        <ProgramServicesAmt>942</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>9675</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>38225</TotalAmt>
        <ManagementAndGeneralAmt>38225</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10789461</ProgramServicesAmt>
        <ManagementAndGeneralAmt>510666</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>9827</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>136591</TotalAmt>
        <ProgramServicesAmt>136591</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>9240</TotalAmt>
        <ProgramServicesAmt>9240</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>174526</TotalAmt>
        <ProgramServicesAmt>174526</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>208282</TotalAmt>
        <ProgramServicesAmt>208282</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>256040</TotalAmt>
        <ProgramServicesAmt>256040</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>66365</TotalAmt>
        <ProgramServicesAmt>66365</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>NCCCN/DPH Payments</Desc>
        <TotalAmt>5130159</TotalAmt>
        <ProgramServicesAmt>5130159</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Physician Fees</Desc>
        <TotalAmt>160083</TotalAmt>
        <ProgramServicesAmt>160083</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>29762</TotalAmt>
        <ProgramServicesAmt>29762</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>62870</TotalAmt>
        <ProgramServicesAmt>62870</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>17592714</TotalAmt>
        <ProgramServicesAmt>17034148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>558566</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>11856664</BOYAmt>
        <EOYAmt>13819419</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>663231</BOYAmt>
        <EOYAmt>180625</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>243351</BOYAmt>
        <EOYAmt>91179</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4245362</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1744959</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2749242</BOYAmt>
        <EOYAmt>2500403</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>15512488</BOYAmt>
        <EOYAmt>16591626</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2036612</BOYAmt>
        <EOYAmt>1538859</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>106067</BOYAmt>
        <EOYAmt>503974</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2142679</BOYAmt>
        <EOYAmt>2042833</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>13369809</BOYAmt>
        <EOYAmt>14548793</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13369809</BOYAmt>
        <EOYAmt>14548793</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15512488</BOYAmt>
        <EOYAmt>16591626</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1178984</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1792201</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1220008</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2829862</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3280505</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1602184</CurrentTaxYearAmt>
        <TotalAmt>10724760</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>18027373</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17219390</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17129626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17223695</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17049499</CurrentTaxYearAmt>
        <TotalAmt>86649583</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>19819574</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18439398</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19959488</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20504200</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18651683</CurrentTaxYearAmt>
        <TotalAmt>97374343</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus3YearsAmt>122663</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>309250</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>431913</TotalAmt>
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      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus3YearsAmt>122663</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>309250</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>431913</TotalAmt>
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      <PublicSupportTotal509Amt>96942430</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>85835</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>92563</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>88287</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>80680</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>75742</CurrentTaxYearAmt>
        <TotalAmt>423107</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>85835</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>92563</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>88287</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>80680</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>75742</CurrentTaxYearAmt>
        <TotalAmt>423107</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>19905409</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18531961</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20047775</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20584880</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18727425</CurrentTaxYearAmt>
        <TotalAmt>97797450</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99130</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99100</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00430</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00440</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>552085</OtherCostOrOtherBasisAmt>
        <BookValueAmt>552085</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1959923</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>655925</DepreciationAmt>
        <BookValueAmt>1303998</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>856486</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>380779</DepreciationAmt>
        <BookValueAmt>475707</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>876868</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>708255</DepreciationAmt>
        <BookValueAmt>168613</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2500403</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>19069711</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>298013</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>298013</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18771698</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18771698</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17890727</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>298013</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>298013</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>17592714</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17592714</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Access East is exempt from federal and state income taxes under the provisions of Section 501(c)(3) of the Internal Revenue Code and is generally exempt from state income taxes under the provisions of the North Carolina Nonprofit Corporation Act. Therefore, no provision for income taxes has been reflected in the accompanying financial statements. Management evaluated the Organization's tax positions and concluded that the Organization has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of the Income Taxes Topic of the Financial Accounting Standards Board Accounting Standards Codification. The Organization believes it does not meet any filing requirements for the Form 990-T and, accordingly, has not filed a Form 990-T.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 was provided to the organization's Board of Directors for review prior to the return being filed. The return is also reviewed by the Chief Financial Officer, Chief General Counsel, and the Chief Audit and Compliance officer of the Vidant Health System prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest is reviewed, monitored, and enforced by the entity's council and Board of Directors. The Board further discusses any conflicts and resolves any issues, if necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its Form 1023 and Form 990 available to the public for inspection. The organization makes its governing documents, conflict of interest policy and financial statements available to the public for inspection upon request for the same period of disclosure as set forth in IRC section 6104(d).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contracted Services: Program service expenses 10,789,461. Management and general expenses 510,666. Fundraising expenses 0. Total expenses 11,300,127.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Access East formed a finance and audit committee in fiscal year 2016 which is responsible for assisting the board in ensuring the rganization is in good fiscal health, including audit and related matters.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>