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        <Desc>OSCAR MILLER DAY EXPENS</Desc>
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        <CurrentTaxYearMinus1YearAmt>350471</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>264808</CurrentTaxYearAmt>
        <TotalAmt>615284</TotalAmt>
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        <TotalAmt>5000</TotalAmt>
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        <CurrentTaxYearAmt>2643097</CurrentTaxYearAmt>
        <TotalAmt>10987011</TotalAmt>
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      <PublicSupportPY509Pct>0.72920</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05600</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03040</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <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>
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    <IRS990ScheduleD documentId="RetDoc1039900001">
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      <HeldWorksArtGrp>
        <AssetsIncludedAmt>16000</AssetsIncludedAmt>
      </HeldWorksArtGrp>
      <CollectionUsedPubExhibitionInd>X</CollectionUsedPubExhibitionInd>
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        <CollectionUsedOtherPurposesInd>X</CollectionUsedOtherPurposesInd>
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      <SolicitedAssetsSaleInd>0</SolicitedAssetsSaleInd>
      <EquipmentGrp>
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        <DepreciationAmt>13878</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>49500</DepreciationAmt>
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      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY, NET OF CURRENT PORTION</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>264808</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>A GRATEFUL PATIENT GIFTED A PIECE OF GLASS ART WITH A $16,000 APPRAISED VALUE IN HONOR OF DR. WALTER BEAVER TO THE ORTHOCAROLINA RESEARCH INSTITUTE. IT IS DISPLAYED IN THE PATIENT WAITING ROOM. IT HAS NO RELEVANCE TO THE ORGANIZATION'S MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INSTITUTE ADOPTED FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS BY PRESCRIBING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THE INSTITUTE'S POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE INSTITUTE, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION TAKEN BY MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT BELIEVES THERE ARE NO SUCH POSITIONS AS OF DECEMBER 31, 2024 AND 2023 AND, ACCORDINGLY, NO LIABILITY HAS BEEN ACCRUED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN POOLED FUNDS 264,808.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORTHOCAROLINA HR DEPARTMENT, A RELATED ORGANIZAT6ION, PERFORMS A SALARY SURVEY AND RE-EVALUATION PERIODICALLY OF POSITIONS. THEY SET THE COMPENSATION FOR ALL EMPLOYEES AND ALL POSITIONS. A MARKET ANALYSIS WAS PERFORMED IN 2023 AND A 15% INCREASE WAS ADDED TO THE EXECUTIVE DIRECTOR'S SALARY AS AN ADJUSTMENT BASED ON CURRENT MARKET. SALARY IS STILL LOWER THAN MARKET STANDARD BUT NO FUTURE ADJUSTMENTS ARE PLANNED AT THIS TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A MORE DEFINED BONUS STRUCTURE WAS INTRODUCED IN 2023 FOR THE EXECUTIVE DIRECTOR. IT WAS NOT SOLELY CONTINGENT ON NET REVENUE BUT WAS BASED ON RAISING MONEY FOR THE ORGANIZATION AND GETTING ORGANIZATIONAL INITIATIVES OFF THE GROUND.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE/AUDIT COMMITTEE HAS AUTHORITY TO HIRE THE AUDITORS. THE COMMITTEE REVIEWS ALL OTHER FINANCIAL FUNCTIONS MAKING RECOMMENDATIONS TO THE BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS COMPRISED OF THE PRESIDENT, VICE-PRESESIDENT, FUNDRAISING COMMITTEE CHAIR AND GOVERANCE COMMITTE CHAIR AS VOTED AT THE DECEMBER 2024 BOARD MEETING. ALL ARE VOTING MEMBERS OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR, FOLLOWED BY A REVIEW AND RECOMMENDATION BY THE OCRI FINANCE AND AUDIT COMMITTEE. THE FINAL COPY WITH THE FINANCE AND AUDIT COMMITTEES RECOMMENDATION WILL BE CIRCULATED VIA EMAIL TO THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR, BOARD MEMBERS AND KEY EMPLOYEES CERTIFY ANNUALLY THAT THEY HAVE READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND HAVE DISCLOSED ANY RELATIONSHIPS WITH ANY OF THE ORGANIZATION'S CONTRACTING PARTIES ON THE ORGANIZATIONS CONFLICT OF INTEREST FORM. THE EXECUTIVE DIRECTOR REVIEWS THE CERTIFIED FORMS AND COMPARES IT TO THE PRIOR YEAR'S DISCLOSURES. QUESTIONABLE RELATIONSHIPS ARE NOTED AND BROUGHT TO THE ATTENTION OF THE APPROPRIATE GOVERNANCE GROUP. THE EXECUTIVE DIRECTOR DISCLOSES TO THE FINANCE AND AUDIT COMMITTEE ANY ITEMS THAT AFFECT BUSINESS COMPLIANCE DURING THE NEXT SCHEDULED MEETING AND DISCLOSES CONFLICTS RELATED TO THE RESEARCH TO THE RESEARCH ADVISORY COMMITTEE. APPROPRIATE STEPS ARE TAKEN TO ELIMINATE THE CONFLICT PER COMMITTEE GUIDANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>HUMAN RESOURCES DETERMINES INITIAL COMPENSATION BASED ON MARKET ANALYSIS FOR EXECUTIVE DIRECTOR AND OTHER KEY POSITIONS. THE HUMAN RESOURCE DEPARTMENT ESTABLISHES MIN, MID AND MAX SALARY RANGE FOR ALL POSITIONS IN OCRI BASED ON MARKET ANALYSIS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIALS STATEMENTS ARE PROVIDED UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>