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            <City>ALBEMARLE</City>
            <State>NC</State>
            <ZIPCode>28001</ZIPCode>
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            <City>RALEIGH</City>
            <State>NC</State>
            <ZIPCode>27609</ZIPCode>
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          <AddressUS>
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            <City>PEMBROKE</City>
            <State>NC</State>
            <ZIPCode>28372</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL</DescriptionOfServices>
        <Compensation>1330633</Compensation>
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      <NumberOfContractorsGT100K>38</NumberOfContractorsGT100K>
      <GovernmentGrants>29857816</GovernmentGrants>
      <AllOtherContributions>286115</AllOtherContributions>
      <TotalContributions>30143931</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT FEES</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>6258818</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6258818</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>6258818</TotalProgramServiceRevenue>
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        <TotalRevenueColumn>2704</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2704</RelatedOrExemptFunctionIncome>
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        <TotalRevenueColumn>36405453</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6261522</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>213203</Total>
        <ManagementAndGeneral>213203</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>4144933</Total>
        <ManagementAndGeneral>4144933</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>385751</Total>
        <ManagementAndGeneral>385751</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>610507</Total>
        <ManagementAndGeneral>610507</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>335057</Total>
        <ManagementAndGeneral>335057</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ProgramServices>31272177</ProgramServices>
        <ManagementAndGeneral>975646</ManagementAndGeneral>
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      <Advertising>
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        <ManagementAndGeneral>131228</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ManagementAndGeneral>771385</ManagementAndGeneral>
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        <ManagementAndGeneral>360317</ManagementAndGeneral>
      </Occupancy>
      <Travel>
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        <ManagementAndGeneral>41088</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
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        <ManagementAndGeneral>16719</ManagementAndGeneral>
      </ConferencesMeetings>
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        <ManagementAndGeneral>213554</ManagementAndGeneral>
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        <Description>CAPITAL OUTLAY</Description>
        <Total>264715</Total>
        <ManagementAndGeneral>264715</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL</Description>
        <Total>122912</Total>
        <ManagementAndGeneral>122912</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>85363</Total>
        <ManagementAndGeneral>85363</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>39944555</Total>
        <ProgramServices>31272177</ProgramServices>
        <ManagementAndGeneral>8672378</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>9272650</BOY>
        <EOY>4299673</EOY>
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      <PledgesAndGrantsReceivable>
        <BOY>2526127</BOY>
        <EOY>3724086</EOY>
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        <EOY>848867</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>38838</BOY>
        <EOY>174786</EOY>
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      <LandBuildingsEquipmentBasis>8033668</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4436058</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>3591738</BOY>
        <EOY>3597610</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
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        <EOY>12645022</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>2888313</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>2496614</BOY>
        <EOY>2888313</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6814874</BOY>
        <EOY>1586146</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>2967542</BOY>
        <EOY>4572953</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>3591738</BOY>
        <EOY>3597610</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>13374154</BOY>
        <EOY>9756709</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>15870768</BOY>
        <EOY>12645022</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-3539102</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-78343</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingOther note="MODIFIED ACCRUAL">X</MethodOfAccountingOther>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>0</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <GovernmentalUnit170b1Av>X</GovernmentalUnit170b1Av>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>28147</OtherCostOrOtherBasis>
        <BookValue>28147</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>5834806</OtherCostOrOtherBasis>
        <Depreciation>2612521</Depreciation>
        <BookValue>3222285</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>2170715</OtherCostOrOtherBasis>
        <Depreciation>1823537</Depreciation>
        <BookValue>347178</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3597610</TotalOfBookValueLandBuildings>
      <TotalRevenue>36405453</TotalRevenue>
      <TotalExpenses>39944555</TotalExpenses>
      <ExcessOrDeficitForYear>-3539102</ExcessOrDeficitForYear>
      <OtherAmount>-78343</OtherAmount>
      <TotalAdjustments>-78343</TotalAdjustments>
      <ExcessOrDeficitPerFS>-3617445</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>36405453</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>36405453</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>36405453</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>40022898</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>78343</OtherExpensesIncluded>
      <ExpensesNotRptdF990>78343</ExpensesNotRptdF990>
      <ExpensesSubtotal>39944555</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>39944555</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>ADJUSTMENT FOR C/Y GASB 34 REQUIREMENTS -78,343.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>ADJUSTMENT FOR C/Y GASB 34 REQUIREMENTS</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER AT A RECENT BOARD MEETING. ON DECEMBER 11, 2012, WHICH WAS PRIOR TO THE FILING DATE OF THE FORM 990, THE VOTING BOARD REVIEWED THE 990. AFTER A DISCUSSION AND QUESTION &amp; ANSWER PERIOD, THE BOARD VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED AND SIGNED BY EACH VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF/HERSELF FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT EXISTS FOR HIMSELF/HERSELF OR THEIR FAMILY. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, OR INDIVIDUAL LEVEL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE ORGANIZATION ANNUALLY REVIEWS THE SALARY OF ITS CEO IN ACCORDANCE WITH NC STATE PERSONNEL RULES AND GUIDELINES USING EMPLOYEE CLASSES AND SALARY RANGES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICES AND AT BOARD MEETINGS WHICH ARE OPEN TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>ADJUSTMENT FOR C/Y GASB 34 REQUIREMENTS -78,343. TOTAL TO FORM 990, PART XI, LINE 5: -78,343.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ACCOUNTING METHOD USED TO PREPARE THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART XI, QUESTION 1</ReturnReference>
        <Explanation>IN ACCORDANCE WITH THE GENERAL STATUTES OF THE STATE OF NORTH CAROLINA, ALL FUNDS ARE MAINTAINED DURING THE YEAR USING THE MODIFIED ACCRUAL BASIS OF ACCOUNTING.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>