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      <GeneralExplanation>THE ORGANIZATION HAS RECEIVED A DETERMINATION LETTER FROM THE IRS STATING IT IS AN ORGANIZATION UNDER SECTION 170(B)(1)(A)(IV) HOWEVER, THE ORGANIZATION IS CURRENTLY OPERATING AS AN ORGANIZATION UNDER SECTION 170(B)(1)(A)(VI), THEREFORE BOX 7 IS CHECKED IN PART I THE ORGANIZATION IS IN THE PROCESS OF OBTAINING A REVISED DETERMINATION LETTER FROM THE IRS.</GeneralExplanation>
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        <GrossReceiptsTotal>807300</GrossReceiptsTotal>
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        <FoodAndBeverageTotalEvents>42283</FoodAndBeverageTotalEvents>
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      <RecordsMaintained>true</RecordsMaintained>
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        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>209 SOUTH RD</AddressLine1>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>27599</ZIPCode>
        </AddressUS>
        <EINOfRecipient>566001393</EINOfRecipient>
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        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>SEE PART IV</PurposeOfGrant>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIPS AND AWARDS</TypeOfGrant>
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        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>MONITORING OF GRANTS IN THE US</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>Management at the Medical Foundation and the University of North Carolina Medical School are in charge of approving and maintaining supporting documentation of grant requests and disbursements.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>PURPOSE OF GRANT OR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE I, PART II, COLUMN H</ReturnReference>
        <Explanation>SUPPORT EDUCATIONAL AND RESEARCH EFFORTS OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL MEDICAL SCHOOL AND UNC HOSPITALS.</Explanation>
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        <NamePerson>GREGORY DUYCK</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>DEBORAH DIBBERT</NamePerson>
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        <Identifier>UNRELATED ORGANIZATION COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART II</ReturnReference>
        <Explanation>THE ORGANIZATION EMPLOYEES RECEIVE COMPENSATION AND BENEFITS FROM THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL AN UNRELATED ORGANIZATION PER 990 INSTRUCTIONS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>96</NumberOfContributions>
        <NoncashContribsRptdF990>1606438</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesMiscellaneous>
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>true</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>THIRD PARTY UTILIZED</Identifier>
        <ReturnReference>SCHEDULE M, LINE 32b</ReturnReference>
        <Explanation>THE FOUNDATION UTILIZES EXTERNAL BROKERS TO PROCESS AND SELL DONATED SECURITIES.</Explanation>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES IN GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>1.The Board of Directors approved a change in the Foundation's governing documents which removed voting rights from two members, the President of the Medical Foundation of North Carolina, Inc. and the President of UNC Hospitals (UNC Health Care). These two positions remain Ex Officio members of the Foundation's Board of Directors. 2.The Board of Directors approved an increase in the number of consecutive terms each member may serve on the Board. Directors of the Foundation may now serve up to three, consecutive, three-year terms. The governing documents previously limited directors to two consecutive terms. 3.The Board of Directors approved committee charters for each standing committee to be incorporated in the governing documents of the Foundation. The committee charters include descriptions of the purposes and responsibilities, meeting expectations, and reporting and evaluation obligations of each committee. In some cases committee names were modified to be consistent with the responsibilities of the committees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>The Foundation's Form 990 is posted to a secure portal on its website and available for review by all board members for approximately two weeks before the return is filed with the IRS. The Foundation's Audit Committee reviews the Form 990 with the Foundation's outside auditors, and upon approval by the Audit Committee the final Form 990 is submitted for filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12</ReturnReference>
        <Explanation>The Foundation is developing policies and procedures to have 100% Board compliance with conflict of interest responses.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>Employees of the Medical Foundation are leased from the University of North Carolina at Chapel Hill. Their compensation is determined in accordance with the pay and employee benefit practices of the North Carolina State Government. The Foundation President has reviewed the compensation paid to each Foundation employee and determined that it is at or below the local market rate of other comparable non-profit organizations. The Foundation plans to engage in a more formal review of the compensation levels for Foundation employees and the process whereby state pay levels are set.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DISCLOSURE OF GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>It is not part of the Medical Foundation's written policies to make these documents available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>Salaries, payroll taxes, and benefits for the Medical Foundation of North Carolina's employees are paid by the University of North Carolina at Chapel Hill. The Foundation reimburses the University for a portion of these personnel costs. The remainder of salaries, payroll taxes, and benefits are contributed services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED LOSSES (3,392,667) CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 274,929 ----------- TOTAL (3,117,738)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>The Audit Committee has oversight for the audit of the financial statements.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FAMILY BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI SECTION A, LINE 2</ReturnReference>
        <Explanation>RICHARD T. HOLDERNESS AND ADELAIDE HOLDERNESS HAVE A FAMILY RELATIONSHIP. David B. Anderson is an Associate Dean of the UNC-CH School of Medicine and William L. Roper is Dean of the UNC-CH School of Medicine.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEDICAL GROUND TRANSPORT LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>880 MARTIN LUTHER KING BLVD</AddressLine1>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>27514</ZIPCode>
        </AddressUS>
        <PrimaryActivities>TRANSPORT</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEDICAL AIR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>UNC-CH CB 7165 145 N MEDICAL DRI</AddressLine1>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>27599</ZIPCode>
        </AddressUS>
        <EIN>311603672</EIN>
        <PrimaryActivities>TRANSPORT</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GROVER C DALE MD MEDICAL RESEARCH TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>880 MARTIN LUTHER KING JR BLVD</AddressLine1>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>27514</ZIPCode>
        </AddressUS>
        <EIN>311474626</EIN>
        <PrimaryActivities>RESEARCH</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GROVER C DALE MD SCHOLARSHIP TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>880 MARTIN LUTHER KING JR BLVD</AddressLine1>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>27514</ZIPCode>
        </AddressUS>
        <EIN>311474625</EIN>
        <PrimaryActivities>SCHOLARSHIPS</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEDICAL GROUND TRANSPORT LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>127565</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEDICAL GROUND TRANSPORT LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>11676</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>PRIMARY ACTIVITY DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE R, PART I &amp; PART II, (1)(B)</ReturnReference>
        <Explanation>PART I (1)(B) MEDICAL GROUND TRANSPORT, LLC PROVIDES TRANSPORTATION FOR SUPPORTED ENTITIES. PART II (1)(B) MEDICAL AIR PROVIDES TRANSPORTATION FOR SUPPORTED ENTITIES.</Explanation>
      </Form990ScheduleRPartVII>
      <Form990ScheduleRPartVII />
    </IRS990ScheduleR>
  </ReturnData>
</Return>