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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHIRISH DEVASTHALI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PALMER EDWARDS</PersonNm>
        <TitleTxt>PRESIDENT EL</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LELAND GARRETT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA GARY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS GRUBB</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LACY HOBGOOD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY STROWD III</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE JONES</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VENKAT PRASAD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY REEDER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINAY SARANGA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OSI UDEKWU</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotReportableCompRltdOrgAmt>2744145</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>256277</TotalOtherCompensationAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTH CAROLINA MEDICAL SOCIETY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 27167</AddressLine1Txt>
            <CityNm>RALEIGH</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27611</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MNGMT SERVICES</ServicesDesc>
        <CompensationAmt>1148849</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ANGEL OAK CREATIVE LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>702 N BLOUNT ST</AddressLine1Txt>
            <CityNm>RALEIGH</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING</ServicesDesc>
        <CompensationAmt>110977</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1800</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1644933</AllOtherContributionsAmt>
      <TotalContributionsAmt>1646733</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>TUITION</Desc>
        <TotalRevenueColumnAmt>69250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <TotalRevenueColumnAmt>31250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE FEE INCOME</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>713</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>713</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PSA REVENUE</Desc>
        <TotalRevenueColumnAmt>673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>673</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>101886</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>891236</TotalRevenueColumnAmt>
        <ExclusionAmt>891236</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7097988</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6157036</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>940952</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>940952</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>940952</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3580807</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1042125</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>713</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>891236</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>202694</TotalAmt>
        <ProgramServicesAmt>202694</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>455811</TotalAmt>
        <ProgramServicesAmt>455811</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>220799</TotalAmt>
        <ProgramServicesAmt>185413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18438</ManagementAndGeneralAmt>
        <FundraisingAmt>16948</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>390291</TotalAmt>
        <ProgramServicesAmt>327741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32593</ManagementAndGeneralAmt>
        <FundraisingAmt>29957</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>53409</TotalAmt>
        <ProgramServicesAmt>44850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4460</ManagementAndGeneralAmt>
        <FundraisingAmt>4099</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>38716</TotalAmt>
        <ProgramServicesAmt>32511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3233</ManagementAndGeneralAmt>
        <FundraisingAmt>2972</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>191168</TotalAmt>
        <ProgramServicesAmt>172068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19100</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>33825</TotalAmt>
        <ProgramServicesAmt>17506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16319</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>48878</TotalAmt>
        <ManagementAndGeneralAmt>48878</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <AdvertisingGrp>
        <TotalAmt>65640</TotalAmt>
        <ProgramServicesAmt>59544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5869</ManagementAndGeneralAmt>
        <FundraisingAmt>227</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>18712</TotalAmt>
        <ProgramServicesAmt>2977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15651</ManagementAndGeneralAmt>
        <FundraisingAmt>84</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>62847</TotalAmt>
        <ProgramServicesAmt>62847</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>77366</TotalAmt>
        <ProgramServicesAmt>75180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2186</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>14898</TotalAmt>
        <ProgramServicesAmt>14898</ProgramServicesAmt>
      </TravelGrp>
      <InsuranceGrp>
        <TotalAmt>8995</TotalAmt>
        <ProgramServicesAmt>8995</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>ADMIN SERVICES NCMS</Desc>
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        <ProgramServicesAmt>175466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39214</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EDUCATIONAL EXP</Desc>
        <TotalAmt>67615</TotalAmt>
        <ProgramServicesAmt>67615</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
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        <ProgramServicesAmt>675</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7818</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>2055</TotalAmt>
        <ProgramServicesAmt>2055</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1000</TotalAmt>
        <ProgramServicesAmt>787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>2177892</TotalAmt>
        <ProgramServicesAmt>1909633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213972</ManagementAndGeneralAmt>
        <FundraisingAmt>54287</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>4550474</BOYAmt>
        <EOYAmt>6815794</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>753250</BOYAmt>
        <EOYAmt>17857</EOYAmt>
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      <AccountsReceivableGrp>
        <EOYAmt>46087</EOYAmt>
      </AccountsReceivableGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>20145333</BOYAmt>
        <EOYAmt>20688719</EOYAmt>
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        <BOYAmt>25449057</BOYAmt>
        <EOYAmt>27568457</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>527891</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>1005849</EOYAmt>
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        <BOYAmt>37850</BOYAmt>
        <EOYAmt>4800</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1538540</EOYAmt>
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        <BOYAmt>270827</BOYAmt>
        <EOYAmt>1571066</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>23729195</BOYAmt>
        <EOYAmt>24458851</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>26029917</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25449057</BOYAmt>
        <EOYAmt>27568457</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1402915</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>626980</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
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      <SupportingOrgType2Ind>X</SupportingOrgType2Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
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        <SupportedOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA MEDICAL SOCIETY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>NC MEDICAL SOCIETY</BusinessNameLine2Txt>
        </SupportedOrganizationName>
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        <SuprtExclusivelySec170c2BInd>false</SuprtExclusivelySec170c2BInd>
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        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
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        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
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        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING PREPARATION OF THE FORM 990, IT WAS DETERMINED THAT THE SUPPORTED SOCIETY SATISFIED THE PUBLIC SUPPORT REQUIREMENTS UNDER SECTION 509 (A) (2).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION C, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH ORGANIZATIONS SHARE A PLURALITY OF COMMON DIRECTORS AS WELL AS THEIR HIGHEST RANKED MANAGEMENT OFFICIAL. IN ADDITION THE BY-LAWS OF THE ORGANIZATION WILL ENGAGE IN CHARITABLE, EDUCATIONAL AND SCIENTIFIC ACTIVITIES ON BEHALF OF THE SUPPORTED ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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        <InvestmentEarningsOrLossesAmt>2318463</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-1604047</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-48878</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>21056290</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19152555</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>1807342</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-520615</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-49130</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>20390452</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17186176</BeginningYearBalanceAmt>
        <ContributionsAmt>750</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2631026</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-620649</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-44748</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>19152555</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>21252175</BeginningYearBalanceAmt>
        <ContributionsAmt>2300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-3351667</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-672072</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-44550</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>17186176</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20239774</BeginningYearBalanceAmt>
        <ContributionsAmt>1650</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2049643</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-987333</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-51559</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>21252175</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.72340</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.27660</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4158909</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>626980</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>626980</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3531929</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>48878</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>48878</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3580807</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2129014</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2129014</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>48878</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>48878</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2177892</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT EARNINGS ARE SPENT BASED ON BOARD APPROVED BUDGETS DEVELOPED TO MEET THE NEED OF VARIOUS PROGRAMS SUPPORTED BY THE FOUNDATION'S ENDOWMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS CLASSIFIED AS A PUBLICLY SUPPORTED ORGANIZATION. DURING THE YEAR ENDED DECEMBER 31, 2025 AND 2024, THE FOUNDATION HAD A MINIMAL AMOUNT OF INCOME SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE FOUNDATION EVALUATES ANY UNCERTAIN TAX POSITIONS. ACCORDINGLY, THE FOUNDATIONS POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE FOUNDATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION OF MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT DOES NOT BELIEVE ANY SIGNIFICANT INCOME TAX UNCERTAINTIES EXIST AS OF DECEMBER 31, 2025 AND 2024 .</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DR LORNA BREEN HEROES' FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1867 WINSTON ROAD</AddressLine1Txt>
          <CityNm>CHARLOTTESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22903</ZIPCd>
        </USAddress>
        <RecipientEIN>851509081</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>113275</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OCRACOKE HEALTH CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 543</AddressLine1Txt>
          <CityNm>OCRACOKE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27960</ZIPCd>
        </USAddress>
        <RecipientEIN>561273237</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12669</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TIDES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>410 HARNETT ST 3</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28401</ZIPCd>
        </USAddress>
        <RecipientEIN>823107911</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HURRICANE RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NC PROFESSIONALS HEALTH PROGRAM</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 HORIZON DR 201</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27615</ZIPCd>
        </USAddress>
        <RecipientEIN>561846599</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUICIDE AWARENESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COALITION FOR PHYSICIANS WELL BEING</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>900 HOPE WAY</AddressLine1Txt>
          <CityNm>ALTAMONTE SPRINGS</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32714</ZIPCd>
        </USAddress>
        <RecipientEIN>463477012</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>11750</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>WORKFORCE RECRUITMENT</GrantTypeTxt>
        <RecipientCnt>9</RecipientCnt>
        <CashGrantAmt>455811</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ELEGIBILITY CRITERIA ARE ESTABLISHED FOR EACH GRANT PROGRAM. AMONG OTHER FACTORS, CRITERIA INCLUDE FINANCIAL NEED AS EVIDENCE BY A REVIEW OF FINANCIAL STATEMENTS. FOR WORKFORCE RECRUITEMENT AND RETENTION GRANTS, GIVEN THROUGH THE COMMUNITY PRACTITIONER PROGRAM, AN ADDITIONAL CRITERIA OF PRACTICE LOCATION IN AN UNDERSERVED COMMUNITY IS ALSO A FACTOR. WHILE GRANTS ARE MADE ON BEHALF OF INDIVIDUALS, PAYMENTS ARE MADE DIRECTLY TO THE LEADING INSTITUTION FOR THE COMMUNITY PRACTITIONER PROGRAM.LOAN STATEMENTS ARE REVIEWED REGULARLY AND TREATMENT PROVIDERS REQUIRED TO VERIFY THAT FUNDS ARE EXPENDED ON ELIGIBLE PARTICIPANTS AND TO RETURN ANY UNSPENT FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompRltdOrgsAmt>6570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33980</NontaxableBenefitsRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY RODRIGUEZ</PersonNm>
        <TitleTxt>CLO</TitleTxt>
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        <DeferredCompRltdOrgsAmt>10079</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11531</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>273590</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN THOMPSON</PersonNm>
        <TitleTxt>VP EXTERNAL AFFAIRS</TitleTxt>
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        <BonusRelatedOrganizationsAmt>21500</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>9116</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11917</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>248927</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN W KEENE</PersonNm>
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        <TotalCompensationRltdOrgsAmt>240000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANKLIN WALKER</PersonNm>
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        <DeferredCompRltdOrgsAmt>7996</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12915</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>220799</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LARRY CRAWFORD</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>190621</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>20000</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>8425</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>903</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>219949</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLAN SKIPPER</PersonNm>
        <TitleTxt>VP LIASON</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>178377</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>6000</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>7375</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>9492</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>201244</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY NEWTON</PersonNm>
        <TitleTxt>VP SOC MGMT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>168592</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6744</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11918</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>187254</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EVAN SIMMONS</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>160227</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>15000</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>3505</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>657</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>179389</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA HIGHSMITH</PersonNm>
        <TitleTxt>VP MMEBERSHIP</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>142414</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>6000</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>5937</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12470</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>166821</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc6">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TRACY ESKRA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>100</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CYNTHIA GARY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>300</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LELAND GARRETT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>2500</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CARL WESTCOTT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>1000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LACY HOBGOOD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>1200</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLEY RODRIGUEZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JUGTA KAHAI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PASCAL UDEKWU</PersonNm>
        </NameOfInterested>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>EILEEN RAYNOR</PersonNm>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TIMOTHY REEDER</PersonNm>
        </NameOfInterested>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>STEVE KEENE</PersonNm>
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        <RelationshipDescriptionTxt>OFFICER/TRUSTEE</RelationshipDescriptionTxt>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PALMER EDWARDS</PersonNm>
        </NameOfInterested>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>C LABRON CHAMBERS JR</PersonNm>
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        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>150</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CHRIS GRUBB</PersonNm>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>MICHELLE JONES</PersonNm>
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      <BusTrInvolveInterestedPrsnGrp>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>VINAY SARANGA</PersonNm>
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        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>500</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>KAREN SMITH</PersonNm>
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        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>MEGAN EBERLE</PersonNm>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAMELA HIGHSMITH</PersonNm>
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        <RelationshipDescriptionTxt>KEY EMPLOYEE</RelationshipDescriptionTxt>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LYDIE KY</PersonNm>
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        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>LISA MWAIKAMBO</PersonNm>
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        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLEY NEWTON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>600</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROKITA PITTS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>5</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ELIZABETH REMHOF</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>120</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KRISTEN SHIPHERD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>40</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>FRANK SNYDER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>150</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KRISTEN SPADUZZI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>100</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MONECIA THOMAS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>775</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>FRANKLIN WALKER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>400</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KELLY WILSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>75</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>STEVE KEENE 500 OFFICER/TRUSTEE CONTRIBUTION PALMER EDWARDS 200 TRUSTEE CONTRIBUTION C. LABRON CHAMBERS, JR 150 TRUSTEE CONTRIBUTION CHRIS GRUBB 1,000 TRUSTEE CONTRIBUTION MICHELLE JONES 1,100 TRUSTEE CONTRIBUTION VENKAT PRASAD 750 TRUSTEE CONTRIBUTION VINAY SARANGA 500 TRUSTEE CONTRIBUTION KAREN SMITH 50 TRUSTEE CONTRIBUTION LARRY CRAWFORD 600 KEY EMPLOYEE CONTRIBUTION MEGAN EBERLE 25 EMPLOYEE CONTRIBUTION PAMELA HIGHSMITH 1,020 KEY EMPLOYEE CONTRIBUTION LYDIE KY 10 EMPLOYEE CONTRIBUTION LISA MWAIKAMBO 25 EMPLOYEE CONTRIBUTION ASHLEY NEWTON 600 KEY EMPLOYEE CONTRIBUTION ROKITA PITTS 5 EMPLOYEE CONTRIBUTION ELIZABETH REMHOF 120 EMPLOYEE CONTRIBUTION KRISTEN SHIPHERD 40 EMPLOYEE CONTRIBUTION FRANK SNYDER 150 EMPLOYEE CONTRIBUTION KRISTEN SPADUZZI 100 EMPLOYEE CONTRIBUTION MONECIA THOMAS 775 EMPLOYEE CONTRIBUTION FRANKLIN WALKER 400 KEY EMPLOYEE CONTRIBUTION KELLY WILSON 75 EMPLOYEE CONTRIBUTION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING RECORDS OF THE FOUNDATION ARE MAINTIANED BY THE SOCIETY PERSONEL WHO ALSO PROVIDE LEGAL REPRESENTATION AND PROMOTIONAL SERVICES. THE FOUNDATION PAID THE SOCIETY 214,680 FOR THESE SERVICES. THE FOUNDATION TRUSTEES, SOCIETY EMPLOYEES, AND THEIR RELATIVES CONTRIBUTED AND PLEDGED 20,295 TO THE FOUNDATION IN 2025. THERE WERE NO PLEDGES RECEIVABLE OUSTANDING FROM FOUNDATION TRUSTEES OR SOCIETY EMPLOYEES AT DECEMBER 31, 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONDUCTS CERTAIN ACTIVITIES ON BEHALF OF AND IN SUPPORT OF THE NORTH CAROLINA MEDICAL SOCIETY, A PUBLIC CHARITABLE ORGANIZATION QUALIFIED UNDER IRC SEC 501(C)(3). SINCE THE ELEMENTS OF CONTROL NECESSARY FOR CONSOLIDATION ARE NOT PRESENT, THE AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION ARE REPORTED IN AN INDEPENDENT FORMAT. HOWEVER, ALL APPLICABLE DISCLOSURES AND TRANSACTION AMOUNTS FOR INTER-ORGANIZATION TRANSACTIONS ARE REPORTED ON THE ORGANIZATION'S FORM 990, INCLUDING PART VII, SCHEDULE A, SCHEDULE B, SCHEDULE I, AND SCHEDULE O.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAMS INCLUDE OFFICE-BASED OPIOD TREATMENT AND OUR COMMUNITY HEALTH INITIATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES OF THE ORGANIZATION ARE PAID DIRECTLY BY THE NC MEDICAL SOCIETY WHOM THE ORGANIZATION IN TURN REIMBURSES FOR LABOR COSTS VIA THE MANAGEMENT FEE (AS LISTED ON PART VII, SEC B.)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S FINANCE COMMITEE REVIEWS THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, MANAGEMENT, EMPLOYEES, AND OTHERS (AS MAY BE DESIGNATED BY THE BOARD) TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTEREST AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER'S SALARY IS SET BY THE BOARD COMPENSATION COMMITTEE COMPRISED OF BOARD OFFICERS. THE COMMITTEE MEETS EARLY IN THE YEAR AND SET GOALS FOR THE YEAR. THE COMMITTEE WILL MEET LATE IN THE YEAR TO REVIEW THE ATTAINMENT OF SET GOALS AND SET SALARY, BONUSES AND INCENTIVES BASED ON PERFORMANCE OF SUCH. OTHER INFORMATION INCLUDING SURVEYS FROM OTHER MEDICAL SOCIETIES ARE ALSO TAKEN INTO ACCOUNT. THE EXECUTIVE VICE PRESIDENT'S COMPENSATION WAS LAST REVIEWED IN OCTOBER 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE VICE PRESIDENT'S SALARY IS SET BY THE BOARD COMPENSATION COMMITTEE COMPRISED OF BOARD OFFICERS. THE COMMITTEE MEETS EARLY IN THE YEAR AND SET GOALS FOR THE YEAR. THE COMMITTEE WILL MEET LATE IN THE YEAR TO REVIEW THE ATTAINMENT OF SET GOALS AND SET SALARY, BONUSES AND INCENTIVES BASED ON PERFORMANCE OF SUCH. OTHER INFORMATION INCLUDING SURVEYS FROM OTHER MEDICAL SOCIETIES ARE ALSO TAKEN INTO ACCOUNT. THE EXECUTIVE VICE PRESIDENT'S COMPENSATION WAS LAST REVIEWED IN OCTOBER 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH CAROLINA MEDICAL SOCIETY FOUNDATION, INC MAKES AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS VIA TWO METHODS: IN PERSON OR UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JULY 1, 2025 STEPHEN W. KEENE REPLACED HURSHELL E. BAGGETT, JR AS CEO OF THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>