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      <Desc>THERE WERE TWENTY FOUR FAMILY MEDICINE RESIDENTS IN THE PROGRAM THIS YEAR. EIGHT PHYSICIANS COMPLETED THE RESIDENCY IN JUNE WITH EIGHT NEW RESIDENTS ENTERING THE PROGRAM. THERE WERE 31,894 PATIENT VISITS IN THE FAMILY MEDICINE CENTER AND SPECIALTY MEDICINE CENTER. THE BUSINESS OFFICE STAFF CONTINUED TO EXCEED MGMA BEST PRACTICE TARGETS FOR DAYS IN ACCOUNTS RECEIVABLE AND NUMBER OF DENIALS. AT SR-AHEC FAMILY MEDICINE RESIDENCY OUR MISSION HAS ALWAYS BEEN TO TRAIN RESIDENTS AND PLACE OUR RESIDENCY GRADUATES IN THE COMMUNITY TO HELP IMPROVE HEALTHCARE ACCESS FOR OUR PATIENTS AND IMPROVE THE OVERALL HEALTH OF THE POPULATION IN OUR NINE-COUNTY REGION OF: BLADEN, CUMBERLAND, HARNETT, HOKE, MOORE, ROBESON, SAMPSON AND SCOTLAND COUNTIES. IN FY21, EIGHT PHYSICIANS JOINED THE OVER 220 DOCTORS WHO HAVE CHOSEN THE DUKE/SOUTHERN REGIONAL AHEC FAMILY MEDICINE RESIDENCY PROGRAM SINCE 1977 TO BOARD-CERTIFY THEIR SKILLS IN FAMILY MEDICINE. THESE DOCTORS OF ALLOPATHIC AND OSTEOPATHIC MEDICINE CONTINUE THEIR EDUCATION OR BEGIN THEIR CAREERS IN HOSPITALS, PRIVATE PRACTICES, IN THE MILITARY, AND OTHER AVENUES AS THEY PURSUE THEIR LIFE-LONG AMBITION OF PROVIDING COMPREHENSIVE HEALTH CARE TO PEOPLE OF ALL AGES.SINCE 1977, APPROX. TWENTY FIVE PERCENT OF THESE PRIMARY CARE PHYSICIANS STAYED IN NORTH CAROLINA OR IN THE REGION AFTER GRADUATING FROM THE PROGRAM. SINCE 2015, THE NUMBER OF GRADUATES OPTING TO WORK WITH LOCAL OR REGIONAL HOSPITALS AS THEIR FIRST JOB AFTER GRADUATION HAS BEEN STEADILY INCREASING.THIS PAST YEAR WE HAD SEVENTY PERCENT OF OUR GRADUATES PRACTICE IN OUR REGION. FACULTY AND STAFF PRESENTED AT NUMEROUS NATIONAL AND STATE PROFESSIONAL MEETINGS.</Desc>
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        <Desc>THE HEALTH CAREERS AND WORKFORCE DIVERSITY PROGRAM FOCUSED ON THE PLANNING OF THE AHEC SCHOLARS PROGRAM IN PREPARATION FOR THE THIRD COHORT OF SCHOLARS. ITS AIM IS TO RECRUIT, TRAIN, AND SUPPORT A DIVERSE GROUP OF STUDENTS FROM EACH AHEC REGION, CREATING A MULTIDISCIPLINARY TEAM OF HEALTH PROFESSIONALS COMMITTED TO COMMUNITY SERVICE AND THE TRANSFORMATION OF HEALTH CARE IN NORTH CAROLINA. THIS NEW PROGRAM IS AN EXTENSION OF THE K-12 HEALTH CAREERS PIPELINE TO HIGHER EDUCATION THAT HAS BEEN OFFERED THROUGH NC AHEC SINCE THE 1990S. THE NC AHEC SCHOLARS PROGRAM WAS DEVELOPED FOR HEALTH PROFESSIONS STUDENTS INTERESTED IN SUPPLEMENTING THEIR EDUCATION WITH ADDITIONAL KNOWLEDGE AND EXPERIENCE IN RURAL AND/OR UNDERSERVED URBAN SETTINGS. SR AHEC CONTINUED TO OFFER SPECIFIC PIPELINE PROGRAMS TO INCLUDE HEALTH CAREERS PASSPORT, H.U.M.P. DAY IN PARTNERSHIP WITH CAMPBELL, TEACH, AND AHEC ON THE HILL. TEACHING EXCELLENCE FOR A CAREER IN HEALTH (TEACH) IS A NINE-MONTH PRE-PROFESSIONAL HEALTH ENRICHMENT PROGRAM FOR HIGH SCHOOL STUDENTS IN GRADES 8 -12. ITS GOAL IS TO SERVE AS AN INTEGRAL COMPONENT IN THE STATE'S EDUCATION PIPELINE AND TO MAKE A SIGNIFICANT IMPACT ON THE NUMBER OF UNDER-REPRESENTED STUDENTS ENTERING THE HEALTH PROFESSIONS IN THE REGION. DUE TO THE PANDEMIC SOME OF THESE PROGRAMS HAVE TRANSITIONED TO A VIRTUAL PLATFORM.IN 2021-2022, 380 CE/CME PROGRAMS WITH 1,072.25 PROGRAM HOURS WERE OFFERED TO HEALTH CARE PROFESSIONALS THROUGH SR-AHEC. THIRTY-SIX PERCENT OF THESE PROGRAMS WERE HELD IN CUMBERLAND COUNTY, WITH 16 PERCENT HOSTED IN SR-AHEC'S OTHER 8 COUNTIES IN THE REGION AND ANOTHER 48 PERCENT HELD OUTSIDE OF THE REGION. THE TRANSITION TO A VIRTUAL PLATFORM DUE TO THE PANDEMIC PLAYED A ROLE IN INCREASED PARTICIPATION FROM OUTSIDE THE REGION. THERE WERE 9,706 INDIVIDUALS WHO ATTENDED CE/CME PROGRAMS, WITH AN AVERAGE OF 26 PER PROGRAM. A TOTAL OF 187 HEALTH PROFESSIONS STUDENTS RESIDED IN SR-AHEC PROVIDED STUDENT HOUSING IN THE REGION. STUDENTS CAME PRIMARILY FROM DUKE, EAST CAROLINA, METHODIST UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPELHILL, WESTERN CAROLINA UNIVERSITY AND WAKE FOREST UNIVERSITY AND CAMPBELL.THERE WERE ALSO ROTATIONS FOR TEN 3RD YEAR VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) STUDENTS WHO SPENT THE WHOLE ACADEMIC YEAR LEARNING IN THE FAMILY MEDICINE CENTER. SOUTHERN REGIONAL AHEC'S PRACTICE SUPPORT TEAM TRANSFORMS HEALTHCARE DELIVERY IN OUR NINE-COUNTY REGION BY HELPING PROVIDERS MEET NATIONAL STANDARDS AND READY THEMSELVES FOR VALUE-BASED CARE. THIS TEAM WORKSWITH INDIVIDUAL PRACTICES TO PROVIDE ON-SITE ASSISTANCE ON THE TOOLS AND SYSTEMS NEEDED TO OFFER CONSISTENT, HIGH-QUALITY CARE TO ALL PATIENTS, AND PREPARE THE PRACTICE TO RECEIVE VALUE-BASED PAYMENT INITIATIVES.</Desc>
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        <BeginningYearBalanceAmt>32767</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-4745</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>28022</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>26735</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>6032</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>32767</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25888</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>847</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>26735</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <ContributionsAmt>25000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>888</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>25888</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>356018</OtherCostOrOtherBasisAmt>
        <BookValueAmt>356018</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14017379</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2212606</DepreciationAmt>
        <BookValueAmt>11804773</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2745642</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2298102</DepreciationAmt>
        <BookValueAmt>447540</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>536078</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>374015</DepreciationAmt>
        <BookValueAmt>162063</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12770394</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>19447228</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1386733</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-1386733</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20833961</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>82724</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>82724</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20916685</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19387996</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19387996</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>82724</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>82724</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19470720</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE AN ANNUAL AWARD TO AN INDIVIDUAL THAT HAS GIVEN EXTRAORDINARY SERVICE TO THE MISSION OF SR-AHEC. THE PERCENTAGE REPORTED FOR PERMANENT ENDOWMENTS INCLUDES AMOUNTS THAT MUST BE MAINTAINED IN PERPETUITY AS WELL AS ACCUMULATED EARNINGS ON SUCH AMOUNTS THAT HAVE NOT YET BEEN APPROPRIATED FOR EXPENDITURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT BELIEVES THAT THE FOUNDATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2022. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE FINANCIAL STATEMENTS AND DETERMINED THE FOUNDATION HAD NO UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSHMA S KAPOOR MD</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>304033</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7875</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7708</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7939</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>327555</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAIWONA L ELLIOTT DO</PersonNm>
        <TitleTxt>VP CLINICAL EDUCATION &amp; SERVICES/RES</TitleTxt>
        <BaseCompensationFilingOrgAmt>265432</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6615</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>729</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>282276</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LENARD D SALZBERG MD</PersonNm>
        <TitleTxt>FACULTY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>226608</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5704</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3900</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6925</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7939</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251076</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WESLEY A HILBERT MD</PersonNm>
        <TitleTxt>FACULTY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>216517</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5429</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6755</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7939</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>236640</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES S LESTER DO</PersonNm>
        <TitleTxt>FACULTY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>212230</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5297</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5445</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7939</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>230911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAJESH KHURANA MD</PersonNm>
        <TitleTxt>FACULTY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>196576</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5297</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6534</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7939</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216346</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKI HARDY DO</PersonNm>
        <TitleTxt>FACULTY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>194398</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5297</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5526</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7939</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213160</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN L GREENE MBA</PersonNm>
        <TitleTxt>VP ADMIN &amp; FINANCE/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150365</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3863</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4679</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7849</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166756</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>TAIWONA L. ELLIOTT, MD AND LENARD D. SALZBERG RECEIVED BONUSES WHICH WERE GROSSED UP FOR TAX PURPOSES. GROSS UP AMOUNTS WERE ALSO TREATED AS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX INDEMNIFICATION AND GROSS-UP PAYMENTS WERE RELATED TO BONUSES AWARDED BY THE ORGANIZATION, THEREFORE NO SUBSTANTIATION WITH RESPECT TO REIMBURSING OR ALLOWING EXPENSES WAS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE COMPLETED, THE FORM 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE, THE PRESIDENT/CEO AND VICE PRESIDENT, ADMINISTRATION &amp; FINANCE VIA CONFERENCE CALL BY THE AUDITOR. THE FORM 990 IS UPLOADED TO THE BOARD OF TRUSTEES WEBSITE FOR THEIR REVIEW PRIOR TO THE NOVEMBER BOARD MEETING. THE EXECUTIVE COMMITTEE RECOMMENDS THE ACTION TO ACCEPT THE REPORT AS PRESENTED, BARRING ANY CHANGES/CORRECTIONS, AND THE FULL BOARD VOTES TO ACCEPT THE REPORT. ONCE APPROVED THE FORM 990 IS FILED ON TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED AND DECLARATION IS RENEWED ANNUALLY AND KEPT ON FILE. IN THE EVENT OF A CONFLICT OCCURRING DURING THE YEAR, A BOARD MEMBER MUST DISCLOSE ANY CONFLICT OR POTENTIAL CONFLICT OF INTEREST AS SOON AS HE OR SHE RECOGNIZES IT. IF A BOARD MEMBER OR THE CEO HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, HE/SHE SHALL NOTIFY THE BOARD CHAIR. THE BOARD CHAIR SHALL THEN ACT IN ACCORDANCE WITH THE POLICY IN INVESTIGATING THE CONCERN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EXECUTIVE SALARY RANGE WILL BE ESTABLISHED BASED ON SIMILAR POSITIONS ACROSS THE NC AHEC SYSTEM WITH CONSIDERATION GIVEN TO JOB TITLE, DUTIES, EXPERIENCE, EDUCATION, ORGANIZATION SIZE BY REVENUE AND EMPLOYEES, CHALLENGES FACING THE ORGANIZATION REQUIRING EXCEPTIONAL SKILLS OR ATTRIBUTES AND IMPACT OF ORGANIZATIONAL WELL BEING. ANNUALLY, THE EXECUTIVE COMMITTEE OR FULL BOARD OF TRUSTEES WILL MEET INDEPENDENT OF THE CHIEF EXECUTIVE TO DISCUSS PERFORMANCE RELATIVE TO THE JOB DESCRIPTION AND ANNUAL GOALS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO THE ANNUAL BENCHMARKS AND ESTABLISHED OBJECTIVES. THE COMPENSATION DECISION IS APPROVED BY THE FULL BOARD OF TRUSTEES. DOCUMENTATION THAT THE DELIBERATION AND DECISION TOOK PLACE WILL BE NOTED IN THE BOARD OF TRUSTEES MINUTES. THE BOARD CHAIR WILL MEET WITH THE CHIEF EXECUTIVE TO DISCUSS STRENGTHS, WEAKNESSES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION IS BASED ON MARKET DATA OF COMPARABLE POSITIONS AT OTHER NC AHEC PROGRAMS AND MGMA (MEDICAL GROUP MANAGEMENT ASSOCIATION) SALARY SURVEYS. THE DATA IS COMPILED BY THE DIRECTOR OF HUMAN RESOURCES AND REVIEWED WITH THE PRESIDENT/CEO FOR DETERMINATION OF COMPENSATION WITH CONSIDERATION OF EXPERIENCE, EDUCATION, DUTIES AND RESPONSIBILITIES, AND SPECIFIC CHALLENGES FACING THE ORGANIZATION IN THOSE WORK AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 178,930. MANAGEMENT AND GENERAL EXPENSES 13,035. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,965. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 253,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,037. RESIDENCY SUPPORT PAYMENTS: PROGRAM SERVICE EXPENSES 4,414,655. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,414,655.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
