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        <NontaxableBenefitsRelatedOrgs>6975</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>431132</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>393866</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES ROSKELLY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>185357</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>87687</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>32345</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>27238</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>7735</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>340362</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>303796</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARVA JARMAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>130677</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>20027</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>1302</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>787</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>3317</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>156110</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>152219</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RENE SMITH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>133627</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>21772</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>441</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>12410</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>4018</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>172268</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>180066</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JUDITH A SCHANEL</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>152195</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>44067</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>19350</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>40249</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>6164</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>262025</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT ON NET EARNINGS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 6B</ReturnReference>
        <Explanation>Top paid employees are paid under Moses H Cone Memorial Hospital Operating Corp, Inc, and participate in the Management Incentive Compensation program. Under this program, a portion of the salary of those at a level of department director and higher is set aside and is contingent on the consolIdated health system's performance in several measures, including net earnings. Note, if these measures are met, the employee's compensation will be at market level, but if not met, their compensation will be below the market level for their job.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65820HXQ1</CUSIPNumber>
        <DateIssued>2004-10-19</DateIssued>
        <IssuePrice>47500000</IssuePrice>
        <DescriptionOfPurpose>Purchase capital equip WL bond</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>999999999</CUSIPNumber>
        <DateIssued>2011-02-09</DateIssued>
        <IssuePrice>60170000</IssuePrice>
        <DescriptionOfPurpose>Refinanced 1993 Series and Issuanc</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>6582OHJ87</CUSIPNumber>
        <DateIssued>2011-08-03</DateIssued>
        <IssuePrice>47980000</IssuePrice>
        <DescriptionOfPurpose>Refinanced 2008 Series and issuanc</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>999999999</CUSIPNumber>
        <DateIssued>2011-09-21</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>Construction of patient care facil</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>47500000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>829975</IssuanceCostsFromProceeds>
        <CreditEnhancement>834949</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>33276212</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>62559512</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>959512</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>47980000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>157229</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>50000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>50000000</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Thomas Cone</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>151716</AmountOfTransaction>
        <DescriptionOfTransaction>MCHS is Client of law firm</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Christian Streck MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>2318277</AmountOfTransaction>
        <DescriptionOfTransaction>Contracts w/ medical practice</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Louise Brady</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>127881</AmountOfTransaction>
        <DescriptionOfTransaction>Spouse's firm is major vendor</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>John Campbell</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>356919</AmountOfTransaction>
        <DescriptionOfTransaction>Employed by MCHS; Top 5 paid</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Deborah Hooper</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>10975</AmountOfTransaction>
        <DescriptionOfTransaction>Pres. Of WFMY Inc(Gannet Sub.)</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>David R Howard</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>277935</AmountOfTransaction>
        <DescriptionOfTransaction>TRUSTEE OF WELLSPRING</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>M Lee McAllister</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>248264</AmountOfTransaction>
        <DescriptionOfTransaction>Partner in Weaver Investments</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Henry Smith MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee</Relationship>
        <AmountOfTransaction>36900</AmountOfTransaction>
        <DescriptionOfTransaction>Investor in Joint Venture</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BEFORE EVERY BOARD OR COMMITTEE MEETING THE CHAIR WILL ASK EVERY MEMBER TO REVIEW THE AGENDA AND TO DISCLOSE ANY AREA THAT THEY MAY HAVE A CONFLICT SO THAT THE DISCLOSURE IS COMPLETE PRIOR TO THE DISCUSSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLIC RECORD AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. The quarterly and annual financial statements are also published on DAC and with the NMISRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION POLICY</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE HR COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW. MARKET DATA IS OBTAINED FROM AN OUTSIDE FIRM, AND COMPARED TO TOTAL COMPENSATION PAID. THE HR COMMITTEE DOES A PERFORMANCE REVIEW OF BASE PERFORMANCE AND EXECUTIVE PAY. THEN THE HR COMMITTEE MAKES A RECOMMENDATION TO THE FULL BOARD, WHICH THEN VOTES ON THE CEO PAY PACKAGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES APPROVED THE AUDIT AND FINANCE COMMITTEE AS THE GOVERNING BODY TO REVIEW THE ENTIRE FORM 990 DOCUMENT. THE FORM 990 DOCUMENTS ARE MADE AVAILABLE TO EVERY BOARD MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OR FUND BALANCES</Identifier>
        <ReturnReference>PART XI, LINE 5</ReturnReference>
        <Explanation>NET UNREALIZED GAIN/(LOSS) ON INVESTMENTS $(23,973,985) FUND TRANSFER BETWEEN RELATED PARTIES $ 2,107,932 ------------- TOTAL CHANGE IN NET ASSETS OR FUND BALANCE $(21,866,053) =============</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:John F. Campbell, M.D. TITLE:Trustee HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:R. Timothy Rice TITLE:President &amp; CEO HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Terrance B. Akin TITLE:COO &amp; Secretary HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Kenneth Boggs TITLE:Chief Financial Officer HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Timothy J. Clontz TITLE:Exec VP &amp; Asst Sec HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Noel F. Burt TITLE:Chief HR Officer&amp;Asst. Sec HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:James Roskelly TITLE:VP &amp; Asst. Secretary HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Marva Jarman TITLE:Asst. Treasurer HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:David Kitzmiller TITLE:Assistant Treasurer HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Rene Smith TITLE:Assistant Treasurer HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Wendi Carroll TITLE:Assistant Treasurer HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Judith A. Schanel TITLE:VP &amp; Asst. Secretary HOURS:40</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Moses H Cone Memorial Hospital OP Corp</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
        </AddressUS>
        <EIN>581588823</EIN>
        <PrimaryActivities>Operations</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Parent</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Moses Cone Medical Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
        </AddressUS>
        <EIN>561714318</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Parent</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Moses Cone Physicians Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
        </AddressUS>
        <EIN>800249057</EIN>
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        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Parent</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Moses Cone Affiliated Physicians Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
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        <EIN>300554775</EIN>
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        <LegalDomicileState>NC</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Parent</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Reidsville OB &amp; GYN</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
        </AddressUS>
        <EIN>800217430</EIN>
        <PrimaryActivities>Physicians</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MC Med Svcs</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONE HEALTH FOUNDATION</BusinessNameLine1>
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          <AddressLine1>1200 north elm street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
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        <EIN>562001399</EIN>
        <PrimaryActivities>Funding</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Parent</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WLCHS POB LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>27401</ZIPCode>
        </AddressUS>
        <EIN>561651736</EIN>
        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>NC</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>WLCHS Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>EXCLUDED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CDC LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>274011020</ZIPCode>
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        <EIN>383707960</EIN>
        <PrimaryActivity>Physicians</PrimaryActivity>
        <LegalDomicileState>NC</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MC Med Svcs</BusinessNameLine1>
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        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>614510</ShareOfTotalIncome>
        <ShareOfEOYAssets>591732</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Wesley Long Community Health Servces In</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1200 North Elm Street</AddressLine1>
          <City>Greensboro</City>
          <State>NC</State>
          <ZIPCode>274011020</ZIPCode>
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        <EIN>561441377</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>NC</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Parent</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>9336859</ShareOfTotalIncome>
        <ShareOfEOYAssets>11366561</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <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>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MOSES H CONE MEMORIAL OPERATING CORPORATION</BusinessNameLine1>
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        <TransactionType>I</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOSES CONE MEDICAL SERVICES INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOSES H CONE MEMORIAL OPERATING CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>8378250</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>