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      <Interest>
        <Total>1159195</Total>
        <ProgramServices>1047075</ProgramServices>
        <ManagementAndGeneral>112120</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1971734</Total>
        <ProgramServices>1873147</ProgramServices>
        <ManagementAndGeneral>98587</ManagementAndGeneral>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>Dietary</Description>
        <Total>1816085</Total>
        <ProgramServices>1816085</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Insurance</Description>
        <Total>1750634</Total>
        <ProgramServices>1635608</ProgramServices>
        <ManagementAndGeneral>115026</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Utilities</Description>
        <Total>1068889</Total>
        <ProgramServices>108662</ProgramServices>
        <ManagementAndGeneral>960227</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>773380</Total>
        <ProgramServices>726529</ProgramServices>
        <ManagementAndGeneral>46851</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Repairs &amp; maintenance</Description>
        <Total>695805</Total>
        <ProgramServices>695805</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1471299</Total>
        <ProgramServices>1252669</ProgramServices>
        <ManagementAndGeneral>218630</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>22841763</Total>
        <ProgramServices>19728951</ProgramServices>
        <ManagementAndGeneral>3112812</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
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        <EOY>6060531</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
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        <EOY>1017272</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
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        <EOY>200957</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>531124</BOY>
        <EOY>267741</EOY>
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      <LandBuildingsEquipmentBasis>78460036</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>27957018</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>51883878</BOY>
        <EOY>50503018</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>14931022</BOY>
        <EOY>17749674</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>1244147</BOY>
        <EOY>1375504</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>78532071</BOY>
        <EOY>77174697</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1874168</BOY>
        <EOY>1987558</EOY>
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      <DeferredRevenue>
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        <EOY>12006651</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>38805000</BOY>
        <EOY>37745000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1741500</BOY>
        <EOY>1739500</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2134091</BOY>
        <EOY>1684525</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>57308755</BOY>
        <EOY>55163234</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>19594891</BOY>
        <EOY>20252554</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1613425</BOY>
        <EOY>1693909</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>15000</BOY>
        <EOY>65000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>21223316</BOY>
        <EOY>22011463</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>78532071</BOY>
        <EOY>77174697</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1422956</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-634809</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>62281</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>294280</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>196638</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>184218</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>426574</CurrentTaxYear>
        <Total>1163991</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>21925050</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22154506</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>22523520</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>22601926</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23478229</CurrentTaxYear>
        <Total>112683231</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>21987331</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22448786</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>22720158</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>22786144</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23904803</CurrentTaxYear>
        <Total>113847222</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>113847222</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>990836</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1060338</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>536830</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>386167</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>475544</CurrentTaxYear>
        <Total>3449715</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>990836</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1060338</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>536830</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>386167</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>475544</CurrentTaxYear>
        <Total>3449715</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>22978167</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23509124</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23256988</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>23172311</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24380347</CurrentTaxYear>
        <Total>117296937</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97060</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.96670</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02940</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.03330</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>5179990</OtherCostOrOtherBasis>
        <BookValue>5179990</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>62106360</OtherCostOrOtherBasis>
        <Depreciation>22145191</Depreciation>
        <BookValue>39961169</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>5820800</OtherCostOrOtherBasis>
        <Depreciation>1534897</Depreciation>
        <BookValue>4285903</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>5352886</OtherCostOrOtherBasis>
        <Depreciation>4276930</Depreciation>
        <BookValue>1075956</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>50503018</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Occupancy deposits</Description>
        <Amount>45525</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Obligation under interest rate swap</Description>
        <Amount>1639000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1684525</TotalOfAmounts>
      <TotalRevenue>24264719</TotalRevenue>
      <TotalExpenses>22841763</TotalExpenses>
      <ExcessOrDeficitForYear>1422956</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1011928</NetUnrealizedGLOnInvestments>
      <OtherAmount>377119</OtherAmount>
      <TotalAdjustments>-634809</TotalAdjustments>
      <ExcessOrDeficitPerFS>788147</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>23629910</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-1011928</NetUnrealizedGainsInvestments>
      <OtherRevenues>377119</OtherRevenues>
      <RevenueNotRptdF990>-634809</RevenueNotRptdF990>
      <RevenueSubtotal>24264719</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>24264719</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>22841763</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>22841763</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>22841763</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>No uncertain tax positions under FIN 48</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Unrealized gain/loss on interest rate swap 408,591. Change in value of split-interest agreements -31,472.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Unrealized loss on interest rate swap 408,591. Change in value of split interest agreements -31,472.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Wilson Sheldon Jr</NamePerson>
        <BaseCompensationFilingOrg>162875</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>162875</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>657902M41</CUSIPNumber>
        <DateIssued>2003-10-16</DateIssued>
        <IssuePrice>45165000</IssuePrice>
        <DescriptionOfPurpose>Constructing continuing care retirement facilities and refund prior issue</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>45165000</TotalProceeds>
        <IssuanceCostsFromProceeds>680631</IssuanceCostsFromProceeds>
        <CapitalExpenditures>23699447</CapitalExpenditures>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>1</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Bank of America</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>10.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The 990 is reviewed by the Executive Director, the controller and Chairman of the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The policy is signed each time a member joins the board. The organization relies on the integrity of the board members to monitor their independence.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15a</ReturnReference>
        <Explanation>The CEO's compensation is set by the compensation committee of the board who are independent.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization is regulated by the Insurance Commission and our Financials are part of the Disclosure required by them.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -1,011,928. Unrealized gain/loss on interest rate swap 408,591. Change in value of split-interest agreements -31,472. Total to Form 990, Part XI, Line 5: -634,809.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>