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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Lipparelli</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Debra Weeks</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Hudspeth MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Don Holloman</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Crumpton</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Owens</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Greene</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott McCray</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shantelle Simpson</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lee Ann Amann</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shavonda Pugh</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pamela Tripp</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Spencer</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Teresa Strom</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Philip Harewood</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael McDuffie DHSc</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Althea Johnson</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sheila Simmons</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Harrelson</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rose Turner</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alice Salthouse</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Greg Bounds PhD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carolyn Allison</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Reuben Blackwell</PersonNm>
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        <ProgramServicesAmt>3275182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>510221</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>276588</ProgramServicesAmt>
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        <ProgramServicesAmt>24431</ProgramServicesAmt>
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        <ProgramServicesAmt>102277</ProgramServicesAmt>
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        <FundraisingAmt>7878</FundraisingAmt>
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        <ProgramServicesAmt>19894</ProgramServicesAmt>
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        <ProgramServicesAmt>7480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17863</ManagementAndGeneralAmt>
        <FundraisingAmt>2165</FundraisingAmt>
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        <ProgramServicesAmt>6247</ProgramServicesAmt>
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        <EOYAmt>4944056</EOYAmt>
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        <EOYAmt>4386847</EOYAmt>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3433015</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4157675</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25809314</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>45933313</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21012651</CurrentTaxYearAmt>
        <TotalAmt>100345968</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3433015</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4157675</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25809314</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>45933313</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21012651</CurrentTaxYearAmt>
        <TotalAmt>100345968</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>100345968</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5182</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4512</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>992</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>6689</CurrentTaxYearAmt>
        <TotalAmt>17375</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>100363343</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99980</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99980</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="990C">
      <Form4720FiledSection4955TaxInd>false</Form4720FiledSection4955TaxInd>
      <CorrectionMadeInd>false</CorrectionMadeInd>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>135000</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>135000</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>10735259</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>10870259</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>693513</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>173378</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>405838</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>693513</CurrentYearAmt>
        <TotalAmt>3099351</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>4649027</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>75758</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>69756</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>136263</CurrentYearMinus1Amt>
        <CurrentYearAmt>135000</CurrentYearAmt>
        <TotalAmt>416777</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>101460</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>173378</CurrentYearAmt>
        <TotalAmt>774838</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1162257</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <OtherSecuritiesGrp>
        <Desc>Carolina Complete Health</Desc>
        <BookValueAmt>250500</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Carolina Med Health</Desc>
        <BookValueAmt>75000</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>325500</TotalBookValueSecuritiesAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>
        <PersonNm>Chris Shank</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>204988</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204988</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors are elected from the membership.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing body decisions Part VI line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The membership approves certain activities of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The form 990 is reviewed by the Board of Directors prior to its filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Board of Directors are required to disclose any conflicts of interest on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors reviews and approves the annual compensation of the CEO, and all staff.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO reviews and determines compensation levels of all other employees, and the Board of Directors approves the CEOs budget.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents are made available to the general public upon written request to the organizations office.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>X</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES DETAILED IN RETURN</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>