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      <Form990PartVIISectionAGrp>
        <PersonNm>Roskelly James</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Fortney Catharine</PersonNm>
        <TitleTxt>Vice President and Chief Compl</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Smith Rene'</PersonNm>
        <TitleTxt>Assistant Treasurer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Faucette Sandra</PersonNm>
        <TitleTxt>Director of Pharmacy</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kitzmiller David</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Haywood Mehee</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jones Jeffrey</PersonNm>
        <TitleTxt>Chief Financial Officer &amp; Secr</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nelms Jason</PersonNm>
        <TitleTxt>Vice President and Assistant T</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Schanel Judith</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Boylston MD Yun</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Campbell PhD Lenora</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cone Edward</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Chandler Thomas</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas Mae</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Hayes William</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Maxwell MD James</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Simms Carole</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brandon MD Ashley</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Samet Arthur</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stringer MD Arthur</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>French David</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gonzalez Maria</PersonNm>
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        <BusinessCd>621110</BusinessCd>
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        <TotalRevenueColumnAmt>998629</TotalRevenueColumnAmt>
        <ExclusionAmt>998629</ExclusionAmt>
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        <SecuritiesAmt>-232141</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-232141</TotalRevenueColumnAmt>
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        <BusinessCd>621110</BusinessCd>
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        <ProgramServicesAmt>96283</ProgramServicesAmt>
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        <ProgramServicesAmt>49900391</ProgramServicesAmt>
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        <ProgramServicesAmt>6453</ProgramServicesAmt>
        <ManagementAndGeneralAmt>717</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SERVICES &amp; SUPPLIES</Desc>
        <TotalAmt>78909413</TotalAmt>
        <ProgramServicesAmt>71018472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7890941</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES/REPAIR/MAINTENANCE</Desc>
        <TotalAmt>7543140</TotalAmt>
        <ProgramServicesAmt>6788826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>754314</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TAXES &amp; LICENSURE</Desc>
        <TotalAmt>14995374</TotalAmt>
        <ProgramServicesAmt>13495837</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1499537</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT,RETENTION&amp;EDUCATIO</Desc>
        <TotalAmt>162213</TotalAmt>
        <ProgramServicesAmt>145991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16222</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>352911</TotalAmt>
        <ProgramServicesAmt>317620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35291</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>329282769</TotalAmt>
        <ProgramServicesAmt>296355061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32927708</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4800</BOYAmt>
        <EOYAmt>5076</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>389793141</BOYAmt>
        <EOYAmt>437446226</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>6847475</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1906</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipAccumDeprecAmt>157246913</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>268871143</BOYAmt>
        <EOYAmt>267097618</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>155146</BOYAmt>
        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>8626038</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>672468701</BOYAmt>
        <EOYAmt>720022433</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>16986</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>54212</EOYAmt>
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      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>7639083</BOYAmt>
        <EOYAmt>9610292</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>38738608</BOYAmt>
        <EOYAmt>39332588</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>633589190</BOYAmt>
        <EOYAmt>680535072</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>154773</EOYAmt>
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        <EOYAmt>680689845</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>720022433</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>46959752</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>26348767</OtherCostOrOtherBasisAmt>
        <BookValueAmt>26348767</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>259650453</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>72485721</DepreciationAmt>
        <BookValueAmt>187164732</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>10770289</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7229220</DepreciationAmt>
        <BookValueAmt>3541069</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>119956787</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>71940024</DepreciationAmt>
        <BookValueAmt>48016763</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>7618236</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5591949</DepreciationAmt>
        <BookValueAmt>2026287</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>267097618</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFFERED COMPENSATION LIABILIT</Desc>
        <Amt>940187</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL DEDUCTION FOR HOSPITAL</Desc>
        <Amt>357377</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITALIZED LEASE OBLIGATION</Desc>
        <Amt>8212728</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM PLEDGES</Desc>
        <Amt>100000</Amt>
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      <TotalLiabilityAmt>9610292</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>TEXT OF FIN 48 (ASC 740) FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE D, PART X, LINE 2 As of September 30, 2023 and 2022, the Health System had no uncertain tax positions under financial accounting standards board (FASB) ASC 740, Income Taxes, requiring adjustments to its consolidated financial statements. The Health System does not expect that unrecognized tax benefits will materially increase within the next 12 months.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>15572661</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>15572661</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04730</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>39649874</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12019907</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03650</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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        <TotalExpensePct>0.08380</TotalExpensePct>
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      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>95529</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
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      <HealthProfessionsEducationGrp>
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      <CashAndInKindContributionsGrp>
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      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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        <USAddress>
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          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
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        <OwnWebsiteURLTxt>www.conehealth.com</OwnWebsiteURLTxt>
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        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.conehealth.com</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
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        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
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        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>WWW.CONEHEALTH.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.CONEHEALTH.COM</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>WWW.CONEHEALTH.COM</FAPSummaryOnWebsiteURLTxt>
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        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
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      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALAMANCE REGIONAL MEDICAL CENTER:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 5 ARMC'S MOST RECENT COMMUNITY HEALTH ASSESSMENT (2022) DRAWS ON THE TALENTS OF DATA ANALYSTS, COMMUNITY, LEADERS, ACTIVISTS, RESEARCHERS, PRACTITIONERS, AND LOCAL RESIDENTS. ALONGSIDE OUR REGIONAL ASSESSMENT, ARMC HELPS TO CONVENE AND LEAD CHA TEAMS IN ALAMANCE COUNTY. ARMC CREATES A PARTICIPATORY PROCESS THAT REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING PEOPLE WITH PUBLIC HEALTH EXPERTISE, MEDICALLY UNDERSERVED INDIVIDUALS, LOW- INCOME INDIVIDUALS, AND PEOPLE OF COLOR. EACH COUNTY OFFERS THEIR OWN APPROACH. ALAMANCE COUNTY'S COMMUNITY ASSESSMENT TEAM ADOPTED A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH, WHICH MORE EXPLICITLY SHARES THE POWER OF DATA COLLECTION AND INTERPRETATION WITH GROUPS WHO HAVE TRADITIONALLY BEEN EXCLUDED FROM THESE PROCESSES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALAMANCE REGIONAL MEDICAL CENTER:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 6B ASSESSMENT PARTNERS INCLUDED REPRESENTATIVES FROM A NUMBER OF COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND LOCAL HEALTH DEPARTMENTS FROM EACH COUNTY IN THE ARMC FOOTPRINT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>CHNA SIGNIFICANT NEEDS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 11 THE FOCUS FOR PLANNING AND IMPLEMENTATION FOR 2022-2025 CONTINUES TO LIE IN THREE KEY AREAS CHOSEN IN THE 2019 COMMUNITY HEALTH ASSESSMENT - ACCESS TO CARE, EDUCATION, AND ECONOMIC ISSUES. ACCESS TO CARE GOES BEYOND ACCESS TO MEDICAL RESOURCES AND INCLUDES ACCESS TO PHYSICAL ACTIVITY, FRESH FOOD, PUBLIC TRANSPORTATION, BROADBAND AND OTHER OPPORTUNITIES. THE OPEN DOOR CLINIC PROVIDES FREE COMPREHENSIVE HEALTH CARE SERVICES WITH DIGNITY, EQUITY, PROFESSIONALISM AND COMPASSION FOR THE UNINSURED AND UNDER-SERVED RESIDENTS OF ALAMANCE COUNTY. IN ADDITION TO OFFERING HEALTHCARE AND MEDICATIONS TO QUALIFIED PATIENTS FREE OF CHARGE, OPEN DOOR CLINIC OFFERS EYECARE, DENTAL AND MENTAL HEALTH SERVICES, AS WELL AS REFERRALS AND CONNECTION TO SPECIALTY CARE HEALTH SERVICES. ACCESS TO CARE: ARMC WORKS THROUGH IMPACT ALAMANCE TO ENSURE THAT ALL COUNTY RESIDENTS HAVE ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES. IN 2023, IMPACT ALAMANCE INVESTED IN GREENWAYS, PATHWAYS AND SIDEWALKS TO HELP ENERGIZE LOCAL CONNECTIONS AND ENHANCE THE COMMUNITY. IN MEBANE, THE LAKE MICHAEL CONNECTOR PROJECT WILL CONNECT SEVERAL NEIGHBORHOODS TO LAKE MICHAEL PARK WITH SAFE SIDEWALKS AND PATHWAYS, BENEFITTING MORE THAN 1,000 RESIDENTS. IN SOUTHERN ALAMANCE, IMPACT ALAMANCE ADDED HALF A MILE OF SURFACED TRAIL THROUGH THE PROPERTY TO THE ELI WHITNEY COMMUNITY CENTER WALKING TRACK. NEW EQUIPMENT FOR PLAYGROUNDS CREATED MORE OPPORTUNITIES FOR DIFFERENTLY ABLED CHILDREN TO PARTICIPATE IN PHYSICAL ACTIVITY. EDUCATION: MANY CHILDREN ENTERING PRE-K OR KINDERGARTEN HAVEN'T HAD ACCESS TO FORMAL EARLY CHILDHOOD EDUCATION, LEAVING GAPS IN THEIR FOUNDATIONAL SKILLS. TO HELP BRIDGE THESE GAPS, ALAMANCE ACHIEVES KICKED OFF ITS KIDS IN TRANSITION TO SCHOOL (KITS) PROGRAM IN 2023 WITH SUPPORT FROM THE ALAMANCE-BURLINGTON SCHOOL SYSTEM AND IMPACT ALAMANCE. KITS IS A FIVE-WEEK, EVIDENCE-BASED SCHOOL READINESS PROGRAM THAT ACTS AS SCAFFOLDING FOR THESE YOUNG MINDS, WHILE SUPPORTING PARENTS WITH WAYS TO ENCOURAGE LEARNING. BY BUILDING ACADEMIC, SELF-REGULATION AND SOCIAL SKILLS, KITS HELPS CHILDREN ARRIVE AT SCHOOL READY FOR FURTHER LEARNING AND GROWTH. ECONOMY: IMPACT ALAMANCE PARTNERED WITH NCCJ (NORTH CAROLINA FOR COMMUNITY AND JUSTICE) TO OFFER THE ACRE CO-LAB (ALAMANCE COUNTY RACIAL EQUITY COLLABORATIVE) FOR THE THIRD YEAR. LIKE OTHER COMMUNITIES WITH SIMILAR DEMOGRAPHICS, RESEARCH SHOWS SIGNIFICANT DISPARITIES ACROSS RACIAL LINES WHEN IT COMES TO RESOURCES AND OPPORTUNITIES IN HEALTHCARE, EDUCATION, HOUSING AND OTHER AREAS. TO ADDRESS THIS INEQUITY, THE ACRE CO- LAB BRINGS COMMUNITY LEADERS OF ALL BACKGROUNDS TOGETHER IN CONVERSATIONS TO BETTER UNDERSTAND HOW RACE AFFECTS DISPARITY IN ALAMANCE COUNTY, SHARE PERSPECTIVES AND SET GOALS FOR IMPROVEMENT. THE 7-MONTH PROGRAM SERVED A COHORT OF ABOUT 20 NONPROFIT AND MUNICIPAL GOVERNMENT LEADERS FROM SEPTEMBER 2023 TO MARCH 2024. ECONOMIC INEQUALITY INFLUENCES MANY ASPECTS OF HEALTH AND WELL-BEING, AND LOW SOCIO-ECONOMIC STATUS PUTS PEOPLE AT RISK FOR HEART DISEASE, MENTAL HEALTH PROBLEMS, CHRONIC DISEASE, AND SHORTER LIFE EXPECTANCY. COVID-19 DISRUPTED MANY LOCAL ECONOMIES WHICH FOUND THEMSELVES SCRAMBLING TO SUPPORT LOCAL BUSINESS DURING A TIME OF UNPRECEDENTED UPHEAVAL AND UNCERTAINTY. A PARTNERSHIP BETWEEN ALAMANCE COMMUNITY FOUNDATION, ALAMANCE CHAMBER AND SELF HELP CREDIT UNION ALLOWED FOR THE INSTITUTION OF A COMMUNITY RECOVERY LOANS PROGRAM SPECIFICALLY TARGETED TO THOSE BUSINESSES THAT DID NOT QUALIFY OR WERE NOT ABLE TO APPLY FOR OTHER PROGRAMS SUCH AS THE ECONOMIC INJURY DISASTER LOAN OR PAYCHECK PROTECTION PROGRAM, AS WELL AS THOSE IN GEOGRAPHICALLY DISTRESSED AREAS OR WOMEN OR - OWNED BUSINESSES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Financial Assistance Policy</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, SECTION B, LINE 13B FOR PATIENTS WITH BALANCES LESS THAN $10,000, ELIGIBILITY IS DETERMINED BY A THIRD-PARTY VENDOR UTILIZING A SCORING MECHANISM, PROVIDING A PATIENT FINANCIAL PROFILE. ALL BALANCES THAT EXCEED $10,000 ARE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE WITH SUPPORTING DOCUMENTATION REFLECTING THE FINANCIAL NEED. A DECISION IS MADE BASED ON THE PROVIDED INFORMATION TO DETERMINE THE FPL AND APPROPRIATE PERCENTAGE OF ASSISTANCE (100%, 75% OR 50%). FULL UNCOMPENSATED CARE SHALL BE PROVIDED TO UNINSURED PATIENTS EARNING 200 PERCENT OR LESS OF THE FEDERAL POVERTY GUIDELINE (FPG). FOR FINANCIALLY NEEDY PATIENTS EARNING BETWEEN 201 PERCENT AND 400 PERCENT OF THE FPG, DISCOUNTS SHALL BE PROVIDED TO LIMIT SUCH PATIENT'S PAYMENT OBLIGATION TO THE AMOUNT OF THE PATIENT ACCOUNT BALANCE AFTER SUBTRACTING THE PERCENTAGE DISCOUNT APPLICABLE TO THE PATIENT'S FPG HOUSEHOLD INCOME.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Pre-Collection Practices</FormAndLineReferenceDesc>
        <ExplanationTxt>PT V, SECTION B, LINE 20E CONE HEALTH RECOGNIZES THAT THE COST OF NECESSARY HEALTH CARE SERVICES CAN IMPOSE A FINANCIAL BURDEN FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND ACTS TO LESSEN THAT BURDEN FOR ALL PATIENTS. DEPENDING UPON THE PATIENT'S CIRCUMSTANCES, THE HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM AND/OR A HARDSHIP SETTLEMENT. CONE HEALTH ALSO MAKES A REASONABLE AND DILIGENT EFFORT TO INVESTIGATE AND SEEK REIMBURSEMENT FROM THE PATIENT'S INSURANCE AND THIRD-PARTY RESOURCES. THE FINANCIAL ASSISTANCE POLICY (FAP) PROVIDES AN OPTION FOR PATIENTS WITH BALANCES IN EXCESS OF $10,000. PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES MAY REQUEST TO BE REVIEWED FOR A HARDSHIP SETTLEMENT. THE GRANTING OF A HARDSHIP SETTLEMENT SHALL BE BASED ON A REQUEST FROM A PATIENT AND ON THE DETERMINATION OF FINANCIAL NEED. FINANCIAL NEED WILL BE DETERMINED BY COMPARING A PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES AND ASSETS TO THE PATIENT'S TOTAL REMAINING CONE HEALTH FACILITY BALANCE AFTER PAYMENT BY ALL THIRD PARTIES. TO BE ELIGIBLE FOR A HARDSHIP SETTLEMENT, THE REMAINING CONE HEALTH FACILITY BALANCE, AFTER ALL THIRD-PARTY PAYMENTS, MUST BE GREATER THAN $5,000.00 AND 20% OF THE PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COSTING METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED ON THIS SCHEDULE ARE REPORTED AT COST, COMPUTED USING THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART III, SECTION A, LINES 4 FOR OUR FINANCIAL STATEMENTS, THE DIFFERENCE BETWEEN GROSS CHARGES AND THE AMOUNT WE ESTIMATE WE WILL COLLECT IS CATEGORIZED AS CONTRACTUAL ADJUSTMENT, UNCOMPENSATED CARE OR BAD DEBT EXPENSE. THE DIFFERENCE BETWEEN GROSS CHARGES AND THE PAYABLE AMOUNT PER THIRD PARTY CONTRACTS OR GOVERNMENT PAYMENT FORMULA IS CATEGORIZED AS CONTRACTUAL ADJUSTMENTS. THE AMOUNT OF THE CONTRACT ALLOWABLE THAT WE ESTIMATE WILL NOT BE COLLECTED IS DIVIDED BETWEEN UNCOMPENSATED CARE AND BAD DEBT EXPENSE BASED ON THE DEMOGRAPHICS OF OUR PATIENT POPULATION AND OUR ESTIMATE FROM THESE DEMOGRAPHICS AS TO THE PORTION OF THIS UNCOLLECTED AMOUNT THAT IS APPLICABLE TO INDIVIDUALS QUALIFYING FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEDICARE SHORTFALL</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 WE DO NOT RECEIVE ENOUGH IN MEDICARE/MEDICAID REIMBURSEMENTS TO COVER OUR COSTS ASSOCIATED WITH THE PROVISION OF THESE SERVICES, YET WE CONTINUE TO PROVIDE THESE SERVICES TO OUR COMMUNITY, REGARDLESS OF THE REIMBURSEMENT LEVELS. FOR FYE 2023, ARMC PROVIDED A TOTAL OF $53,289,010 IN UNCOMPENSATED CARE, WHICH INCLUDES - AT COST - THE MEDICARE LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO MEDICARE RECIPIENTS, A MEDICAID LOSS AMOUNT ASSOCIATED WITH PROVIDNG SERVICES TO MEDICAID RECIPIENTS, AND AN UNCOMPENSATED CARE LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO PATIENTS WITHOUT INSURANCE COVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEDICARE COSTING METHOD</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE AMOUNT OF THE MEDICARE SHORTFALL, INCLUDED AS COMMUNITY BENEFIT, IS REPRESENTED AT COST AND IS COMPUTED USING THE COST TO CHARGE RATIO OF THE CHARGES BOOKED IN THE FINANCIAL STATEMENTS AS MEDICARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COLLECTION PRACTICES</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART III, SECTION B, LINE 9B WE DO NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST INDIVIDUALS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. A FULL COPY OF OUR FINANCIAL ASSISTANCE POLICY, INCLUDING OUR HARDSHIP SETTLEMENT POLICY, IS AVAILABLE ON THIS WEBPAGE: HTTPS://WWW.CONEHEALTH.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/FI NANCIAL-ASSISTANCE/. PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES OF THE CONE HEALTH FINANCIAL ASSISTANCE PROGRAM (FAP) MAY REQUEST TO BE REVIEWED FOR A HARDSHIP SETTLEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PATIENT EDUCATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART VI, LINE 3 THE FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO ALL PATIENTS THROUGH MEANS WHICH INCLUDE, BUT ARE NOT LIMITED TO: POSTING ON THE HEALTH SYSTEM'S WEBSITE (https://www.conehealth.com/patients-visitors/patient-financial-services/f inancial-assistance/), INCLUSION IN ALL BILLING STATEMENTS, POSTING AT CONSPICUOUS LOCATIONS THROUGHOUT THE FACILITY, DISCUSSIONS DURING FINANCIAL COUNSELING PATIENT INTERVIEWS, AND DURING PATIENT ACCOUNTING CUSTOMER SERVICE PATIENT INTERACTIONS. AFTER RECEIVING A REQUEST FOR FINANCIAL ASSISTANCE AND ANY FINANCIAL INFORMATION OR OTHER DOCUMENTATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT WILL BE NOTIFIED OF THEIR ELIGIBILITY DETERMINATION WITHIN A REASONABLE PERIOD OF TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART VI, LINE 4 THE POPULATION ESTIMATES FOR ALAMANCE COUNTY AS OF 7/01/22 IS 171,415. ALAMANCE COUNTY HAS 71.1% OF RESIDENTS IDENTIFYING AS WHITE WITH ABOUT 22.5% OF THE POPULATION IDENTIFYING AS BLACK/AFRICAN AMERICAN, MORE THAT ONE PERCENT AS NATIVE AMERICAN OR ASIAN. 15.4% of ALAMANCE COUNTY RESIDENTS IDENTIFY AS HISPANIC OR LATINO. REGARDING EMPLOYMENT STATUS, IT IS ESTIMATED THAT 62.7% OF ALAMANCE COUNTY RESIDENTS OVER AGED 16 ARE IN THE LABOR FORCE. IN ALAMANCE COUNTY, 12.7 PERCENT OF THE TOTAL POPULATION IS IN POVERTY AND 17.6 PERCENT OF ALL CHILDREN IN ALAMANCE LIVE IN POVERTY. THE AVERAGE HOUSEHOLD INCOME IN ALAMANCE COUNTY IS $60,866.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Schedule H, Part VI, Line 5 OUR PROGRAMS TO IMPROVE COMMUNITY HEALTH ARE FOCUSED ON COMMUNITY CLINICAL SERVICES, COMMUNITY HEALTH EDUCATION, DONATIONS AND VOLUNTEER SERVICES. IN FISCAL YEAR ENDING 2023, WE FACILITATED SUPPORT GROUPS FOR OVER 300 PEOPLE. FREE SCREENINGS FOR COLON AND PROSTATE CANCERS WERE PROVIDED FOR 82 PEOPLE. COMMUNITY HEALTH EFFORTS DURING THE PAST FISCAL YEAR CONSISTS OF PARTICIPATION IN HEALTH FAIRS AND THE SLIP SLOP SLAP PROGRAM TARGETING SKIN CANCER PREVENTION. A LESSER KNOWN CONTRIBUTION IS ARMC'S COMMITMENT TO EDUCATION AND INTERNSHIPS FOR HEALTH PROFESSIONALS, WHICH COMPRISES AN INVESTMENT OF TIME VALUED AT $2,644,325. ARMC ALSO SUPPORTS THE OPEN DOOR CLINIC, WHOSE MISSION IS TO OFFER FREE COMPREHENSIVE HEALTH CARE SERVICES WITH DIGNITY, EQUITY, PROFESSIONALISM AND COMPASSION FOR UNINSURED RESIDENTS OF ALAMANCE COUNTY. ARMC FURNISHES DISPOSAL SERVICES, SUPPLIES, IT SERVICES AND SUPPORT PERSONNEL TO THE OPEN DOOR CLINIC. THE CLINIC TREATS OVER 500 PATIENTS WITH MORE THAN 2,500 VISITS A YEAR.THESE SPECIFIC ACTIVITIES, PLUS OUR VOLUNTEERISM IN THE COMMUNITY COMES TO OVER $2.8M IN INVESTMENT TO OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART VI, LINE 6 ALAMANCE REGIONAL MEDICAL CENTER, A PART OF THE CONE HEALTH NETWORK, IS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE ORGANIZATION. WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE CITIZENS OF ALAMANCE COUNTY AND ITS SURROUNDING COMMUNITIES THROUGH THE PROVISION OF A CONTINUUM OF HIGH QUALITY CLINICAL, EDUCATIONAL, PREVENTIVE-WELLNESS, AND SUPPORT SERVICES IN A SAFE AND FRIENDLY ENVIRONMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE H, PART VI, LINE 2 ALAMANCE COUNTY'S COMMUNITY ASSESSMENT TEAM ADOPTED A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH, WHICH IS A COLLABORATIVE APPROACH TO RESEARCH THAT EQUITABLY INVOLVES ALL PARTNERS IN THE RESEARCH PROCESS AND RECOGNIZES THE UNIQUE STRENGTHS THAT EACH BRINGS. FOR THEIR 2022 CHA, ALAMANCE USED THE CHARRETTE PROCESS, COUPLED WITH A COMMUNITY SURVEY, TO OBTAIN PRIMARY DATA. THE GOAL OF THE CHARRETTE WAS TO IDENTIFY AND INVOLVE HISTORICALLY MARGINALIZED AND EXCLUDED COMMUNITIES IN THE COUNTY. THE CHARRETTES WERE IMPLEMENTED IN FOUR LOCATIONS: MORROWTOWN, THE DREAM CENTER IN DOWNTOWN BURLINGTON, PLEASANT GROVE, IN THE RURAL NORTHERN PART OF THE COUNTY, AND THE CRUMP VILLAGE COMMUNITY CENTER, TO INCLUDE PARTICIPANTS FROM VARIOUS BURLINGTON HOUSING AUTHORITY COMMUNITIES. ARMC CONTINUOUSLY GATHERS DATA IN A WAY THAT ENGAGES PEOPLE WHO HAVE LIVED EXPERIENCE WITH HUMAN AND HEALTH SERVICES. TO GATHER PRIMARY DATA FOR THE ASSESSMENT, CONE HEALTH CONDUCTED A SURVEY WITH 600 PARTICIPANTS - 150 OF THE SURVEYS WERE ANSWERED BY RESIDENTS IN ALAMANCE. COMPRISED OF 37 QUESTIONS, 6 OF WHICH ADDRESS THE DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENTS. SURVEY QUESTIONS WERE WRITTEN TO BE UNDERSTOOD BY RESPONDENTS AT A THIRD-GRADE READING LEVEL OR HIGHER. THE SURVEY WAS TRANSLATED TO SPANISH TO COLLECT RESPONSES FROM SPANISH SPEAKING RESPONDENTS. EACH SURVEY QUESTION WAS EVALUATED TO DETERMINE IF THERE WERE SIGNIFICANT DIFFERENCES IN RESPONSES BASED ON EACH OF THE 6 DEMOGRAPHIC GROUPS AND REGION. WE ALSO CONDUCTED OVER 60 HOUR LONG INDIVIDUAL INTERVIEWS WITH PEOPLE WHO LIVE IN THE AFOREMENTIONED COUNTIES. THIS, COUPLED WITH SECONDARY DATA FROM A VARIETY OF RELIABLE SOURCES, PERMITTED US TO PRODUCE A DOCUMENT THAT SPEAKS TO THE CURRENT STATE OF THE ARMC SERVICE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6087</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1060949</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION CONTINGENT ON NET EARNINGS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE J, PART I, LINE 6b Officers are paid by Moses H Cone Memorial Hospital Operating Corporation, 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 not met, their compensation will be below the market level for their job.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GOVERNING DOCUMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENT ARE PROPRIETARY AND ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION REVIEW PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 15 The following methods are used to establish compensation of officers other than those compensated by Atrium Health: Compensation Committee; Independent Compensation Consultant; Written Employment Contract; Compensation Survey or Study; and Approval by the Board or Compensation Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 REVIEW PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 11b AN ELECTRONIC VERSION OF THE RETURN WILL BE MADE AVAILABLE ON THE BOARD PORTAL TO ALL BOARD MEMBERS IN ADVANCE OF THE FILING DATE. REPRESENTATIVES OF THE FINANCE STAFF FROM THE HEALTH SYSTEM WILL BE AVAILABLE TO RESPOND TO ANY QUESTIONS OR ADDRESS ANY ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 12C Before every board meeting or committee meeting, the Chair will ask every member to review the agenda and to disclose any area where they may have conflict so that the disclosure is complete prior to discussion.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>Alamance Regional Medical Center Foundat</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ARMC HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Reidsville OB &amp; GYN</BusinessNameLine1Txt>
        </DisregardedEntityName>
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        </DirectControllingEntityName>
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</Return>