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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Pamela Ball</BusinessNameLine1Txt>
        </BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Rev Sam Moore</BusinessNameLine1Txt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ricky Shore</BusinessNameLine1Txt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Samuel Black</BusinessNameLine1Txt>
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        <TitleTxt>Board Member</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Susan Elster</BusinessNameLine1Txt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Tanya Afolayan</BusinessNameLine1Txt>
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        <TitleTxt>Board Member</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Tog Newman</BusinessNameLine1Txt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Vincent Howell</BusinessNameLine1Txt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Wendy Walker-Fox</BusinessNameLine1Txt>
        </BusinessName>
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        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Andrew Applegate</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CEO</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>David Matthews</BusinessNameLine1Txt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Julie Tampa</BusinessNameLine1Txt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kathy Gwyn</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Amanda Harrell</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Hannah Yoon</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Joseph Gilmartin</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lynn Ross</BusinessNameLine1Txt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Frank L Blum Construction Company</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>830 NE 25th St</AddressLine1Txt>
            <CityNm>Winston Salem</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Solid Foundation Construction Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Winston Salem</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cheney Brothers</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Statesville</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>The Budd Group</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Winston Salem</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27103</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Functional Pathways</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Knoxville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <NoncashContributionsAmt>30942</NoncashContributionsAmt>
      <TotalContributionsAmt>1290402</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>36056509</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>8014049</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>21800</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>91135</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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        <ExclusionAmt>135565</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>28199</ExclusionAmt>
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        <ManagementAndGeneralAmt>208632</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>127758</ProgramServicesAmt>
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        <ProgramServicesAmt>1956151</ProgramServicesAmt>
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        <ProgramServicesAmt>16248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6829</ManagementAndGeneralAmt>
        <FundraisingAmt>255</FundraisingAmt>
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        <ProgramServicesAmt>2941</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1929902</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>8942484</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>478155</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>1870122</TotalAmt>
        <ProgramServicesAmt>1870122</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
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        <ProgramServicesAmt>342887</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
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        <ProgramServicesAmt>3762</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2118</ManagementAndGeneralAmt>
        <FundraisingAmt>325</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>COVID Expenses</Desc>
        <TotalAmt>4817</TotalAmt>
        <ProgramServicesAmt>4817</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>15222695</ManagementAndGeneralAmt>
        <FundraisingAmt>306562</FundraisingAmt>
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        <EOYAmt>934027</EOYAmt>
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        <ExplanationTxt>THE ORGANIZATION PROVIDES A COMPLETE COPY OF THE 990 TO THE BOARD OF DIRECTORS' FINANCE COMMITTEE, PRIOR TO FILING. AFTER REVIEW AND APPROVAL BY THE FINANCE COMMITTEE THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. ONCE ACCEPTED BY THE BOARD OF DIRECTORS THE 990 IS FILED BY MANAGEMENT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR, ALL BOARD MEMBERS ARE REQUIRED TO SIGN A CERTIFICATION THAT THEY HAVE READ AND UNDERSTAND OUR POLICY. THEY ARE ALSO REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OR RELATIONSHIPS. THESE CERTIFICATIONS ARE KEPT ON FILE AND ARE REVIEWED ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE ANNUALLY. SPECIFIC SALARY INFORMATION AVAILABLE FOR COMPARABLE FACILITIES WILL BE UTILIZED IN EVALUATING THE CEO'S COMPENSATION. WHEN EVALUATING SURVEY AND LOCAL COMMUNITY'S DATA, SIZE OF COMMUNITY AND ANNUAL REVENUES WILL BE UTILIZED AS THE PRIMARY BENCHMARKS. THE CEO, WORKING WITH THE DIRECTOR OF TALENT ARTS, WILL RECOMMEND COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES TO THE COMPENSATION COMMITTEE, SEEKING THEIR APPROVAL BEFORE IMPLEMENTING ANY CHANGES. THE SAME SOURCES OF DATA USED TO EVALUATE THE CEO'S COMPENSATION IS USED FOR OTHER OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18 How forms are made available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON WWW.GUIDESTAR.ORG.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE PART OF THE ANNUAL DISCLOSURE STATEMENT MADE AVAILABLE THROUGH THE NC DEPARTMENT OF INSURANCE WEBSITE. THE ANNUAL AUDIT IS DISTRIBUTED TO RESIDENT COUNCIL AND MADE AVAILABLE TO ANY RESIDENT UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CHANGE IN INTEREST RATE SWAP - -414001; change in value of perpetual trust - 85104;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
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