﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-09-16T10:31:10-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>561743537</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>LANGDON &amp; COMPANY LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>223 US HIGHWAY 70 EAST SUITE 100</AddressLine1Txt>
        <CityNm>GARNER</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>275294051</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>566088142</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>NORTH CAROLINA MEDICAL SOCIETY</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>FOUNDATION INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>NORT</BusinessNameControlTxt>
      <PhoneNum>9198333836</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 27167</AddressLine1Txt>
        <CityNm>RALEIGH</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>27611</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>HURSHELL E BAGGETT JR</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>9198333836</PhoneNum>
      <SignatureDt>2024-09-05</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>SUSAN DEAN</PreparerPersonNm>
      <PTIN>P01281194</PTIN>
      <PhoneNum>9196621001</PhoneNum>
      <PreparationDt>2024-09-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-08-08 14:25:15Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>HURSHELL E BAGGETT JR</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 27167</AddressLine1Txt>
        <CityNm>RALEIGH</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>27611</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>4142950</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.NCMSFOUNDATION.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1966</FormationYr>
      <LegalDomicileStateCd>NC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR ALL NORTH CAROLINIANS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>16</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalGrossUBIAmt>4597</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>3554</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>514827</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2420339</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>140668</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>199272</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>690314</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>698663</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>1345809</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3318274</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>240555</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>337063</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>632827</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>731159</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>107359</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>457967</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>405297</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1331349</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>1473519</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>14460</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1844755</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>21133016</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>24865225</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1463940</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1418416</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>19669076</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>23446809</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR ALL NORTH CAROLINIANS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>742604</ExpenseAmt>
      <GrantAmt>327063</GrantAmt>
      <Desc>THE WORKFORCE RECRUITMENT AND RETENTION PROGRAM INCLUDES THE COMMUNITY PRACTITIONER PROGRAM (CPP). THE MAIN PURPOSE IS TO IMPROVE ACCESS TO CARE FOR PATIENTS LIVING IN RURAL AND/OR UNDER-SERVED AREAS OF NORTH CAROLINA. THE CPP RECRUITS AND RETAINS PRIMARY CARE PROVIDERS AS WELL AS GENERAL SURGEONS AND PSYCHIATRISTS THROUGH THE PROVISION OF EDUCATIONAL LOAN REPAYMENT AS WELL AS PRACTICE MANAGEMENT AND CLINICAL QUALITY SERVICES. CPP WORKS IN CONCERT WITH ADDITIONAL WORKFORCE EFFORTS THROUGHOUT THE STATE TO ASSESS HEALTH CARE WORKFORCE NEEDS AND PLAN STRATEGICALLY IN ORDER TO ASSURE A QUALITY PHYSICIAN WORKFORCE FOR UNDER-SERVED PATIENTS AND COMMUNITIES.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>316271</ExpenseAmt>
        <RevenueAmt>199272</RevenueAmt>
        <Desc>LEADERSHIP DEVELOPMENT INITIATIVES FALL UNDER THE UMBRELLA OF THE KANOF INSTITUTE FOR PHYSICIAN LEADERSHIP (KIPL). KIPL'S MAIN PURPOSE IS TO PREPARE PHYSICIANS TO LEAD IN AN EVOLVING HEALTH CARE SYSTEM. KIPL OPERATES 2 EDUCATION PROGRAMS INCLUDING THE NCMS LEADERSHIP COLLEGE AND HEALTH CARE LEADERSHIP AND MANAGEMENT AND CUSTOMIZED TRAINING FOR PRACTICES SEEKING MORE INDIVIDUALIZED LEARNING.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>24060</ExpenseAmt>
        <Desc>THE OFFICE-BASED OPIOID TREATMENT (OBOT) PROJECT ESTABLISHES A COALITION OF ORGANIZATIONS TO FACILITATE THE EXPANSION OF MEDICATION ASSISTED TREATMENT AND A PLATFORM TO COORDINATE THE CARE AND SUPPORT FOR THE RECOVERY OF THOSE WITH OPIOID USE DISORDER.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>197471</ExpenseAmt>
        <GrantAmt>10000</GrantAmt>
        <Desc>OTHER PROGRAMS INCLUDE PHYSICIAN WELLNESS AND OUR COMMUNITY HEALTH INITIATIVE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>197471</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>10000</TotalOtherProgSrvcGrantAmt>
      <TotalProgramServiceExpensesAmt>1280406</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc4">false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc4">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc6">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc6">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc6">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc6">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc6">true</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc6">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc6">false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <IRPDocumentCnt>15</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <DAFExcessBusinessHoldingsInd>false</DAFExcessBusinessHoldingsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>16</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>LARRY CRAWFORD</PersonNm>
        <PhoneNum>9198333836</PhoneNum>
        <USAddress>
          <AddressLine1Txt>222 N PERSON ST</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27601</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>HURSHELL E BAGGETT JR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>52.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>333945</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38807</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEY RODRIGUEZ</PersonNm>
        <TitleTxt>CLO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>185612</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21591</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE LAWS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>187461</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18827</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWN SCOTT</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>181966</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21952</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINA NATT OCH DAG</PersonNm>
        <TitleTxt>VP TRAINING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>166673</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19881</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANKLIN WALKER</PersonNm>
        <TitleTxt>VP FOUNDATIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>161452</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20488</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEY NEWTON</PersonNm>
        <TitleTxt>VP MEMBERSHI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>150645</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20053</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLAN SKIPPER</PersonNm>
        <TitleTxt>VP LIASON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>146066</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20003</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA HIGHSMITH</PersonNm>
        <TitleTxt>VP DEVELOPME</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>123638</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18756</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY ALRIDGE</PersonNm>
        <TitleTxt>VP COMMUNICA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>107063</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18199</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RIAZ MULLICK</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>100132</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13178</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY CRAWFORD</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>103712</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5566</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARTHUR E APOLINARIO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC R CARRUTH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY COLE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHIRISH DEVASTHALI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PALMER EDWARDS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LELAND GARRETT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA GARY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LACY HOBGOOD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY STROWD III</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNDON K JORDAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW S LAMB</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON NEWTON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY A PRING</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY REEDER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OSI UDEKWU</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>328125</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1620240</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>237301</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTH CAROLINA MEDICAL SOCIETY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 27167</AddressLine1Txt>
            <CityNm>RALEIGH</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27611</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MNGMT SERVICES</ServicesDesc>
        <CompensationAmt>906645</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>26575</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1800</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2391964</AllOtherContributionsAmt>
      <TotalContributionsAmt>2420339</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <TotalRevenueColumnAmt>149400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>149400</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TUITION</Desc>
        <TotalRevenueColumnAmt>41000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE FEE INCOME</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>4597</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4597</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PSA REVENUE</Desc>
        <TotalRevenueColumnAmt>4275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4275</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>199272</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>608188</TotalRevenueColumnAmt>
        <ExclusionAmt>608188</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>915151</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>824676</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>90475</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>90475</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90475</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3318274</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>285150</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4597</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>608188</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>337063</TotalAmt>
        <ProgramServicesAmt>337063</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>368494</TotalAmt>
        <ProgramServicesAmt>337644</ProgramServicesAmt>
        <ManagementAndGeneralAmt>434</ManagementAndGeneralAmt>
        <FundraisingAmt>30416</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>257963</TotalAmt>
        <ProgramServicesAmt>236367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304</ManagementAndGeneralAmt>
        <FundraisingAmt>21292</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>66254</TotalAmt>
        <ProgramServicesAmt>60707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78</ManagementAndGeneralAmt>
        <FundraisingAmt>5469</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>38448</TotalAmt>
        <ProgramServicesAmt>35229</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45</ManagementAndGeneralAmt>
        <FundraisingAmt>3174</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>39520</TotalAmt>
        <ProgramServicesAmt>39520</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23705</TotalAmt>
        <ProgramServicesAmt>21205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>44748</TotalAmt>
        <ManagementAndGeneralAmt>44748</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <OfficeExpensesGrp>
        <TotalAmt>9385</TotalAmt>
        <ProgramServicesAmt>4050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5175</ManagementAndGeneralAmt>
        <FundraisingAmt>160</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>58968</TotalAmt>
        <ProgramServicesAmt>29484</ProgramServicesAmt>
        <FundraisingAmt>29484</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>68475</TotalAmt>
        <ProgramServicesAmt>68475</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>15643</TotalAmt>
        <ProgramServicesAmt>12869</ProgramServicesAmt>
        <FundraisingAmt>2774</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1907</TotalAmt>
        <ManagementAndGeneralAmt>1907</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>8000</TotalAmt>
        <ManagementAndGeneralAmt>8000</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EDUCATIONAL EXP</Desc>
        <TotalAmt>100418</TotalAmt>
        <ProgramServicesAmt>86817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13459</ManagementAndGeneralAmt>
        <FundraisingAmt>142</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISC</Desc>
        <TotalAmt>17545</TotalAmt>
        <ProgramServicesAmt>5200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141</ManagementAndGeneralAmt>
        <FundraisingAmt>12204</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>6826</TotalAmt>
        <ProgramServicesAmt>2924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3400</ManagementAndGeneralAmt>
        <FundraisingAmt>502</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ADMIN SERVICES NCMS</Desc>
        <TotalAmt>4800</TotalAmt>
        <ManagementAndGeneralAmt>4800</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>5357</TotalAmt>
        <ProgramServicesAmt>2852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>763</ManagementAndGeneralAmt>
        <FundraisingAmt>1742</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1473519</TotalAmt>
        <ProgramServicesAmt>1280406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85754</ManagementAndGeneralAmt>
        <FundraisingAmt>107359</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4414442</BOYAmt>
        <EOYAmt>4965636</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>30000</BOYAmt>
        <EOYAmt>1532737</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>11365</BOYAmt>
        <EOYAmt>10750</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>30400</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>27757</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4550</BOYAmt>
        <EOYAmt>2643</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>16672659</BOYAmt>
        <EOYAmt>18353459</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>21133016</BOYAmt>
        <EOYAmt>24865225</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>532526</BOYAmt>
        <EOYAmt>479591</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>921214</BOYAmt>
        <EOYAmt>930425</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>10200</BOYAmt>
        <EOYAmt>8400</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1463940</BOYAmt>
        <EOYAmt>1418416</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>408416</BOYAmt>
        <EOYAmt>464902</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>19260660</BOYAmt>
        <EOYAmt>22981907</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19669076</BOYAmt>
        <EOYAmt>23446809</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21133016</BOYAmt>
        <EOYAmt>24865225</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1844755</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1932978</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType2Ind>X</SupportingOrgType2Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>NORTH CAROLINA MEDICAL SOCIETY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>NC MEDICAL SOCIETY</BusinessNameLine2Txt>
        </SupportedOrganizationName>
        <EIN>560320130</EIN>
        <OrganizationTypeCd>10</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>906646</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>906646</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>true</SupportedOrgSectionC456Ind>
        <SupportedOrgQualifiedInd>true</SupportedOrgQualifiedInd>
        <SuprtExclusivelySec170c2BInd>false</SuprtExclusivelySec170c2BInd>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <MajorityDirTrstSupportedOrgInd>false</MajorityDirTrstSupportedOrgInd>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING PREPARATION OF THE FORM 990, IT WAS DETERMINED THAT THE SUPPORTED SOCIETY SATISFIED THE PUBLIC SUPPORT REQUIREMENTS UNDER SECTION 509 (A) (2).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION C, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH ORGANIZATIONS SHARE A PLURALITY OF COMMON DIRECTORS AS WELL AS THEIR HIGHEST RANKED MANAGEMENT OFFICIAL. IN ADDITION THE BY-LAWS OF THE ORGANIZATION WILL ENGAGE IN CHARITABLE, EDUCATIONAL AND SCIENTIFIC ACTIVITIES ON BEHALF OF THE SUPPORTED ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>17186176</BeginningYearBalanceAmt>
        <ContributionsAmt>750</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2631026</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-620649</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-44748</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>19152555</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>21252175</BeginningYearBalanceAmt>
        <ContributionsAmt>2300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-3351667</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-672072</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-44550</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>17186176</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20239774</BeginningYearBalanceAmt>
        <ContributionsAmt>1650</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2049643</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-987333</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-51559</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>21252175</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>18926724</BeginningYearBalanceAmt>
        <ContributionsAmt>2050</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2227636</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-871914</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-44723</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>20239773</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>16826897</BeginningYearBalanceAmt>
        <ContributionsAmt>2650</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2873213</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-740802</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>-35235</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>18926724</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.80030</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.19970</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>30400</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27757</DepreciationAmt>
        <BookValueAmt>2643</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2643</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5527481</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1932978</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>320977</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>2253955</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3273526</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>44748</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>44748</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3318274</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1749748</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>320977</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>320977</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1428771</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>44748</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>44748</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1473519</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT EARNINGS ARE SPENT BASED ON BOARD APPROVED BUDGETS DEVELOPED TO MEET THE NEED OF VARIOUS PROGRAMS SUPPORTED BY THE FOUNDATION'S ENDOWMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS CLASSIFIED AS A PUBLICLY SUPPORTED ORGANIZATION. DURING THE YEAR ENDED DECEMBER 31, 2023, THE FOUNDATION HAD A MINIMAL AMOUNT OF INCOME SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE FOUNDATION EVALUATES ANY UNCERTAIN TAX POSITIONS. ACCORDINGLY, THE FOUNDATIONS POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE FOUNDATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION OF MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT DOES NOT BELIEVE ANY SIGNIFICANT INCOME TAX UNCERTAINTIES EXIST AS OF DECEMBER 31, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>WORKFORCE RECRUITMENT</GrantTypeTxt>
        <RecipientCnt>42</RecipientCnt>
        <CashGrantAmt>327063</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>OTHER PROGRAMS</GrantTypeTxt>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ELEGIBILITY CRITERIA ARE ESTABLISHED FOR EACH GRANT PROGRAM. AMONG OTHER FACTORS, CRITERIA INCLUDE FINANCIAL NEED AS EVIDENCE BY A REVIEW OF FINANCIAL STATEMENTS. FOR WORKFORCE RECRUITEMENT AND RETENTION GRANTS, GIVEN THROUGH THE COMMUNITY PRACTITIONER PROGRAM, AN ADDITIONAL CRITERIA OF PRACTICE LOCATION IN AN UNDERSERVED COMMUNITY IS ALSO A FACTOR. WHILE GRANTS ARE MADE ON BEHALF OF INDIVIDUALS, PAYMENTS ARE MADE DIRECTLY TO THE LEADING INSTITUTION FOR THE COMMUNITY PRACTITIONER PROGRAM.LOAN STATEMENTS ARE REVIEWED REGULARLY AND TREATMENT PROVIDERS REQUIRED TO VERIFY THAT FUNDS ARE EXPENDED ON ELIGIBLE PARTICIPANTS AND TO RETURN ANY UNSPENT FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>HURSHELL E BAGGETT JR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>311000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>22500</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>445</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12400</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>26407</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>372752</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY RODRIGUEZ</PersonNm>
        <TitleTxt>CLO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>185612</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7400</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14191</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>207203</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE LAWS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>187461</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>4667</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14160</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>206288</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAWN SCOTT</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>181966</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7240</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14712</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>203918</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTINA NATT OCH DAG</PersonNm>
        <TitleTxt>VP TRAINING</TitleTxt>
        <BaseCompensationFilingOrgAmt>166673</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6726</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13155</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186554</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANKLIN WALKER</PersonNm>
        <TitleTxt>VP FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>161452</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6424</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14064</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181940</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY NEWTON</PersonNm>
        <TitleTxt>VP MEMBERSHIP</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>150645</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6070</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13983</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>170698</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLAN SKIPPER</PersonNm>
        <TitleTxt>VP LIASON</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>146066</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6320</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13683</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>166069</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc6">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREW LAMB</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>2550</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ARTHUR APOLINARIO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>3070</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HURSHELL E BAGGETT JR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>2700</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JASON NEWTON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>600</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KELLY PRING</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>100</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LYNDON K JORDAN III</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>1000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARC CARRUTH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>500</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROY E STROWD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>1000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHIRISH DEVASTHALI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>1000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LACY HOBGOOD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>900</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>OSI UDEKWU</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>2000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TIM REEDER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>2000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CYNTHIA GARY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>275</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>EMILY COLE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>1000</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLEY RODRIGUEZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>1200</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHAWN SCOTT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>1200</TransactionAmt>
        <TransactionDesc>CONTRIBUTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>OSI UDEKWU 2,000 TRUSTEE CONTRIBUTION TIM REEDER 2,000 TRUSTEE CONTRIBUTION CYNTHIA GARY 275 TRUSTEE CONTRIBUTION EMILY COLE 1,000 TRUSTEE CONTRIBUTION ASHLEY RODRIGUEZ 1,200 OFFICER CONTRIBUTION SHAWN SCOTT 1,200 OFFICER CONTRIBUTION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING RECORDS OF THE FOUNDATION ARE MAINTIANED BY THE SOCIETY PERSONEL WHO ALSO PROVIDE LEGAL REPRESENTATION AND PROMOTIONAL SERVICES. THE FOUNDATION PAID THE SOCIETY 4,800 FOR THESE SERVICES. THE SOCIETY MADE IN-KIND SERVICE DONATIONS TO THE FOUNDATION TOTALING 320,977. THE FOUNDATION TRUSTEES, SOCIETY EMPLOYEES, AND THEIR RELATIVES CONTRIBUTED AND PLEDGED 28,456 TO THE FOUNDATION IN 2023. THERE WERE NO PLEDGES RECEIVABLE OUSTANDING FROM FOUNDATION TRUSTEES OR SOCIETY EMPLOYEES AT DECEMBER 31, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONDUCTS CERTAIN ACTIVITIES ON BEHALF OF AND IN SUPPORT OF THE NORTH CAROLINA MEDICAL SOCIETY, A PUBLIC CHARITABLE ORGANIZATION QUALIFIED UNDER IRC SEC 501(C)(3). SINCE THE ELEMENTS OF CONTROL NECESSARY FOR CONSOLIDATION ARE NOT PRESENT, THE AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION ARE REPORTED IN AN INDEPENDENT FORMAT. HOWEVER, ALL APPLICABLE DISCLOSURES AND TRANSACTION AMOUNTS FOR INTER-ORGANIZATION TRANSACTIONS ARE REPORTED ON THE ORGANIZATION'S FORM 990, INCLUDING PART VII, SCHEDULE A, SCHEDULE B, SCHEDULE I, AND SCHEDULE O.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAMS INCLUDE PHYSICIAN WELLNESS AND OUR COMMUNITY HEALTH INITIATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES OF THE ORGANIZATION ARE PAID DIRECTLY BY THE NC MEDICAL SOCIETY WHOM THE ORGANIZATION IN TURN REIMBURSES FOR LABOR COSTS VIA THE MANAGEMENT FEE (AS LISTED ON PART VII, SEC B.)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S FINANCE COMMITEE REVIEWS THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, MANAGEMENT, EMPLOYEES, AND OTHERS (AS MAY BE DESIGNATED BY THE BOARD) TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTEREST AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER'S SALARY IS SET BY THE BOARD COMPENSATION COMMITTEE COMPRISED OF BOARD OFFICERS. THE COMMITTEE MEETS EARLY IN THE YEAR AND SET GOALS FOR THE YEAR. THE COMMITTEE WILL MEET LATE IN THE YEAR TO REVIEW THE ATTAINMENT OF SET GOALS AND SET SALARY, BONUSES AND INCENTIVES BASED ON PERFORMANCE OF SUCH. OTHER INFORMATION INCLUDING SURVEYS FROM OTHER MEDICAL SOCIETIES ARE ALSO TAKEN INTO ACCOUNT. THE EXECUTIVE VICE PRESIDENT'S COMPENSATION WAS LAST REVIEWED IN OCTOBER 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE VICE PRESIDENT'S SALARY IS SET BY THE BOARD COMPENSATION COMMITTEE COMPRISED OF BOARD OFFICERS. THE COMMITTEE MEETS EARLY IN THE YEAR AND SET GOALS FOR THE YEAR. THE COMMITTEE WILL MEET LATE IN THE YEAR TO REVIEW THE ATTAINMENT OF SET GOALS AND SET SALARY, BONUSES AND INCENTIVES BASED ON PERFORMANCE OF SUCH. OTHER INFORMATION INCLUDING SURVEYS FROM OTHER MEDICAL SOCIETIES ARE ALSO TAKEN INTO ACCOUNT. THE EXECUTIVE VICE PRESIDENT'S COMPENSATION WAS LAST REVIEWED IN OCTOBER 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH CAROLINA MEDICAL SOCIETY FOUNDATION, INC MAKES AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS VIA TWO METHODS: IN PERSON OR UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>