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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CATAWBA MEDICAL FOUNDATION, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION IS NOT CONSIDERED A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY THE PROVISIONS OF U.S. GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT BELIEVES THAT THE FOUNDATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2025 AND 2024. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE FINANCIAL STATEMENTS AND DETERMINED THE FOUNDATION HAD NO UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2025 AND 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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          <CityNm>HICKORY</CityNm>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GRANT PROCESS INVOLVES A STANDARDIZED FORM WITH SPECIFIC QUESTIONS REGARDING DETAILS OF THE PROJECT/PROGRAM, SUSTAINABILITY, COSTS, AND OTHER GENERAL INFORMATION. THE REQUESTOR MUST DETAIL THE SCOPE OF THE PROJECT, ATTACH QUOTES OR PURCHASING INFORMATION, AND THEIR CONTACT INFORMATION. ALL GRANTS AWARDED BY CATAWBA MEDICAL FOUNDATION ARE SPECIFIC TO CVMC, ITS MEDICAL PRACTICES AND PARTNER ORGANIZATIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF ITS RELATIONSHIP WITH CVMC, CMF FOLLOWS THE POLICIES AND PROCEDURES OF THE CVMC HR DEPARTMENT. CVMC CONTRACTED WITH MERCER FOR A COMPLETE COMPENSATION STUDY. MERCER PROVIDES EXECUTIVE COMPENSATION CONSULTING SERVICES THAT UTILIZE EXECUTIVE COMPENSATION MARKET DATA FROM ALL RELEVANT SOURCES INCLUDING GALLAGHER NATIONAL HEALTHCARE LEADERSHIP, MERCER IHN HEALTHCARE SYSTEM, SULLIVAN COTTER HEALTHCARE MANAGEMENT AND EXECUTIVE COMPENSATION AND WTW HEALTHCARE SURVEYS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>GUY GUARINO PARTICIPATED IN SECTION 457(B) DEFERRED COMPENSATION PLAN AND DEFERRED $30,500 DURING THE 2023 CALENDAR YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE REVISED TO CHANGE REFERENCES TO THE EXECUTIVE DIRECTOR TO THE CHIEF DEVELOPMENT OFFICER AND UPDATED THE NUMBER OF REGULAR MEETINGS TO AT LEAST SIX PER YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD DIRECTORS MUST BE APPROVED BY THE BOARD OF TRUSTEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 WILL BE PROVIDED VIA EMAIL OR IN PERSON AT A SCHEDULED BOARD MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DISTRIBUTES THE POLICY FOR THE BOARD MEMBERS TO REVIEW AND DISCLOSE ANY CONFLICTS OF INTEREST AT THE FIRST BOARD MEETING OF THE CALENDAR YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF ITS RELATIONSHIP WITH CVMC, CMF FOLLOWS THE POLICIES AND PROCEDURES OF THE CVMC HR DEPARTMENT. CVMC CONTRACTED WITH MERCER FOR A COMPLETE COMPENSATION STUDY. MERCER PROVIDES EXECUTIVE COMPENSATION CONSULTING SERVICES THAT UTILIZE EXECUTIVE COMPENSATION MARKET DATA FROM ALL RELEVANT SOURCES INCLUDING GALLAGHER NATIONAL HEALTHCARE LEADERSHIP, MERCER IHN HEALTHCARE SYSTEM, SULLIVAN COTTER HEALTHCARE MANAGEMENT AND EXECUTIVE COMPENSATION AND WTW HEALTHCARE SURVEYS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION HAS AVAILABLE ANY GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AT THE FOUNDATION'S OFFICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>810 FAIRGROVE CHURCH RD SE</AddressLine1Txt>
          <CityNm>HICKORY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28602</ZIPCd>
        </USAddress>
        <EIN>560789196</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>