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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY THE PROVISIONS OF U.S. GAAP RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT HAS EVALUATED ALL TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THE ORGANIZATION HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF JULY 31, 2025 AND 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>REVENUE OF CCME FOUNDATION 200.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES OF CCME FOUNDATION 519,610.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <PersonNm>STEVEN MARTIN</PersonNm>
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        <PersonNm>STEPHEN DILLE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRISCILLA SMITH</PersonNm>
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        <PersonNm>RICHARD MENNUTI</PersonNm>
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        <PersonNm>JULIE BATEMAN</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY OF THE PRESIDENT AND CEO IS BASED ON EXECUTIVE COMPENSATION SURVEYS FOR SIMILAR ORGANIZATIONS AND AN ANNUAL PERFORMANCE EVALUATION CONDUCTED BY THE BOARD CHAIRMAN AND EXECUTIVE COMMITTEE. THE COMPENSATION AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES PERFORMANCE-BASED BONUS COMPENSATION TO CERTAIN EXECUTIVES. BONUS AMOUNTS ARE DETERMINED BASED ON INDIVIDUAL PERFORMANCE, ORGANIZATIONAL OBJECTIVES, AND BOARD OR MANAGEMENT EVALUATION PROCESSES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL REVIEW OF NORTH CAROLINA OPERATES THE CONSTELLATION REGIONAL COLLABORATIVE (CRC) FUNDED BY THE CENTERS FOR DISEASE CONTROL DESIGNED TO REDUCE CARDIOVASCULAR DISPARITIES AND IMPROVE HEALTH EQUITY ACROSS THE SOUTHEAST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR, THE ORGANIZATION TEMPORARILY SUSPENDED GRANT FUNDING TO ITS RELATED FOUNDATION AS PART OF A BROADER REVIEW OF PROGRAM PRIORITIES AND RESOURCE ALLOCATION. RESOURCES WERE DIRECTED TOWARD CURRENT OPERATIONAL AND PROGRAMMATIC NEEDS DURING THE REPORTING PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE MANAGEMENT TEAM REVIEWS AND APPROVES THE FORM 990. THE 990 IS DISTRIBUTED TO ALL BOARD MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF SEMI-ANNUALLY SIGN AND ALL BOARD MEMBERS ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONSTELLATION CORPORATE COMPLIANCE PROGRAM; (2) HAS READ AND UNDERSTANDS THE CONSTELLATION CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; (3) HAS AGREED TO COMPLY WITH THE CONSTELLATION CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; AND, (4) UNDERSTANDS THAT CONSTELLATION IS A NOT-FOR-PROFIT ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND WHICH DO NOT, DIRECTLY OR INDIRECTLY, IMPROPERLY INURE TO THE BENEFIT OF ANY PRIVATE PERSON. IN THE EVENT OF A CONFLICT, THE CONFLICT MUST BE IMMEDIATELY REMEDIED, OR THE DIRECTOR, OFFICER, MEMBER OF A COMMITTEE, OR STAFF MEMBER WILL BE DISMISSED. IN ADDITION, THE CONSTELLATION BOARD MUST FORMALLY DECLARE THEIR OWNERSHIP AND AFFILIATION STATUS IN WRITING ANNUALLY AND AT OTHER TIMES SHOULD THEIR INDIVIDUAL STATUS CHANGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY OF THE PRESIDENT AND CEO IS BASED ON EXECUTIVE COMPENSATION SURVEYS FOR SIMILAR ORGANIZATIONS AND AN ANNUAL PERFORMANCE EVALUATION CONDUCTED BY THE BOARD CHAIRMAN AND EXECUTIVE COMMITTEE. THE COMPENSATION AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. CONSTELLATION'S HUMAN RESOURCES STAFF DOES AN EXTERNAL MARKET SURVEY EVERY OTHER YEAR OF ALL STAFF SALARIES TO ENSURE THEY ARE WITHIN AN APPROPRIATE RANGE GEOGRAPHICALLY. RAISES ARE GIVEN BASED ON A MERIT BASED PERFORMANCE SYSTEM. INTERNAL EQUITY IS ALSO CONSIDERED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT PROVIDED TO THE PUBLIC.</ExplanationTxt>
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        <ExplanationTxt>SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 165,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165,372. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 582,976. MANAGEMENT AND GENERAL EXPENSES 1,302,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,885,751. PHYSICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 10,643. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,643. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 239,094. MANAGEMENT AND GENERAL EXPENSES 75,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 314,312.</ExplanationTxt>
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