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      <ActivityOrMissionDesc>PACE OF THE SOUTHERN PIEDMONT PROVIDED ACCESS TO CARE AND SERVICES TO ELIGIBLE ADULTS IN MECKLENBURG, CABARRUS, STANLY, AND UNION COUNTIES. WE ADJUSTED OUR SERVICES AMID THE PANDEMIC TO ENSURE OUR PARTICIPANTS' NEEDS WERE MET. WE EXPANDED OUR SERVICES IN THE HOME AND WERE AWARDED A HOME CARE AGENCY LICENSE FOR NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, IN HOME AIDE, COMPANION, AND SITTER CARE. WE IMPLEMENTED VIDEO TECHNOLOGY IN THE HOMES OF SOME PARTICIPANTS. PACE OF THE SOUTHERN PIEDMONT ENROLLED 49 NEW PARTICIPANTS INTO THE PROGRAM AND OVERALL HAD A NET PARTICIPANT INCREASE OF 2 FOR THE YEAR. OUR PARTICIPANT SATISFACTION SURVEY RESULT WAS 92% AND CAREGIVER SATISFACTION WAS 87% SATISFIED.</ActivityOrMissionDesc>
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      <Desc>PACE OF THE SOUTHERN PIEDMONT (POSP) IS A PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY. POSP SERVES 55+ YEAR OLDS WHO LIVE IN OUR SERVICE AREA: MECKLENBURG, CABARRUS, STANLY, AND UNION COUNTIES. THE ELIGIBLE PARTICIPANT MUST MEET NURSING HOME LEVEL OF CARE AND LIVE SAFELY IN THE COMMUNITY AT TIME OF ENROLLMENT. POSP'S SERVICES ARE PROVIDED BY AN INTERDISCIPLINARY TEAM CONSISTING OF MEDICAL DOCTORS, NURSE PRACTITIONERS, REGISTERED NURSES, LICENSED PRACTICAL NURSES, CERTIFIED NURSE ASSISTANTS, PHARMACISTS, REGISTERED DIETITIAN, PHYSICAL THERAPIST, OCCUPATIONAL THERAPIST, RECREATIONAL THERAPIST, MASTERS IN SOCIAL WORK, AND PARATRANSIT DRIVERS. POSP OFFERS SERVICES IN AN OUTPATIENT MEDICAL CLINIC, OUTPATIENT THERAPY GYM, ADULT DAY HEALTH CENTER, AND IN THE HOME. POSP PROVIDES ALL MEDICATIONS. POSP COVERS ALL MEDICARE AND MEDICAID COVERED CARE AND SERVICES, AND OTHER SERVICES THAT THE POSP TEAM OF HEALTHCARE PROFESSIONALS DECIDES ARE NECESSARY TO IMPROVE AND MAINTAIN HEALTH.</Desc>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>219193</TotalAmt>
        <ManagementAndGeneralAmt>219193</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3121452</TotalAmt>
        <ProgramServicesAmt>2593710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>527742</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>82253</TotalAmt>
        <ProgramServicesAmt>67056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15197</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>253999</TotalAmt>
        <ProgramServicesAmt>208631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45368</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>241462</TotalAmt>
        <ProgramServicesAmt>200153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41309</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>96885</TotalAmt>
        <ManagementAndGeneralAmt>96885</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>31431</TotalAmt>
        <ManagementAndGeneralAmt>31431</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>43571</TotalAmt>
        <ManagementAndGeneralAmt>43571</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>7458534</TotalAmt>
        <ProgramServicesAmt>6586151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>872383</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>65682</TotalAmt>
        <ManagementAndGeneralAmt>65682</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>38827</TotalAmt>
        <ManagementAndGeneralAmt>38827</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>226701</TotalAmt>
        <ProgramServicesAmt>116013</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110688</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>287541</TotalAmt>
        <ProgramServicesAmt>230059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57482</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>9533</TotalAmt>
        <ManagementAndGeneralAmt>9533</ManagementAndGeneralAmt>
      </TravelGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>38095</TotalAmt>
        <ManagementAndGeneralAmt>38095</ManagementAndGeneralAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>276178</TotalAmt>
        <ProgramServicesAmt>182277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93901</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>80957</TotalAmt>
        <ProgramServicesAmt>53432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27525</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>1700699</TotalAmt>
        <ProgramServicesAmt>1700699</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER PROGRAM SUPPLIES</Desc>
        <TotalAmt>162960</TotalAmt>
        <ProgramServicesAmt>162960</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EQUIPMENT</Desc>
        <TotalAmt>145972</TotalAmt>
        <ProgramServicesAmt>145972</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>38344</TotalAmt>
        <ManagementAndGeneralAmt>38344</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>261937</TotalAmt>
        <ProgramServicesAmt>17337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>244600</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>14882206</TotalAmt>
        <ProgramServicesAmt>12264450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2617756</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4826629</BOYAmt>
        <EOYAmt>6796855</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1875000</BOYAmt>
        <EOYAmt>1875000</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>506677</BOYAmt>
        <EOYAmt>499750</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>59897</BOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3654886</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2997340</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>573989</BOYAmt>
        <EOYAmt>657546</EOYAmt>
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        <EOYAmt>2420505</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>12249656</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2416499</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>963898</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>966958</BOYAmt>
        <EOYAmt>2825694</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3618305</BOYAmt>
        <EOYAmt>6206091</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4721830</BOYAmt>
        <EOYAmt>6043565</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4721830</BOYAmt>
        <EOYAmt>6043565</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8340135</BOYAmt>
        <EOYAmt>12249656</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1321735</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>5704512</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>700974</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>593617</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>6999103</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12704020</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14340122</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15721901</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17100494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16103526</CurrentTaxYearAmt>
        <TotalAmt>75970063</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>12704020</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20044634</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16422875</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17694111</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16103526</CurrentTaxYearAmt>
        <TotalAmt>82969166</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>82969166</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearAmt>100415</CurrentTaxYearAmt>
        <TotalAmt>100415</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearAmt>100415</CurrentTaxYearAmt>
        <TotalAmt>100415</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>12704020</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20044634</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16422875</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17694111</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16203941</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00120</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CHANGED THEIR FISCAL YEAR FROM A 9/30 FYE TO A 6/30 FYE BEGINNING WITH THE CURRENT TAX PERIOD ENDING 6/30/2023.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>20000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>20000</BookValueAmt>
      </LandGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2376065</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2290970</DepreciationAmt>
        <BookValueAmt>85095</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>878342</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>359726</DepreciationAmt>
        <BookValueAmt>518616</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>380479</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>346644</DepreciationAmt>
        <BookValueAmt>33835</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>657546</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SALES TAX RECEIVABLE</Desc>
        <BookValueAmt>50091</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLE</Desc>
        <BookValueAmt>278557</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE</Desc>
        <BookValueAmt>2091857</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2420505</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>775022</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>2050672</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2825694</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16203941</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16203941</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16203941</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14882206</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14882206</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14882206</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RENEE RIZZUTI</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>181029</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28587</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4598</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4979</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219193</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR, RENEE RIZZUTI WAS DIRECTLY EMPLOYED BY ONE MEMBER OF THE ORGANIZATION. THE ORGANIZATION HAD A MANAGEMENT CONTRACT WITH THAT MEMBER WHEREBY IT PAID SUCH MEMBER FOR THE SERVICES RENDERED BY HER TO THE ORGANIZATION. THE AMOUNT REPORTED IN PART II REPRESENTS THE AMOUNTS PAID BY SUCH MEMBERS FOR HER SERVICES TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS TWO MEMBERS - GASTON FAMILY HEALTH SERVICES, INC. D/B/A KINTEGRA ("KINTEGRA") HEALTH AND LSA MANAGEMENT, INC. D/B/A LUTHERAN SERVICES CAROLINAS ("LSC"), BOTH OF WHICH ARE 501(C)(3) PUBLIC CHARITIES. EACH OF THE TWO NAMED ORGANIZATIONS HOLDS A 50% SHARE OF PROFITS AND NET ASSETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER HAS THE RIGHT TO APPOINT TWO VOTING DIRECTORS TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF INCORPORATION MAY ONLY BE AMENDED BY THE AFFIRMATION OF ALL MEMBERS. ANY CHANGES TO THE ORGANIZATION'S BYLAWS THAT WOULD ALLOW THE ORGANIZATION TO MAKE CASH DISTRIBUTIONS TO THE MEMBERS OTHER THAN IN ACCORDANCE WITH THE MEMBERSHIP INTERESTS OR TO AMEND THE COMPETITIVE ACTIVITIES PROVISIONS OF THE BYLAWS CAN ONLY BE ADOPTED WITH THE AFFIRMATIVE VOTE OR CONSENT OF ALL THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD TO REVIEW PRIOR TO SUBMITTING TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH BOARD OF DIRECTORS MEETING, UPON REVIEW OF THE AGENDA ITEMS, THE CHAIR ASKS ALL MEMBERS PRESENT IF THERE ARE ANY BUSINESS ITEMS ON THE AGENDA WHICH PRESENT A POTENTIAL CONFLICT OF INTEREST FOR THEM. MEMBERS WHO BELIEVE THEY SHOULD NOT PARTICIPATE IN A CERTAIN BUSINESS DISCUSSION DISCLOSE THAT AND SUBSEQUENTLY DO NOT WEIGH IN ON THAT DISCUSSION ITEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NATIONAL PACE ASSOCIATION COMPLETES A COMPENSATION SURVEY EVERY TWO YEARS. THIS SURVEY IS USED AS A BENCHMARK FOR THE EXECUTIVE DIRECTOR POSITION. THE BOARD OF DIRECTORS THEN REVIEWS AND APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION PACKAGE. THIS APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. FOR OTHER POSITIONS, THE EXECUTIVE DIRECTOR DOES RESEARCH AND/OR CONDUCTS SURVEYS OF OTHER SIMILAR ORGANIZATIONS IN NORTH CAROLINA TO DETERMINE THE APPROPRIATE SALARY RANGE FOR EACH POSITION. WAGE AND HOUR COMPENSATION SURVEY INFORMATION WAS USED IN THE DECISION THIS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTS FOR RECORDS MUST BE MADE IN WRITING AND DIRECTED TO THE ATTENTION OF THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE CONTRACTS: PROGRAM SERVICE EXPENSES 6,309,286. MANAGEMENT AND GENERAL EXPENSES 714,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,023,504. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 255,203. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 255,203. PBM FEES: PROGRAM SERVICE EXPENSES 21,662. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,662. TPA FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 140,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,165. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
