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      <AllOtherContributionsAmt>45696</AllOtherContributionsAmt>
      <TotalContributionsAmt>3646206</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>VIRGINIA PSO</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>422721</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCE &amp; SEMINAR REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8990</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8990</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>431711</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>143663</TotalRevenueColumnAmt>
        <ExclusionAmt>143663</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1418183</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1359261</SecuritiesAmt>
        <OtherAmt>557</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>58922</SecuritiesAmt>
        <OtherAmt>-557</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>58365</TotalRevenueColumnAmt>
        <ExclusionAmt>58365</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4279945</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>431711</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>202028</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>2722675</TotalAmt>
        <ProgramServicesAmt>2722675</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>120000</TotalAmt>
        <ProgramServicesAmt>115500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4500</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>963</TotalAmt>
        <ProgramServicesAmt>963</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28750</TotalAmt>
        <ProgramServicesAmt>28750</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>4212</TotalAmt>
        <ManagementAndGeneralAmt>4212</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>750645</TotalAmt>
        <ProgramServicesAmt>750645</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1760</TotalAmt>
        <ProgramServicesAmt>1760</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>9259</TotalAmt>
        <ProgramServicesAmt>4141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5118</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>64541</TotalAmt>
        <ProgramServicesAmt>63319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1222</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>26412</TotalAmt>
        <ProgramServicesAmt>25236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1176</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>23</TotalAmt>
        <ProgramServicesAmt>23</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>33117</TotalAmt>
        <ProgramServicesAmt>33117</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>8287</TotalAmt>
        <ProgramServicesAmt>1830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6457</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>14400</TotalAmt>
        <ProgramServicesAmt>13800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>600</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SHARED SERVICES</Desc>
        <TotalAmt>601029</TotalAmt>
        <ProgramServicesAmt>550163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50866</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES</Desc>
        <TotalAmt>5075</TotalAmt>
        <ProgramServicesAmt>5075</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TAXES AND LICENSES</Desc>
        <TotalAmt>1345</TotalAmt>
        <ProgramServicesAmt>1345</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4392493</TotalAmt>
        <ProgramServicesAmt>4318342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74151</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2444990</BOYAmt>
        <EOYAmt>1193162</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>427625</BOYAmt>
        <EOYAmt>149273</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>479996</BOYAmt>
        <EOYAmt>284201</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>18606</BOYAmt>
        <EOYAmt>101431</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>67001</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>33826</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>42018</BOYAmt>
        <EOYAmt>33175</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4123802</BOYAmt>
        <EOYAmt>4548544</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>51004</BOYAmt>
        <EOYAmt>49218</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>7588041</BOYAmt>
        <EOYAmt>6359004</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1130956</BOYAmt>
        <EOYAmt>861161</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1643548</BOYAmt>
        <EOYAmt>597376</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>49218</BOYAmt>
        <EOYAmt>49218</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2823722</BOYAmt>
        <EOYAmt>1507755</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4764319</BOYAmt>
        <EOYAmt>4851249</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4764319</BOYAmt>
        <EOYAmt>4851249</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7588041</BOYAmt>
        <EOYAmt>6359004</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-112548</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>199478</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>245528</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>323997</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1063597</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3194053</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3646206</CurrentTaxYearAmt>
        <TotalAmt>8473381</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>245528</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>323997</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1063597</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3194053</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3646206</CurrentTaxYearAmt>
        <TotalAmt>8473381</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>8473381</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>110511</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>137757</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>160902</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>128734</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>143663</CurrentTaxYearAmt>
        <TotalAmt>681567</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>9154948</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>3985386</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.92560</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportPY509Pct>0.54460</PublicSupportPY509Pct>
      <InvestmentIncomePYPct>0.06180</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>67001</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>33826</DepreciationAmt>
        <BookValueAmt>33175</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>33175</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4475768</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>199478</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>199478</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4276290</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>4212</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-557</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>3655</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4279945</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4388838</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>557</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>557</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4388281</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>4212</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>4212</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4392493</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION ACTS AS THE FISCAL AGENT FOR VARIOUS PROJECTS. AS THE FISCAL AGENT, THE FOUNDATION RECEIVES THE GRANT FUNDS AND EXPENDS THEM IN ACCORDANCE WITH THE SPECIFIC TERMS OF THE GRANT AGREEMENT. THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION AND THE VIRGINIA CENTER FOR HEALTHY COMMUNITIES HAVE COLLABORATED ON TWO PROJECTS: WALK SMART, VIRGINIA AND VIRGINIA ATLAS. WALK SMART, VIRGINIA IS A PROGRAM WHICH ADVOCATES DAILY PHYSICAL ACTIVITY FOR SCHOOL-AGE CHILDREN. VIRGINIA ATLAS WAS CREATED TO PROVIDE A RESOURCE PLATFORM THAT COLLECTS DATA ON COMMUNITY HEALTH INDICATORS IN THE COMMONWEALTH OF VIRGINIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2021. THE FOUNDATION IS SUBJECT TO TAX ON ANY UNRELATED BUSINESS INCOME THAT IT MAY GENERATE. THE FOUNDATION REPORTED NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED SEPTEMBER 30, 2021 OR 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSETS -557.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSETS 557.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SENTARA FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6015 POPLAR HALL DR</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23502</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>69000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTH WORKER MINI GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARY WASHINGTON HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2300 FALL HILL AVE</AddressLine1Txt>
          <CityNm>FREDERICKSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22401</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>23000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTH WORKER MINI GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VCU INJURY AND VIOLENCE PREVENTION PROGRAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 980141</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23298</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>332508</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 J CLYDE MORRIS BLVD</AddressLine1Txt>
          <CityNm>NEWPORT NEWS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23601</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>218936</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHESAPEAKE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>736 N BATTLEFIELD BLVD</AddressLine1Txt>
          <CityNm>CHESAPEAKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23320</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>109081</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SENTARA NORFOLK GENERAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6015 POPLAR HALL DR</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23507</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>286681</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BON SECOURS HEALTH CARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5008 MONUMENT AVE</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23230</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>427930</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BATH COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>106 PARK DRIVE</AddressLine1Txt>
          <CityNm>HOT SPRINGS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24445</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BUCHANAN GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1535 SLATE CREEK RD</AddressLine1Txt>
          <CityNm>GRUNDY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24614</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16629</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION FRANKLIN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>390 S MAIN ST</AddressLine1Txt>
          <CityNm>ROCKY MOUNT</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24151</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9335</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION GILES COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>159 HARTLEY WAY</AddressLine1Txt>
          <CityNm>PEARISBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24134</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9690</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION TAZEWELL COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>388 BEN BOLT AVE</AddressLine1Txt>
          <CityNm>TAZEWELL</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24651</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9335</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DICKENSON COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>312 HOSPITAL DR</AddressLine1Txt>
          <CityNm>CLINTWOOD</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24228</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEWISGALE HOSPITAL PULASKI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 LEE HWY</AddressLine1Txt>
          <CityNm>PULASKI</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24301</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9335</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAGE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 MEMORIAL DR</AddressLine1Txt>
          <CityNm>LURAY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22835</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 HARRIS RD</AddressLine1Txt>
          <CityNm>KILMARNOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22482</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9335</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE SHORE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>20480 MARKET ST</AddressLine1Txt>
          <CityNm>ONANCOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23417</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9375</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE TAPPAHANNOCK HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>618 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>TAPPAHANNOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22560</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>84590</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSSELL COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>58 CARROLL ST</AddressLine1Txt>
          <CityNm>LEBANON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24266</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>759 S MAIN ST</AddressLine1Txt>
          <CityNm>WOODSTOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22664</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92746</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SMYTH COUNTY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>245 MEDICAL PARK DR</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24354</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHAMPTON MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 FAIRVIEW DR</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23851</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>727 N MAIN ST</AddressLine1Txt>
          <CityNm>EMPORIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23847</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92399</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WARREN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>351 VALLEY HEALTH WAY</AddressLine1Txt>
          <CityNm>FRONT ROYAL</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22630</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LONESOME PINE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1990 HOLTON AVE E</AddressLine1Txt>
          <CityNm>BIG STONE GAP</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24219</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>92925</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WYTHE COUNTY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 W RIDGE RD</AddressLine1Txt>
          <CityNm>WYTHEVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24382</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9335</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION ROCKBRIDGE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 HEALTH CIR</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24450</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7158</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VCU HEALTH TAPPAHANNOCK HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>618 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>TAPPAHANNOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22560</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8335</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INOVA HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2700 PROSPERITY AVE</AddressLine1Txt>
          <CityNm>FAIRFAX</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22031</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12863</CashGrantAmt>
        <PurposeOfGrantTxt>CARE FOR CAREGIVERS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRA BEDFORD MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1613 OAKWOOD ST STE 201</AddressLine1Txt>
          <CityNm>BEDFORD</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24523</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>83590</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WELLMONT HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5341 ESSERVILLE RD</AddressLine1Txt>
          <CityNm>NORTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24273</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>33815</CashGrantAmt>
        <PurposeOfGrantTxt>RURAL HOSPITAL STATE IMPROVEMENT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>31</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>VHHA FOUNDATION VERIFIES IF SUBRECIPIENTS ARE REQUIRED TO HAVE A SINGLE AUDIT AND COLLECTS AND REVIEWS SINGLE AUDITS FOR ANY FINDINGS OR DEFICIENCIES. IN ORDER TO RECEIVE A SUBAWARD, VHHA FOUNDATION CONFIRMS THAT ANY FINDINGS OR DEFICIENCIES HAVE BEEN ADDRESSED AND RESOLVED. VHHA FOUNDATION STAFF MEET REGULARLY WITH SUBRECIPIENTS TO ENSURE SERVICES ARE ALIGNED WITH FUNDER REQUIREMENTS AND DELIVERABLES ARE BEING MET. VHHA FOUNDATION CAREFULLY AND THOROUGHLY REVIEWS ALL SUBRECIPIENT INVOICES AND SUPPORTING DOCUMENTATION AND VERIFIES THAT ALL EXPENSES SUBMITTED FOR REIMBURSEMENT ARE CONSISTENT WITH THE APPROVED BUDGET, ALLOWABLE, REASONABLE, AND NECESSARY FOR THE PROVISION OF SERVICES DETAILED IN THE SUBAWARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN CONNAUGHTON</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>680265</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>164940</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>64062</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38130</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6245</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>953642</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>64062</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH MCNAMEE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL AND HR OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>182270</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>17000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19770</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17088</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>236128</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRACEY VAN MARCKE DE LUMMEN</PersonNm>
        <TitleTxt>FORMER CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>126146</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>30306</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>17259</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7130</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>180841</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION CONTRACTS WITH A RELIABLE AND REPUTABLE CONSULTANT WHO REVIEWS APPROPRIATE COMPARATIVE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF SEVERANCE PAYMENTS: TRACEY VAN MARCKE DE LUMMEN SEPARATED FROM VHREF AT 9/30/20 AND RECEIVED A SEVERANCE PAYMENT OF $30,306. EXPLANATION OF SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DURING THIS YEAR, THE ASSOCIATION HAD TWO DEFERRED COMPENSATION PLANS FOR KEY EMPLOYEES. UNDER THE PLANS, THE ASSOCIATION CONTRIBUTES AN AMOUNT EQUAL TO 10% OF EMPLOYEES' BASE SALARY INTO THE PLAN ANNUALLY COMMENCING IN THE YEAR OF ENTRY BY THE EMPLOYEE. THE FUNDS UNDER THIS PLAN ARE HELD IN MUTUAL FUNDS AND MANAGEMENT VESTS IN THE PLAN OVER A 10-YEAR PERIOD. THE FUNDS WILL BE RELEASED UPON VESTING BY THE EXECUTIVE OR TERMINATION OF THE PLAN. DURING THIS YEAR, THE FOLLOWING INDIVIDUALS REPORTED IN PART VII PARTICIPATED IN THE PLAN: SEAN T. CONNAUGHTON. CONTRIBUTIONS WERE MADE TO THE PLAN IN THE FOLLOWING AMOUNTS: SEAN T. CONNAUGHTON $0 DISTRIBUTIONS WERE MADE FROM THE PLAN IN THE FOLLOWING AMOUNTS: SEAN T. CONNAUGHTON $64,062</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING MANAGEMENT SERVICES ARE PROVIDED TO THE FOUNDATION BY VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION, A RELATED ORGANIZATION: 1. OVERALL CORPORATE MANAGEMENT INCLUDING DIRECTION AND SUPERVISION OF FOUNDATION EMPLOYEES AND PROGRAMS; 2. PROFESSIONAL AND CLERICAL PERSONNEL FOR THE PURPOSE OF ASSISTING IN ORGANIZING AND OPERATING FOUNDATION AFFAIRS; 3. OTHER ADMINISTRATIVE SUPPORT SERVICES; 4. ASSIST FOUNDATION IN DEVELOPING AND IMPLEMENTING EDUCATIONAL PROGRAMS, INCLUDING THE PROVISION OF FACULTY FROM TIME TO TIME; 5. MANAGE THE FOUNDATION'S HEADQUARTERS BUILDING; 6. PROVIDE ALL PERSONNEL AND OFFICE SPACE REASONABLY NECESSARY TO PERFORM THE SERVICES ABOVE. ANY COMPENSATION PAID BY THE ASSOCIATION TO INDIVIDUALS LISTED IN PART VII HAS BEEN REPORTED AS COMPENSATION PAID BY A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND MANAGEMENT REVIEWS THE FORM 990 BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO DISCLOSE ALL INTERESTS ANNUALLY ON A WRITTEN FORM WHICH IS SIGNED AND DATED. IF A CONFLICT EXISTS, THE ISSUE WILL BE REVIEWED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S CEO WAS EMPLOYED BY THE ASSOCIATION, A RELATED ORGANIZATION, RATHER THAN BY THE FOUNDATION DIRECTLY. THEREFORE, THIS QUESTION HAS BEEN ANSWERED NO. HOWEVER, THE ASSOCIATION CONTRACTS WITH A RELIABLE AND REPUTABLE CONSULTANT WHO REVIEWS APPROPRIATE COMPARATIVE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICTS OF INTERESTS POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING FEES: PROGRAM SERVICE EXPENSES 750,645. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 750,645.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>540701665</EIN>
        <PrimaryActivitiesTxt>PROMOTE DEVELOPMENT &amp; IMPROVEMENT OF THE HEALTH CARE INDUSTRY IN VIRGINIA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIRGINIA BUSINESS COALITION ON HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541271014</EIN>
        <PrimaryActivitiesTxt>EDUCATION IN THE HEALTHCARE INDUSTRY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541298898</EIN>
        <PrimaryActivitiesTxt>POLITICAL ACTION COMMITTEE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL SHARED SERVICES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541137831</EIN>
        <PrimaryActivitiesTxt>HOSPITAL GROUP PURCHASING PROGRAM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</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>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>120000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
