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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
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        <ProgramServicesAmt>139875</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>8994</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>15985</ProgramServicesAmt>
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        <ProgramServicesAmt>20784</ProgramServicesAmt>
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        <Desc>SHARED SERVICES</Desc>
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        <BOYAmt>44219</BOYAmt>
        <EOYAmt>20471</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>4528183</EOYAmt>
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        <EOYAmt>49218</EOYAmt>
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        <BOYAmt>6417566</BOYAmt>
        <EOYAmt>6465499</EOYAmt>
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        <EOYAmt>928433</EOYAmt>
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        <EOYAmt>71653</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>49218</EOYAmt>
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        <BOYAmt>1286788</BOYAmt>
        <EOYAmt>1049304</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>5130778</BOYAmt>
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        <BOYAmt>5130778</BOYAmt>
        <EOYAmt>5416195</EOYAmt>
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        <EOYAmt>6465499</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <CurrentTaxYearMinus2YearsAmt>119642</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>145111</CurrentTaxYearMinus1YearAmt>
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      <GrossReceiptsRltdActivitiesAmt>3708811</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.97520</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <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, 2025. 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, 2025 OR 2024. THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEAR ENDED SEPTEMBER 2022 OR PRIOR.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 E BROAD ST</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOR THE PURPOSE OF SUPPORTING GUN VIOLENCE INTERVENTION AND PREVENTION PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 J CLYDE MORRIS BOULEVARD</AddressLine1Txt>
          <CityNm>NEWPORT NEWS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23601</ZIPCd>
        </USAddress>
        <RecipientEIN>311500959</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>411035</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 12385</AddressLine1Txt>
          <CityNm>ROANOKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24025</ZIPCd>
        </USAddress>
        <RecipientEIN>540506332</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>353792</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>601 CHILDRENS LANE</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23507</ZIPCd>
        </USAddress>
        <RecipientEIN>540506321</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>335869</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SENTARA NORFOLK GENERAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 GRESHAM DRIVE</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23507</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>299102</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOR THE PURPOSE OF SUPPORTING GUN VIOLENCE INTERVENTION AND PREVENTION PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BON SECOURS RICHMOND HEALTH CARE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>920 LIBBIE AVE</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INOVA HEALTH SYSTEM</BusinessNameLine1Txt>
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          <AddressLine1Txt>8095 INNOVATION PARK DRIVE</AddressLine1Txt>
          <CityNm>FAIRFAX</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22031</ZIPCd>
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        <CashGrantAmt>235964</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
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          <AddressLine1Txt>8020 VILLA PARK DR</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>CHESAPEAKE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23320</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>KINGSPORT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37660</ZIPCd>
        </USAddress>
        <RecipientEIN>611771290</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>138091</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AUGUSTA HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1000</AddressLine1Txt>
          <CityNm>FISHERSVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22939</ZIPCd>
        </USAddress>
        <RecipientEIN>542042365</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>67618</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VALLEY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 CAMPUS BLVD SUITE 310</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>521357729</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>58372</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVED QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1202 THIRD STREET SW</AddressLine1Txt>
          <CityNm>ROANOKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24016</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>55000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HIRE AND TRAIN A CHW FOR THE PURPOSE OF PROVIDING OUTREACH TO PATIENTS WITH CARDIOVASCULAR DISEASE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARYVIEW HOSPITAL LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3636 HIGH ST</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23707</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>55000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HIRE AND TRAIN A CHW FOR THE PURPOSE OF PROVIDING OUTREACH TO PATIENTS WITH CARDIOVASCULAR DISEASE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VCU HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 980141</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23298</ZIPCd>
        </USAddress>
        <RecipientEIN>541848065</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>54978</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11101 NORTH EMMET STREET</AddressLine1Txt>
          <CityNm>CHARLOTTESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22903</ZIPCd>
        </USAddress>
        <CashGrantAmt>31588</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOR THE PURPOSE OF SUPPORTING GUN VIOLENCE INTERVENTION AND PREVENTION PROGRAMS</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>
        <CashGrantAmt>14520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RAPPAHANNOCK GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 HARRIS RD</AddressLine1Txt>
          <CityNm>KILMARNOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22482</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>14520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARY WASHINGTON HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 SAM PERRY BLVD</AddressLine1Txt>
          <CityNm>FREDERICKSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22401</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>13257</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>IMPLEMENTATION OF THE EMERGENCY DEPARTMENT BRIDGE FOR OPIOID USE DISORDER INTERVERION, AN EXPANSION OF THE ED BRIDGE PROGRAM AT CARILION CLINIC.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>759 MAIN ST</AddressLine1Txt>
          <CityNm>WOODSTOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22664</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSSELL COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>58 CARROLL STREET</AddressLine1Txt>
          <CityNm>LEBANON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24266</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BUCHANAN GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1535 SLATE CREEK ROAD</AddressLine1Txt>
          <CityNm>GRUNDY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24614</ZIPCd>
        </USAddress>
        <RecipientEIN>540895648</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</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>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GILES COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>159 HARTLEY WAY</AddressLine1Txt>
          <CityNm>PEARISBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24134</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TAPPAHANNOCK HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>618 HOSPITAL RD</AddressLine1Txt>
          <CityNm>TAPPAHANNOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22560</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</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>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</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>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <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>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WYTHE COUNTY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 WEST RIDGE</AddressLine1Txt>
          <CityNm>WYTHEVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24382</ZIPCd>
        </USAddress>
        <RecipientEIN>202468795</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</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>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</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>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</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>
        <RecipientEIN>571137401</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROCKBRIDGE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 HEALTH CIR</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24450</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9520</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEE COUNTY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>127 HEALTH CARE DR</AddressLine1Txt>
          <CityNm>PENNINGTON GAP</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24277</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9475</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEDFORD MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1613 OAKWOOD ST</AddressLine1Txt>
          <CityNm>BEDFORD</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24523</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9250</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE SHORE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>20480 MARKET ST</AddressLine1Txt>
          <CityNm>ONLEY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23418</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9239</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH QUALITY INNOVATORS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9830 MAYLAND DRIVE SUITE D</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23233</ZIPCd>
        </USAddress>
        <RecipientEIN>541264320</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>6400</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHHAMPTON MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 FAIRVIEW DR</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23851</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>6223</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING TO VIRGINIA'S SMALL RURAL HOSPITALS FOR ACTIVITIES/PURCHASES THAT LEASE TO IMPROVE QUALITY, OPERATIONS, AND FINANCIAL OUTCOMES FOR THEIR ORGANIZATION.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>36</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</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>0</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 T CONNAUGHTON</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>746319</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>194856</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>46000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5480</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>992655</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH A MCNAMEE</PersonNm>
        <TitleTxt>CFHRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>235168</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23466</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>24482</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13409</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>296525</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY CANNON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>174359</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>20000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18240</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13416</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>226015</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, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND KELLY CANNON. CONTRIBUTIONS WERE MADE TO THE PLAN IN THE FOLLOWING AMOUNTS: KELLY CANNON $18,928. A NEW SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WAS ESTABLISHED FOR THE CEO. ON 1/1/24. A CONTRIBUTION OF $89,600 WAS MADE TO THE NEW PLAN ON THE CEO'S BEHALF IN JANUARY 2025. THE PLAN ALLOWS THE CEO TO DEFER A PORTION OF HIS BASE SALARY INTO THE PLAN.</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 748,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 748,639.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <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>
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        <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>
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      </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>
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          <BusinessNameLine1Txt>VIRGINIA HOSPITAL SHARED SERVICES CORPORATION</BusinessNameLine1Txt>
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          <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>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <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 HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL SHARED SERVICES CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>300000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>