﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2020v4.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-11-14T06:02:23-00:00</ReturnTs>
    <TaxPeriodEndDt>2021-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Andrews Accounting and Bookkeeping Inc</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12130 Wexwood Drive</AddressLine1Txt>
        <CityNm>N Chesterfield</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>23236</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2020-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>541639924</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Virginia Health Care Foundation</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>VIRG</BusinessNameControlTxt>
      <PhoneNum>8048285804</PhoneNum>
      <USAddress>
        <AddressLine1Txt>707 East Main Street Room 1350</AddressLine1Txt>
        <CityNm>Richmond</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>23219</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Deborah D Oswalt</PersonNm>
      <PersonTitleTxt>Executive Director</PersonTitleTxt>
      <SignatureDt>2021-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Susan H Andrews</PreparerPersonNm>
      <PTIN>P00605949</PTIN>
      <PhoneNum>8047940420</PhoneNum>
      <PreparationDt>2021-11-14</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="990" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>Deborah D Oswalt</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>707 East Main Street</AddressLine1Txt>
        <CityNm>Richmond</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>23219</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>10365030</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.vhcf.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1992</FormationYr>
      <LegalDomicileStateCd>VA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>The Virginia Health Care Foundations mission is to increase access to primary health care for uninsured and medically underserved Virginians. VHCF underwrites and engages in initiatives which enroll uninsured</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>16</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>5435752</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>5746099</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1944491</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>753331</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>331066</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>935436</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>7711309</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>7434866</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>5296433</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>4838895</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1747184</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1620474</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>122801</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1091499</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>897778</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>8135116</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>7357147</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-423807</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>77719</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>20554308</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>22298511</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>5257266</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>5131872</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>15297042</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>17166639</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>The Virginia Health Care Foundations mission is to increase access to primary health care for uninsured and medically underserved Virginians.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>2353708</ExpenseAmt>
      <GrantAmt>2105810</GrantAmt>
      <RevenueAmt>2353708</RevenueAmt>
      <Desc>Grants to health safety net organizations These grants primarily underwrote the salaries of 35.04 FTE physicians, dentists, nurse practioners and behavioral health professionals at free clinics, community health centers and other health care safety net organizations throughout Virginia in FY21, enabling them to provide 33,478 patient visits to uninsured Virginians.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1702454</ExpenseAmt>
        <GrantAmt>1487114</GrantAmt>
        <RevenueAmt>1702454</RevenueAmt>
        <Desc>Grants for the salaries of 58 medication assistance caseworkers 46.15 FTEs, who applied for free prescription medicines from Patient Assistance Programs for their patients with chronic diseases, generating 104 million in free medications for 10,368 uninsured patients in FY21. They also helped obtain discounted low cost generic medicines when free ones were not available obtained free eyeglasses and certain medical supplies and helped eligible patients apply for Medicaid.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>1495015</ExpenseAmt>
        <GrantAmt>1101816</GrantAmt>
        <RevenueAmt>1495015</RevenueAmt>
        <Desc>Grants to help identify and enroll eligible uninsured children and adults in state-sponsored health insurance Medicaid and FAMIS programs. These grants funded the salaries of 21 outreach workers who identified and enrolled over 87,004 uninsured children and adults in the FAMIS and Medicaid programs in FY21.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalOtherProgSrvcExpenseAmt>1017584</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>144155</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>1017584</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>6568761</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="990A">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="990B">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="990D">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="990D">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd>false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="990D">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="990I">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="990J">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="990M">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>6</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>16</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Cornelia Sullivan-Dews CPA</PersonNm>
        <PhoneNum>8048285804</PhoneNum>
        <USAddress>
          <AddressLine1Txt>707 East Main Street Suite 1350</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah D Oswalt</PersonNm>
        <TitleTxt>Exec. Director and Secretary</TitleTxt>
        <AverageHoursPerWeekRt>065.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>189346</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30181</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cornelia Sullivan-Dews</PersonNm>
        <TitleTxt>Controller</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113929</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24503</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rachel Rees</PersonNm>
        <TitleTxt>Deputy Director</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>123976</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12423</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian K Jackson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Roger Boeve</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret G Vanderhye</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher M Carney</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Judith B Collins RN MS WHNP-C FAAN</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nicholas C Conte</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John E Littel Esq</PersonNm>
        <TitleTxt>Vice-Chairman</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Regina M Milteer MD FAAP</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anna Healy James</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Augustus A Petticolas Jr DDS</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>R Pete Sowers III MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>000.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas R Byrd</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>427251</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>67107</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>4580571</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1165528</AllOtherContributionsAmt>
      <NoncashContributionsAmt>67454</NoncashContributionsAmt>
      <TotalContributionsAmt>5746099</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>The Pharmacy Connection</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>154484</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Contracts from government agencies</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>577553</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>21294</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>753331</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>217833</TotalRevenueColumnAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3647767</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2930164</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>717603</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>717603</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7434866</TotalRevenueColumnAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>4838895</TotalAmt>
        <ProgramServicesAmt>4838895</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>194346</TotalAmt>
        <ProgramServicesAmt>145760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48586</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1091056</TotalAmt>
        <ProgramServicesAmt>761032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232784</ManagementAndGeneralAmt>
        <FundraisingAmt>97240</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>67211</TotalAmt>
        <ProgramServicesAmt>49065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15458</ManagementAndGeneralAmt>
        <FundraisingAmt>2688</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>176816</TotalAmt>
        <ProgramServicesAmt>128338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40856</ManagementAndGeneralAmt>
        <FundraisingAmt>7622</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>91045</TotalAmt>
        <ProgramServicesAmt>62596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21000</ManagementAndGeneralAmt>
        <FundraisingAmt>7449</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>150</TotalAmt>
        <ProgramServicesAmt>150</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>22070</TotalAmt>
        <ManagementAndGeneralAmt>22070</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>72805</TotalAmt>
        <ManagementAndGeneralAmt>72805</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>94299</TotalAmt>
        <ProgramServicesAmt>61571</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32506</ManagementAndGeneralAmt>
        <FundraisingAmt>222</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>3146</TotalAmt>
        <ProgramServicesAmt>3146</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>10034</TotalAmt>
        <ProgramServicesAmt>6329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3684</ManagementAndGeneralAmt>
        <FundraisingAmt>21</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>199211</TotalAmt>
        <ProgramServicesAmt>158596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34868</ManagementAndGeneralAmt>
        <FundraisingAmt>5747</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>106259</TotalAmt>
        <ProgramServicesAmt>39179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67080</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>37</TotalAmt>
        <ProgramServicesAmt>37</ProgramServicesAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10710</TotalAmt>
        <ProgramServicesAmt>1301</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9409</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>10289</TotalAmt>
        <ManagementAndGeneralAmt>10289</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>22601</TotalAmt>
        <ManagementAndGeneralAmt>22601</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Equipment rental and maintenance</Desc>
        <TotalAmt>13417</TotalAmt>
        <ProgramServicesAmt>6045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7372</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Scholarships</Desc>
        <TotalAmt>108763</TotalAmt>
        <ProgramServicesAmt>108763</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Telephone, postage and printing</Desc>
        <TotalAmt>46970</TotalAmt>
        <ProgramServicesAmt>31303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15384</ManagementAndGeneralAmt>
        <FundraisingAmt>283</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Technical assistance and workshops</Desc>
        <TotalAmt>114320</TotalAmt>
        <ProgramServicesAmt>114320</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>62697</TotalAmt>
        <ProgramServicesAmt>52335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8833</ManagementAndGeneralAmt>
        <FundraisingAmt>1529</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7357147</TotalAmt>
        <ProgramServicesAmt>6568761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>665585</ManagementAndGeneralAmt>
        <FundraisingAmt>122801</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>13884</BOYAmt>
        <EOYAmt>13269</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>777210</BOYAmt>
        <EOYAmt>1446954</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>7249954</BOYAmt>
        <EOYAmt>6207615</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>18938</BOYAmt>
        <EOYAmt>19208</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>22215</BOYAmt>
        <EOYAmt>17647</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>136092</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>87514</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>20035</BOYAmt>
        <EOYAmt>48578</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>12452072</BOYAmt>
        <EOYAmt>14545240</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>20554308</BOYAmt>
        <EOYAmt>22298511</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>109366</BOYAmt>
        <EOYAmt>118012</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>5147900</BOYAmt>
        <EOYAmt>4936616</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <EOYAmt>77244</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5257266</BOYAmt>
        <EOYAmt>5131872</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6923253</BOYAmt>
        <EOYAmt>9846205</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>8373789</BOYAmt>
        <EOYAmt>7320434</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>15297042</BOYAmt>
        <EOYAmt>17166639</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>20554308</BOYAmt>
        <EOYAmt>22298511</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>77719</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1791878</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5924887</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5852759</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7928931</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5435752</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5746099</CurrentTaxYearAmt>
        <TotalAmt>30888428</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5924887</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5852759</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7928931</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5435752</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5746099</CurrentTaxYearAmt>
        <TotalAmt>30888428</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>30888428</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>195077</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>224960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>271266</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>286996</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>217833</CurrentTaxYearAmt>
        <TotalAmt>1196132</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1065122</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1110348</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1262487</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1944491</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>753331</CurrentTaxYearAmt>
        <TotalAmt>6135779</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>38220339</TotalSupportAmt>
      <PublicSupportCY170Pct>0.80820</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.79060</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <FactsAndCircumstancesTestTxt>Part II Section B Line 10 VHCF generated other income from several sources. The largest amount 577,553 is derived from contracts with the Virginia Department of Medical Assistance Services and the Centers for Medicare and Medicaid. These contracts underwrite a portion of VHCFs outreach and enrollment initiatives for state-sponsored health insurance Medicaid and FAMIS, 21 FTE outreach workers and statewide training and technical assistance.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part II Section B Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Another source of other income 154,484 is related to fees charged to organizations which purchase The Pharmacy Connection TPC, a software product developed by VHCF to expedite processing of applications for free prescription medicines from the Patient Assistance Programs. Fees are nominal compared to the costs of continuously upgrading and operating TPC, and providing training and technical assistance to organizations using TPC.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="990C" softwareId="20011406" softwareVersionNum="20.0.2.0"></IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>100000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>100000</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>100000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>100000</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>73451</BeginningYearBalanceAmt>
        <ContributionsAmt>26549</ContributionsAmt>
        <EndYearBalanceAmt>100000</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>57461</BeginningYearBalanceAmt>
        <ContributionsAmt>15990</ContributionsAmt>
        <EndYearBalanceAmt>73451</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <ContributionsAmt>57461</ContributionsAmt>
        <EndYearBalanceAmt>57461</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>4987</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4172</DepreciationAmt>
        <BookValueAmt>815</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>98937</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>80736</DepreciationAmt>
        <BookValueAmt>18201</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>32168</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2606</DepreciationAmt>
        <BookValueAmt>29562</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>48578</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalRevEtcAuditedFinclStmtAmt>9172434</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1791878</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>18495</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>1810373</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7362061</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>72805</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>72805</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7434866</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7302837</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>18495</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>18495</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7284342</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>72805</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>72805</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7357147</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Augusta Health Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 1000</AddressLine1Txt>
          <CityNm>Fisherville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22929</ZIPCd>
        </USAddress>
        <RecipientEIN>262559916</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>84202</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ballad Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2 Professional Park Dr Suite 15</AddressLine1Txt>
          <CityNm>Johnson</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37604</ZIPCd>
        </USAddress>
        <RecipientEIN>611771290</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bland County Medical Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12301 Grapefield Road</AddressLine1Txt>
          <CityNm>Bastian</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24314</ZIPCd>
        </USAddress>
        <RecipientEIN>541074890</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>49090</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bland Ministry Center &amp; Dental Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 211</AddressLine1Txt>
          <CityNm>Bland</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24315</ZIPCd>
        </USAddress>
        <RecipientEIN>541556134</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>HSN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Blue Ridge Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4038 Thomas Nelson Hwy</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22922</ZIPCd>
        </USAddress>
        <RecipientEIN>541222147</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>48063</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bradley Free Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1240 Third Street SW</AddressLine1Txt>
          <CityNm>Roanoke</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24016</ZIPCd>
        </USAddress>
        <RecipientEIN>237380491</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>182938</CashGrantAmt>
        <PurposeOfGrantTxt>HSN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Brock Hughes Free Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 West Pine Street</AddressLine1Txt>
          <CityNm>Wytheville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24382</ZIPCd>
        </USAddress>
        <RecipientEIN>202353144</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>17220</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Carilion Giles Community Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Taylor Avenue</AddressLine1Txt>
          <CityNm>Petersburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24134</ZIPCd>
        </USAddress>
        <RecipientEIN>540549603</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>32618</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Carilion New River Valley</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 5</AddressLine1Txt>
          <CityNm>Radford</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24141</ZIPCd>
        </USAddress>
        <RecipientEIN>540553805</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>33261</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Center for Healthy Hearts</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 W Cary Street</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23220</ZIPCd>
        </USAddress>
        <RecipientEIN>521303481</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>16380</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Central Virginia Health Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 220</AddressLine1Txt>
          <CityNm>New Canton</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23123</ZIPCd>
        </USAddress>
        <RecipientEIN>540887287</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>128375</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Charlottesville Free Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1138 Rose Hill Drive</AddressLine1Txt>
          <CityNm>Charlottesville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22903</ZIPCd>
        </USAddress>
        <RecipientEIN>541610405</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>18200</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Chesapeake Care Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>214 South Military Highway</AddressLine1Txt>
          <CityNm>Chesapeake</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23320</ZIPCd>
        </USAddress>
        <RecipientEIN>541642754</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>33800</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Health Center of the New River Valley</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>215 Roanoke Street</AddressLine1Txt>
          <CityNm>Christianburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24073</ZIPCd>
        </USAddress>
        <RecipientEIN>521349560</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>83475</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Crossover Ministry Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8600 Quioccasin Road</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23229</ZIPCd>
        </USAddress>
        <RecipientEIN>541371067</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>31200</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cumberland Plateau Health District</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 2347</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24266</ZIPCd>
        </USAddress>
        <RecipientEIN>546001775</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>121980</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Daily Planet Health Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>517 W Grace Street</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23220</ZIPCd>
        </USAddress>
        <RecipientEIN>540900368</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>311526</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Danville-Pittsylvania Community Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>245 Hairston Street</AddressLine1Txt>
          <CityNm>Danville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24540</ZIPCd>
        </USAddress>
        <RecipientEIN>540937279</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>118393</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Eastern Shore Rural Health System Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>20280 Market Street</AddressLine1Txt>
          <CityNm>Onancock</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23417</ZIPCd>
        </USAddress>
        <RecipientEIN>510196935</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>194100</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater Prince William Area Community Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4379 Ridgewood Center Dr Suite 102</AddressLine1Txt>
          <CityNm>Woodbridge</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22192</ZIPCd>
        </USAddress>
        <RecipientEIN>830435138</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>275000</CashGrantAmt>
        <PurposeOfGrantTxt>HSN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Halifax Regional Development Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2204 Wilborn Avenue</AddressLine1Txt>
          <CityNm>South Boston</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24592</ZIPCd>
        </USAddress>
        <RecipientEIN>541875619</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>53520</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Health Brigade</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1010 North Thompson Street</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23230</ZIPCd>
        </USAddress>
        <RecipientEIN>540927792</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>140225</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Highland Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 490</AddressLine1Txt>
          <CityNm>Monterey</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24465</ZIPCd>
        </USAddress>
        <RecipientEIN>541652356</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>15315</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Inova Community Health Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2700 Prosperity Ave Suite 280</AddressLine1Txt>
          <CityNm>Fairfax</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22031</ZIPCd>
        </USAddress>
        <RecipientEIN>540620889</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>291029</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Johnson Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>134 Elon Road</AddressLine1Txt>
          <CityNm>Madison Heights</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24572</ZIPCd>
        </USAddress>
        <RecipientEIN>541287905</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>134375</CashGrantAmt>
        <PurposeOfGrantTxt>HSN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ledwith Lewis Free Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>317 Duke Street</AddressLine1Txt>
          <CityNm>Tappahannock</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22560</ZIPCd>
        </USAddress>
        <RecipientEIN>204715344</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>36576</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Martinsville Henry County Coalition</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>22 East Church Street</AddressLine1Txt>
          <CityNm>Martinsville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24112</ZIPCd>
        </USAddress>
        <RecipientEIN>202448149</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>188086</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mountain Empire Older Citizens</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 888</AddressLine1Txt>
          <CityNm>Big Gap</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24219</ZIPCd>
        </USAddress>
        <RecipientEIN>541025257</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>80000</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Neighborhood Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 2518</AddressLine1Txt>
          <CityNm>Alexandria</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22301</ZIPCd>
        </USAddress>
        <RecipientEIN>541849891</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>310847</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>New Horizons Healthcare</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3716 Melrose Avenue NW</AddressLine1Txt>
          <CityNm>Roanoke</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24017</ZIPCd>
        </USAddress>
        <RecipientEIN>541937835</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>188860</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Norfolk Health Department</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>830 Southhampton Avenue Suite 200</AddressLine1Txt>
          <CityNm>Norfolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23150</ZIPCd>
        </USAddress>
        <RecipientEIN>546001775</RecipientEIN>
        <IRCSectionDesc>Public Entity</IRCSectionDesc>
        <CashGrantAmt>143113</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Northern Virginia Family Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10455 White Granite Drive</AddressLine1Txt>
          <CityNm>Oakton</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22124</ZIPCd>
        </USAddress>
        <RecipientEIN>540791977</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>84005</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Orange County Free Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 441</AddressLine1Txt>
          <CityNm>Orange</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22960</ZIPCd>
        </USAddress>
        <RecipientEIN>541922019</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>49425</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Piedmont Access to Health Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>705 Main Street</AddressLine1Txt>
          <CityNm>Danville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24541</ZIPCd>
        </USAddress>
        <RecipientEIN>542026502</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>62500</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Richmond City Health District</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 East Cary Street</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>545001775</RecipientEIN>
        <IRCSectionDesc>Public Entity</IRCSectionDesc>
        <CashGrantAmt>103553</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Shenandoah Community Health Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 759</AddressLine1Txt>
          <CityNm>Woodstock</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22664</ZIPCd>
        </USAddress>
        <RecipientEIN>542032008</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>24000</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sinclair Health Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 N Camerson St Suite 100</AddressLine1Txt>
          <CityNm>Winchester</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541373296</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>180149</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southeastern Virginia Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1033 28th Street</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23607</ZIPCd>
        </USAddress>
        <RecipientEIN>541083954</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>57353</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southern Dominion Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 70</AddressLine1Txt>
          <CityNm>Victoria</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23974</ZIPCd>
        </USAddress>
        <RecipientEIN>541282624</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>25223</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southwest Virginia Community Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 729 319 Fifth Avenue</AddressLine1Txt>
          <CityNm>Saltville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24370</ZIPCd>
        </USAddress>
        <RecipientEIN>542046110</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>175071</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Health Wagon</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 7070</AddressLine1Txt>
          <CityNm>Wise</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24293</ZIPCd>
        </USAddress>
        <RecipientEIN>043739083</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>117219</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Women's Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>133 Park Street NE</AddressLine1Txt>
          <CityNm>Vienna</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22180</ZIPCd>
        </USAddress>
        <RecipientEIN>237423496</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>89167</CashGrantAmt>
        <PurposeOfGrantTxt>HSN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Tri-Area Community Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 9</AddressLine1Txt>
          <CityNm>Laurel Fork</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24352</ZIPCd>
        </USAddress>
        <RecipientEIN>541112330</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>281114</CashGrantAmt>
        <PurposeOfGrantTxt>HSN, RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VCU Community Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1775 N Mecklenburg Avenue</AddressLine1Txt>
          <CityNm>South Hill</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23970</ZIPCd>
        </USAddress>
        <RecipientEIN>540551711</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>72760</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Virginia Legal Aid Society</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 6200 513 Church Street</AddressLine1Txt>
          <CityNm>Lynchburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24505</ZIPCd>
        </USAddress>
        <RecipientEIN>510226448</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>173394</CashGrantAmt>
        <PurposeOfGrantTxt>Medicaid O E</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Western Tidewater Free Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2019 Meade Parkway</AddressLine1Txt>
          <CityNm>Suffolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23434</ZIPCd>
        </USAddress>
        <RecipientEIN>263302837</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>48688</CashGrantAmt>
        <PurposeOfGrantTxt>RxRelief</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Youth for Tomorrow</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11835 Hazel Circle Dr</AddressLine1Txt>
          <CityNm>Bristow</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>20136</ZIPCd>
        </USAddress>
        <RecipientEIN>521342268</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>28125</CashGrantAmt>
        <PurposeOfGrantTxt>HSN</PurposeOfGrantTxt>
      </RecipientTable>
      <TotalOtherOrgCnt>47</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Deborah D Oswalt</PersonNm>
        <TitleTxt>Exec. Director and Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>189346</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28321</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4480</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222147</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>67454</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>true</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 32B</FormAndLineReferenceDesc>
        <ExplanationTxt>VHCF uses a local investment firm to receive and sell gifts of stock on its behalf. It is the policy of VHCF to liquidate donated stock immediately upon receipt unless very unusual market conditions exist.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 308,272, Grants and allocations 0, Revenue 308,272 One of VHCFs priorities is helping as many chronically ill uninsured Virginians as possible obtain the lifesaving medicines they need. In addition to issuing grants for medication assistance caseworkers, VHCF offers training on and continuously updates The Pharmacy Connection TPC, the proprietary software which it has developed and maintains to expedite access to the free prescription medicines from the brandname pharmaceutical companies Patient Assistance Programs. This web-based software enabled the 126 organizations in Virginia which use TPC to obtain 195 million in free primary care related medicines and 705 million in free cancer medicines for 18,200 uninsured Virginians in FY21.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 439,364, Grants and allocations 39,155, Revenue 439,364 VHCF has launched several initiatives to address the critical lack of behavioral health BH services in Virginia. This includes grants to organizations in mental health professional shortage areas to hire 7 behavioral health professionals and incorporate tele-mental health into their practices. It also includes Conquering the Consequences of COVID-19, a multi-pronged initiative to attract more BH providers to shortage areas and to underserved populations. In addition, VHCF provides grant and technical assistance support to Virginias dental safety net.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 164,948, Grants and allocations 0, Revenue 164,948 VHCF addressed Virginias shortgage of Psychiatric Nurse Practitioners by funding 17 scholarships for NPs to obtain training and credentials as Psych NPs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 105,000, Grants and allocations 105,000, Revenue 105,000 Other programs and services include 105,000 in the RxPartnership RxP as directed by VHCFs state appropriation. RxP is a program which VHCF helped establish in 2003 to obtain free prescription medicines in bulk from the nations brandname pharmaceutical companies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by an external CPA with the assistance of VHCFs Controller, reviewed by the Executive Director and distributed electronically to the members of VHCFs Board of Trustees for their review a week before it is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest policy and disclosure forms are provided to all members of the Board and key employees each June in conjunction with the Foundations annual meeting. Responses are reviewed by the Executive Director. Any conflict is reviewed by the Chairman and Executive Committee and appropriate action is taken.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Directors performance and compensation are reviewed annually by VHCFs Board of Trustees. Any increases in compensation are determined after full consideration of performance, compensation data for similar duties among related organizations, industry standards and other relevant factors. Cost of living and merit increases of all other employees are devloped by the Foundations Executive Director after consulation with the Chairman of the Board of Trustees. The Board of Trustees makes the ultimate decision regarding the total amount available for staff salary increases during the annual budget process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All documents are available upon request. The Foundations annual report which contains a summary of VHCFs audited financial statements for FY21 is available via its website. The Foundations Form 990 is available via a link to Guidestar on its website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous expenses include costs for a special campaign in southwest Virginia to market the availablity of Medicaid coverage 43,139, other smaller program campaigns 2,593 and dues, subscriptions and fees 16,965.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>