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        <EOYAmt>49218</EOYAmt>
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        <EOYAmt>49218</EOYAmt>
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        <EOYAmt>1286788</EOYAmt>
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        <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>
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      <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, 2024. 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, 2024 OR 2023. THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEAR ENDED SEPTEMBER 2021 OR PRIOR.</ExplanationTxt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22939</ZIPCd>
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          <AddressLine1Txt>1905 AMERICAN WAY</AddressLine1Txt>
          <CityNm>KINGSPORT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37660</ZIPCd>
        </USAddress>
        <RecipientEIN>611771290</RecipientEIN>
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      <RecipientTable>
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          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <RecipientEIN>201072726</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>COMM HLTH, SM RURAL HSPTL EMRGNCY PANDEMIC FNDING &amp; IMPRVMNT, HOSPITAL VIOLENCE INTERVENTION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION MEDICAL CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 12385</AddressLine1Txt>
          <CityNm>ROANOKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24025</ZIPCd>
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      <RecipientTable>
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          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23233</ZIPCd>
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        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>776031</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HOSP VIOLENCE INTERVENTION, COMM HLTH, SM RURAL HOSP EMRGNCY PANDEMIC FNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HILLTOP COUNSELING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5301 PROVIDENCE RD STE 20</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <RecipientEIN>832522526</RecipientEIN>
        <CashGrantAmt>13660</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHESAPEAKE REGIONAL MEDICAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>736 BATTLEFIELD BLVD</AddressLine1Txt>
          <CityNm>CHESAPEAKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23320</ZIPCd>
        </USAddress>
        <RecipientEIN>262366542</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>147991</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FEDERATION OF VIRGINIA FOOD BANKS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8020 VILLA PARK DR</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23228</ZIPCd>
        </USAddress>
        <RecipientEIN>541388664</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>66884</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOOD PHARMACY PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BATH COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>106 PARK DRIVE</AddressLine1Txt>
          <CityNm>HOT SPRINGS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24445</ZIPCd>
        </USAddress>
        <RecipientEIN>571137401</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8978</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SMALL RURAL HOSPITAL IMPROVEMENT</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>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10478</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SMALL RURAL HOSPITAL IMPROVEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF KINGS DAUGHTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 CHILDRENS LANE</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23507</ZIPCd>
        </USAddress>
        <RecipientEIN>540506321</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>235913</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HOSPITAL VIOLENCE INTERVENTION PROGRAM</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>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>353786</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SMALL RURAL HOSPITAL IMPROVEMENT, HOSPITAL VIOLENCE INTERVENTION PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WYTHE COUNTY COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 WEST RIDGE RD</AddressLine1Txt>
          <CityNm>WYTHEVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24382</ZIPCd>
        </USAddress>
        <RecipientEIN>202468795</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8978</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SMALL RURAL HOSPITAL IMPROVEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>17</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>740029</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>188449</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>43500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6123</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>978101</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH A MCNAMEE</PersonNm>
        <TitleTxt>CFHRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>202956</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>19815</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>21651</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>20651</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>265073</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY CANNON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>137939</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>13825</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15527</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13750</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>181041</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 $18,200. 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 2024. 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 883,390. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 883,390.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>540701665</EIN>
        <PrimaryActivitiesTxt>PROMOTE DEVELOPMENT &amp; IMPROVEMENT OF THE HEALTH CARE INDUSTRY IN VIRGINIA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIRGINIA BUSINESS COALITION ON HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541271014</EIN>
        <PrimaryActivitiesTxt>EDUCATION IN THE HEALTHCARE INDUSTRY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541298898</EIN>
        <PrimaryActivitiesTxt>POLITICAL ACTION COMMITTEE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL SHARED SERVICES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31394</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541137831</EIN>
        <PrimaryActivitiesTxt>HOSPITAL GROUP PURCHASING PROGRAM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>