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        <CompensationAmt>693660</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SYSTEM 13 INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1648 STATE FARM RD</AddressLine1>
            <City>CHARLOTTESVILLE</City>
            <State>VA</State>
            <ZIPCode>22911</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA PROCESSING</ServicesDesc>
        <CompensationAmt>176742</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT LEVEL DATA SYSTEM</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>262085</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EFFICIENCY AMD PRODUCTIVITY</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>344960</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DMV CODES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>685</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRODUCT SALES AND PROGRAMMING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1066048</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ALL PAYER CLAIMS DATABSAE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1260096</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2933874</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2653</TotalRevenueColumnAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2936527</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2936527</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>339000</TotalAmt>
        <ProgramServicesAmt>207119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131881</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>483834</TotalAmt>
        <ProgramServicesAmt>401581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82253</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>82270</TotalAmt>
        <ProgramServicesAmt>60870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21400</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>250978</TotalAmt>
        <ProgramServicesAmt>185694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65284</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>59769</TotalAmt>
        <ProgramServicesAmt>44221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15548</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>18439</TotalAmt>
        <ProgramServicesAmt>17686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>753</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>7101</TotalAmt>
        <ProgramServicesAmt>5450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1651</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>42050</TotalAmt>
        <ProgramServicesAmt>32274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9776</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>48787</TotalAmt>
        <ProgramServicesAmt>46462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2325</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>5477</TotalAmt>
        <ProgramServicesAmt>4282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1195</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>91191</TotalAmt>
        <ProgramServicesAmt>88665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2526</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InformationTechnologyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>24555</TotalAmt>
        <ProgramServicesAmt>19138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5417</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>28902</TotalAmt>
        <ProgramServicesAmt>22183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6719</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>35741</TotalAmt>
        <ProgramServicesAmt>27432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8309</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>APCD FUNDING</Desc>
        <TotalAmt>262520</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>262520</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
        <TotalAmt>870402</TotalAmt>
        <ProgramServicesAmt>870402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES LICENSES AND PERMITS</Desc>
        <TotalAmt>6245</TotalAmt>
        <ProgramServicesAmt>4793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1452</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MAINTENANCE</Desc>
        <TotalAmt>3995</TotalAmt>
        <ProgramServicesAmt>3066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>929</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>86389</TotalAmt>
        <ProgramServicesAmt>67538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18851</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2747645</TotalAmt>
        <ProgramServicesAmt>2108856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>638789</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1413145</BOYAmt>
        <EOYAmt>2209098</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>672294</BOYAmt>
        <EOYAmt>237007</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>1020727</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>329511</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>703901</BOYAmt>
        <EOYAmt>691216</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>22331</BOYAmt>
        <EOYAmt>22333</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>2811671</BOYAmt>
        <EOYAmt>3159654</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>43149</BOYAmt>
        <EOYAmt>202250</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>43149</BOYAmt>
        <EOYAmt>202250</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>2768522</BOYAmt>
        <EOYAmt>2957404</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2768522</BOYAmt>
        <EOYAmt>2957404</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2811671</BOYAmt>
        <EOYAmt>3159654</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>188882</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="13000178">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1766860</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1863105</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1938075</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2478384</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2933874</CurrentTaxYearAmt>
        <TotalAmt>10980298</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1766860</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1863105</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1938075</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2478384</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2933874</CurrentTaxYearAmt>
        <TotalAmt>10980298</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>10980298</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>754</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2036</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3503</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3167</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2653</CurrentTaxYearAmt>
        <TotalAmt>12113</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10992411</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99890</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99880</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="00000003">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>42050</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>42050</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II-B Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGED WILLIAMS MULLEN TO ADVOCATE FUNDING IN THE VA BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="00000004" softwareId="13000178">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>159000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>159000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>613734</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>98943</DepreciationAmt>
        <BookValueAmt>514791</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>247993</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>230568</DepreciationAmt>
        <BookValueAmt>17425</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>691216</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2936527</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2936527</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2936527</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2747645</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2747645</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2747645</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000005">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL T LUNDBERG</PersonNm>
        <BaseCompensationFilingOrgAmt>204000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>55104</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>279104</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH K WAITE</PersonNm>
        <BaseCompensationFilingOrgAmt>102000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>42643</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>151643</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive director ond operations manager received a bonus.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000006" softwareId="13000178">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director shall sign and certify that the IRS Form 990 is accurate and complete.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall review and approve the IRS Form 990 annual tax filing prior to submission,</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>and the full board shall receive a copy of the IRS Form 990 within 30 days of its submission.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Operations Manager provides conflict of interest policies and forms for attestation of this</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>information annually to all Board members. Statements are reviewed and if a potentional</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>conflict exists, the Executive Director is notified and discusses the conflict with the</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board member and Executive Committee. Should a conflict exist for a specific matter,</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members may recuse themselves or be excluded from discussions or votes</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>on the matter of concern. A Board member may also be asked to resign or be removed</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>by a vote of the Board if a general and overarching conflict cannot be overcome and inhibits</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>a member's ability to regularly participate in Board activities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of executives from local health associations and comparative information from third parties</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>of salary information on area Executive Directors with similar responsibilities, company size and</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>experience/education are compared and provided to the Executive Committee for consideration</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>when determining Executive Director compensation. Minutes of the Executive Committee meeting</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>contemporaneously document the deliberation and action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>VHI Articles of incorporation and Bylaws are available at no cost upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The VHI Conflict of Interest Policy is available at at no cost upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Consistent with the requirements of 6104(d) of the Internal Revenue Code and the regulations thereunder,</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>copies of this Form 990 shall be made available, upon request, in a timely manner, and without charge to</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>any individuals who request it. The VHI 990 is electronically available through GuideStar (http://www.guidestar.org/).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>An electronic copy of the annual independent audit is part of the Annual Report and Strategic plan update.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>This document shall be available on the orgnanization website .</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A detailed independent financial audit is posted on the orgainization website and is part of our</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual Report and Strategic Plan Update at no cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDED HEALTH CARE INFORMATION TO CONSUMERS, PROVIDERS, 375759. 0. 1066048. IMPLEMENTED VIRGINIA'S ALL PAYER CLAIMS DATABASE. 1134284. 0. 1260096.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>GRAPHIC DESIGN AND PRINTING 13530. 10958. 2572. 0. MAINTENANCE AND REPAIRS 10218. 7842. 2376. 0. MARKETING 5929. 4551. 1378. 0. MISCELLANEOUS 1139. 930. 209. 0. NETWORK MAINTENANCE 4723. 3658. 1065. 0. PAYROLL ADMINISTRATION 529. 406. 123. 0. PHONE FAX AND TELECONFERENCEING 13913. 10719. 3194. 0. POSTAGE AND DELIVERY 5847. 4750. 1097. 0. PRODUCT DEVELOPMENT 14197. 11164. 3033. 0. REAL ESTATE TAX 8027. 6161. 1866. 0. UTILITIES 8337. 6399. 1938. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>