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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <OnlyInHouseLobbyingInd>true</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
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        <OtherCostOrOtherBasisAmt>4007</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4007</DepreciationAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>187467</DepreciationAmt>
        <BookValueAmt>63136</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>1448</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>64584</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES G BECKNER</PersonNm>
        <TitleTxt>EX. DIR. - AN, RAM</TitleTxt>
        <BaseCompensationFilingOrgAmt>155648</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6232</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18913</NontaxableBenefitsFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE R, PART V, LINE 2, (1) (D): ALLOCATION IS BASED UPON SERVICES PROVIDED FOR ACCOUNTING, FINANCIAL MANAGEMENT, ADMINISTRATIVE SUPPORT INCLUDING HUMAN RESOURCES AND PAYROLL, PUBLIC RELATIONS AND MARKETING, AND EXECUTIVE DIRECTOR'S OVERSIGHT. SCHEDULE R, PART II, LINE 1, COLUMN B: PRIMARY ACTIVITY IS TO PROVIDE CENTRALIZED CREDENTIALING. SCHEDULE R, PART II, LINE 2, COLUMN B: PRIMARY ACTIVITY IS TO IMPROVE ACCESS TO HEALTH CARE FOR THE LOW INCOME AND UNINSURED. SCHEDULE R, PART II, LINE 3, COLUMN B: PRIMARY ACTIVITY PROMOTES MOBILIZING RESOURCES TO SUPPORT SCIENTIFIC PROGRAMS AND CHARITABLE SERVICES. SCHEDULE R, PART II, LINE 4, COLUMN B: PRIMARY ACTIVITY IS TO ENCOURAGE AND IMPLEMENT THOUGHTFUL ADVANCE CARE PLANNING. SCHEDULE R, PART IV, LINE 1, COLUMN B: PRIMARY ACTIVITY IS TO PROVIDE MEDICAL MANAGEMENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACADEMY IS COMPRISED OF MEMBERS WHO ARE REQUIRED TO MAKE ANNUAL DUES PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES, OTHER THAN TRUSTEES ELECTED TO FILL VACANCIES, SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. ELECTED TRUSTEES SHALL BE QUALIFIED AND INSTALLED IN JANUARY FOLLOWING THEIR ELECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARTICLES OF INCORPORATION MAY BE AMENDED BY A MAJORITY VOTE OF ALL THE VOTES CAST ON THE AMENDMENT(S) BY THE MEMBERS ENTITLED TO VOTE ON THE AMENDMENT(S) AT A MEETING AT WHICH A QUORUM OF THE MEMBERS ENTITLED TO VOTE EXISTS. AT ANY SUCH MEETING, MEMBERS HOLDING ONE-TENTH OF THE VOTES ENTITLED TO BE CAST REPRESENTED IN PERSON OR BY PROXY SHALL CONSTITUTE A QUORUM. ALL AMENDMENTS TO BYLAWS, ANY REPEAL OF BYLAWS, AND ANY ADOPTION OF NEW BYLAWS MUST BE APPROVED BY THE MEMBERS AT THE ANNUAL MEETING OR A REGULAR MEETING OF THE MEMBERS, OR AT A SPECIAL MEETING OF THE MEMBERS CALLED FOR THAT PURPOSE. AT ANY SUCH MEETING TO AMEND, REPEAL OR ADOPT NEW BYLAWS, MEMBERS HOLDING ONE-TENTH OF THE VOTES ENTITLED TO BE CAST REPRESENTED IN PERSON OR BY PROXY SHALL CONSTITUTE A QUORUM, AND THE VOTE OF THE MAJORITY OF THE VOTES ENTITLED TO BE CAST BY THE MEMBERS PRESENT OR REPRESENTED BY PROXY AT SUCH MEETING AT WHICH A QUORUM IS PRESENT SHALL BE NECESSARY FOR THE ADOPTION OF SUCH AMENDMENT OR REPEAL, OR ADOPTION OF NEW BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD RECEIVES THE DRAFT FILING IN SUFFICIENT TIME TO REVIEW AND MAKE ANY CHANGES BEFORE THE ACTUAL FILING IS DONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF RAM, CCVS, ACCESS NOW, HONORING CHOICES VIRGINIA, RAM SERVICES CORPORATION, AND RAM TRUST IS BASED UPON ANALYSIS OF COMPARABLE POSITIONS IN THE MARKETPLACE. THE SALARY RANGE WAS IDENTIFIED AND APPROVED BY THE RAM COMPENSATION COMMITTEE AND THE RAM BOARD OF TRUSTEES. THE EXECUTIVE DIRECTOR'S COMPENSATION REFLECTS OVERSIGHT OVER SIX ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 15A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CENTRALIZED CREDENTIALS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>VERIFICATION SERVICE INC</BusinessNameLine2Txt>
        </DisregardedEntityName>
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          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>ACCESS NOW INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2821 EMERYWOOD PARKWAY SUITE 200</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>SEE SCH O</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <ZIPCd>23294</ZIPCd>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>RAM INC</BusinessNameLine1Txt>
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          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>SEE SCH O</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT RECEIVED</MethodOfAmountDeterminationTxt>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>SEE SCHEDULE O</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>SEE SCHEDULE O</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>RAM SERVICES CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>142000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE SCHEDULE O</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HONORING CHOICES VIRGINIA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>SEE SCHEDULE O</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>RICHMOND ACADEMY OF MEDICINE TRUST</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>SEE SCHEDULE O</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
