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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5964</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</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>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>125563</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOUDOUN COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>163 FORT EVANS ROAD NE</AddressLine1Txt>
          <CityNm>LEESBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>20176</ZIPCd>
        </USAddress>
        <RecipientEIN>202379419</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>626853</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>22 EAST CHURCH ST</AddressLine1Txt>
          <CityNm>MARTINSVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24112</ZIPCd>
        </USAddress>
        <RecipientEIN>202448149</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>69287</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MONROE HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 HEALTH CENTER DRIVE</AddressLine1Txt>
          <CityNm>UNION</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>24983</ZIPCd>
        </USAddress>
        <RecipientEIN>311013942</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>15820</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEIGHBORHOOD HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6677 RICHMOND HWY</AddressLine1Txt>
          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22306</ZIPCd>
        </USAddress>
        <RecipientEIN>541849891</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>738737</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</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>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>131734</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OLDE TOWNE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5249 OLDE TOWNE ROAD SUITE D</AddressLine1Txt>
          <CityNm>WILLIAMSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23188</ZIPCd>
        </USAddress>
        <RecipientEIN>541663905</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>105725</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</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>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>134918</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PORTSMOUTH COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>664 LINCOLN STREET</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23704</ZIPCd>
        </USAddress>
        <RecipientEIN>541626757</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>70811</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROCKBRIDGE AREA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25 NORTHRIDGE LANE</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24450</ZIPCd>
        </USAddress>
        <RecipientEIN>541642220</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>60882</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH VALLEY MEDICAL SYSTEM INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>99 TAVERN ROAD</AddressLine1Txt>
          <CityNm>MARTINSBURG</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25401</ZIPCd>
        </USAddress>
        <RecipientEIN>550563741</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>60739</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHEASTERN VIRGINIA COMMUNITY HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1033 28TH STREET 2ND FLOOR</AddressLine1Txt>
          <CityNm>NEWPORT NEWS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23607</ZIPCd>
        </USAddress>
        <RecipientEIN>541083954</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>241232</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHERN DOMINION HEALTH SYSTEMS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1508 KV ROAD PO BOX 70</AddressLine1Txt>
          <CityNm>VICTORIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23974</ZIPCd>
        </USAddress>
        <RecipientEIN>541282624</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>37008</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>308 WEST MAIN STREET</AddressLine1Txt>
          <CityNm>SALTVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24370</ZIPCd>
        </USAddress>
        <RecipientEIN>542046110</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>45227</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STONE MOUNTAIN HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>276 FIELDSTONE DRIVE</AddressLine1Txt>
          <CityNm>JONESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24263</ZIPCd>
        </USAddress>
        <RecipientEIN>237319768</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>36480</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STONY CREEK COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12454 HARTLEY STREET PO BOX 188</AddressLine1Txt>
          <CityNm>STONY CREEK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23882</ZIPCd>
        </USAddress>
        <RecipientEIN>541431800</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5105</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRI AREA COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14558 DANVILLE PIKE PO BOX 9</AddressLine1Txt>
          <CityNm>LAUREL FORK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24352</ZIPCd>
        </USAddress>
        <RecipientEIN>541112330</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>29580</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ACCESS, OPERATING, PHARMACY AND CLINICAL COLLABORATIVE FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE AWARDED TO MEMBER CENTERS AND THE ASSOCIATION PERFORMS VARIOUS OTHER FUNCTIONS FOR ITS MEMBERSHIP, WHICH INCLUDES 30 COMMUNITY HEALTH AND RURAL HEALTH CENTER MEMBERS WITH MORE THAN 148 SERVICE SITES THROUGHOUT VIRGINIA. THE ASSOCIATION COORDINATES WORKSHOPS, TRAINING SEMINARS, RECRUITS HEALTH PROFESSIONALS TO FILL VACANT POSITIONS IN THE CENTERS, FACILITATES GROUP PURCHASES ON BEHALF OF ALL CENTERS IN ORDER TO OBTAIN LOWER PRICES, AND PERFORMS VARIOUS OTHER SERVICES FOR THE CENTERS WITH THE SUPPORT OF FEDERAL FUNDS AND MEMBER DUES. MANY OF THE GRANTS TO MEMBER CENTERS ARE FROM FEDERAL GRANT AND FLOW-THROUGH REVENUES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRACY DOUGLAS</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>235371</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11769</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30405</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>277545</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KYLE ELLIOTT</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>216000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12718</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>239518</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL JACKSON</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>150666</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7533</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19964</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178163</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL NEAL</PersonNm>
        <TitleTxt>OPERATIONS DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>154964</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7748</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12778</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175490</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER INCLUDES A WRITTEN REVIEW BY ALL MEMBERS OF THE ORGANIZATION. THESE RESULTS ARE COMPILED BY THE PERSONNEL COMMITTEE AND PRESENTED TO THE CEO AT A FACE-TO-FACE MEETING WITH THE PRESIDENT, VICE PRESIDENT, AND CEO. THE CURRENT CONTRACT IS DRAWN UP, INCLUDING PAY ADJUSTMENTS, AND SIGNED BY THE CEO. THE PAY ADJUSTMENT INCLUDES A REVIEW OF COMPARABLE DATA FROM OTHER STATE PRIMARY CARE ASSOCIATIONS AND OTHER DATA AVAILABLE THAT IS RELEVANT TO THE POSITION AND DUTIES PERFORMED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>LINE 4-NUMBER OF INDEPENDENT VOTING MEMBERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BY-LAWS OF THE ASSOCIATION STATE, "THE BOARD OF DIRECTORS SHALL BE COMPOSED OF THE PRESIDENT; THE VICE-PRESIDENT; THE PAST PRESIDENT, THE SECRETARY; THE TREASURER; AND FOUR DIRECTORS, ONE OF WHOM SHALL BE A CLINICIAN EMPLOYED AT A MEMBER ORGANIZATION AND ONE OF WHOM SHALL BE A BOARD MEMBER OF A MEMBER ORGANIZATION. MEMBERS OF THE BOARD OF DIRECTORS MUST BE SELECTED FROM REPRESENTATIVES OF VOTING MEMBERS OF THE ASSOCIATION. NO MEMBER ORGANIZATION SHALL HAVE MORE THAN ONE REPRESENTATIVE ON THE BOARD OF DIRECTORS." ALL BOARD MEMBERS ARE REPRESENTING A MEMBER OF THE ASSOCIATION, AND THEREFORE, ARE NOT INDEPENDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE STOCKHOLDERS BUT HAS MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS ELECT ALL OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE DECISIONS MADE BY THE BOARD OF DIRECTORS THAT ARE BROUGHT BEFORE THE ENTIRE MEMBERSHIP. THESE DECISIONS INCLUDE THE ADDITION OF NEW MEMBERS, DECISIONS REGARDING CHANGES IN BY-LAWS OR CORPORATE STRUCTURE, AND ANY DECISION RELATIVE TO ANY MAJOR DEVELOPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS SENT TO THE TREASURER AND CEO FOR REVIEW AND APPROVAL AND THEN IT IS PROVIDED TO THE ENTIRE BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER OF THE ASSOCIATION AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT KEPT ON FILE AT THE ASSOCIATION OFFICE WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) HAS DISCLOSED ANY KNOWN AND POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER INCLUDES A WRITTEN REVIEW BY ALL MEMBERS OF THE ORGANIZATION. THESE RESULTS ARE COMPILED BY THE PERSONNEL COMMITTEE AND PRESENTED TO THE CEO AT A FACE-TO-FACE MEETING WITH THE PRESIDENT, VICE PRESIDENT, AND CEO. THE CURRENT CONTRACT IS DRAWN UP, INCLUDING PAY ADJUSTMENTS, AND SIGNED BY THE CEO. THE PAY ADJUSTMENT INCLUDES A REVIEW OF COMPARABLE DATA FROM OTHER STATE PRIMARY CARE ASSOCIATIONS AND OTHER DATA AVAILABLE THAT IS RELEVANT TO THE POSITION AND DUTIES PERFORMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL AUDIT REPORTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE FORM 990 IS ALSO ON THE GUIDESTAR WEBSITE FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 611,575. MANAGEMENT AND GENERAL EXPENSES 318,822. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 930,397.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH EQUITY CATALYST FOR VIRGINIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3831 WESTERRE PARKWAY</AddressLine1Txt>
          <CityNm>HENRICO</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23233</ZIPCd>
        </USAddress>
        <EIN>931673474</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VIRGINIA COMMUNITY HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH EQUITY CATALYST OF VIRGINIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>2023250</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH EQUITY CATALYST OF VIRGINIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>71844</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH EQUITY CATALYST OF VIRGINIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>124849</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>