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        <FormAndLineReferenceDesc>SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>UNUSUAL GRANT EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A - UNUSUAL GRANT FOOTNOTE IN DECEMBER 2019, THE FOUNDATION RECEIVED A $20 MILLION PLEDGE RECEIVABLE. THIS PLEDGE IS EXPECTED TO BE PAID IN CASH OVER A PERIOD OF 10 YEARS. THE FOUNDATION DEEMS THIS PLEDGE TO BE AN UNUSUAL GRANT BASED ON THE FOLLOWING FOUR FACTORS: -THE PLEDGE IS A SUBSTANTIAL CONTRIBUTION FROM A DISINTERESTED PARTY. -THE DONOR WAS ATTRACTED TO THE FOUNDATION BY REASON OF ITS PUBLICLY-SUPPORTED MISSION TO SUPPORT RESEARCH, EDUCATION AND PATIENT CARE AT THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM. THE FOUNDATION'S PRIORITIES INCLUDE FUND-RAISING FOR CANCER, CHILDREN'S HEALTH, NEUROSCIENCES, DIABETES, HEART AND THE SCHOOLS OF NURSING AND MEDICINE. -THE PLEDGE IS EXTREMELY UNUSUAL WITH RESPECT TO AMOUNT. -BY REASON OF ITS AMOUNT, THE PLEDGE COULD IMPACT THE FOUNDATION'S FUTURE ABILITY TO MEET THE PUBLIC SUPPORT TEST IN SCHEDULE A, PART II. THE DONOR WAS NOT INVOLVED WITH CREATING THE FOUNDATION. THE DONOR HAS NO INFLUENCE OVER THE INDEPENDENT BOARD OF DIRECTORS, WHICH IS MADE UP OF 20 DIVERSE INDIVIDUALS WHO BRING UNIQUE KNOWLEDGE AND INSIGHTS TO THE FOUNDATION. THE DONOR HAS ALSO NEVER BEEN A MEMBER OF THE FOUNDATION'S BOARD OF DIRECTORS. SINCE ITS FORMATION, THE FOUNDATION HAS HAD AN ACTIVE AND SUCCESSFUL FUND-RAISING PROGRAM. FUND-RAISING HAS BEEN SUPPORTED BOTH BY A FULL-TIME DEVELOPMENT TEAM AT THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM DEVELOPMENT OFFICE AND THE LARGE, REPRESENTATIVE, AND INDEPENDENT BOARD OF DIRECTORS. OVER THE PAST FIVE YEARS, THE FOUNDATION HAS AVERAGED ANNUAL CONTRIBUTIONS OF APPROXIMATELY $10 MILLION FROM THOUSANDS OF DONORS. THERE IS A REASONABLE EXPECTATION THAT THE FOUNDATION WILL CONTINUE TO ATTRACT SUBSTANTIAL PUBLIC SUPPORT IN THE FUTURE. THE FOUNDATION HAS ALWAYS PASSED THE PUBLIC SUPPORT TEST BY A SIGNIFICANT MARGIN. FOR EXAMPLE, THE PUBLIC SUPPORT PERCENTAGE FROM THE 2018 SCHEDULE A, PART II, LINE 14 WAS 69.97%. HOWEVER, IF THIS PLEDGE WERE TO BE INCLUDED IN THE CURRENT YEAR PUBLIC SUPPORT TEST CALCULATION, THE FOUNDATION'S ABILITY TO MEET THE PUBLIC SUPPORT TEST COULD BE IMPACTED IN SUBSEQUENT YEARS. THERE ARE NO MATERIAL RESTRICTIONS IMPOSED IN CONNECTION WITH THIS PLEDGE. THIS PLEDGE DOES NOT PLACE LIMITS ON THE ABILITY OF EITHER THE BOARD OF DIRECTORS OR MANAGEMENT TO ADMINISTER THE ASSETS IN A MANNER THAT WOULD BE INCONSISTENT WITH THE FOUNDATION'S EXEMPT PURPOSE. THE FOUNDATION'S EXEMPT PURPOSE IS TO SUPPORT RESEARCH, EDUCATION AND PATIENT CARE AT THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM. THE FOUNDATION'S PRIORITIES INCLUDE FUND-RAISING FOR CANCER, CHILDREN'S HEALTH, NEUROSCIENCES, DIABETES, HEART AND THE SCHOOLS OF NURSING AND MEDICINE. IN FUTURE YEARS, PAYMENTS ON THIS PLEDGE RECEIVABLE WILL HELP FUND NURSING SCHOLARSHIPS AND PROFESSORSHIPS, AS WELL AS TO SUPPORT THE OPERATIONS AND PROGRAMS OF THE SCHOOL OF NURSING. THIS PLEDGE IS NOT INTENDED TO UNDERWRITE OPERATING EXPENSES OF THE FOUNDATION. THE FOUNDATION HAS NEVER RELIED ON UNUSUAL GRANTS TO SUPPORT OPERATIONS. THE FOUNDATION HAS BEEN SUCCESSFUL IN FUND-RAISING BOTH FOR ITS PROGRAMMATIC AND OPERATIONAL NEEDS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INVESTED IN THE ENDOWMENT FUND ARE TO BE USED BASED ON THE DONORS' RESTRICTION TO FUND SUPPORT FOR NURSING AND MEDICAL EDUCATION, PATIENT CARE, AND RESEARCH.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST IN CHARITABLE GIFT ANNUITIES CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE POLICIES</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 5 AND SCHEDULE J, PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMY KARR IS EXECUTIVE DIRECTOR OF THE FOUNDATION. AMY RECEIVES COMPENSATION FROM THE UNIVERSITY OF VIRGINA, AN UNRELATED ORGANIZATION. THE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II REPRESENTS AN ESTIMATE OF HER TIME AND EFFORTS RELATED TO FOUNDATION AFFAIRS AND DOES NOT REPRESENT ADDITIONAL COMPENSATION ABOVE WHAT IS RECEIVED FROM UVA. ADDITIONALLY, THE COMPENSATION REPORTED ON FORM 990 AND SCHEDULE J IS INCLUDED IN THE TOTAL OF CONTRIBUTED SERVICE AMOUNT REPORTED ON SCHEDULE D, PART XI, LINE 2B AND PART XII, LINE 2A.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>152441</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>QUOTED MARKET VALUES</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. EACH CONTRIBUTION COULD INCLUDE MULTIPLE SHARES OF STOCK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION USES UNIVERSITY ADVANCEMENT SERVICES AND A SECURITIES BROKER TO PROCESS AND SELL DONATED SECURITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT REPORT WAS PRESENTED TO THE BOARD ON OCTOBER 20, 2023. THE FORM 990, INCLUDING ALL RELATED SCHEDULES, WAS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF TRUSTEES AND APPROVAL WAS RECEIVED UNANIMOUSLY PRIOR TO THE FILING OF THIS RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY EVERY YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST IN CHARITABLE GIFT ANNUITIES 2,000. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 9,220.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERSIGHT PROCESS: NO CHANGES WERE MADE TO THE OVERSIGHT PROCESS DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D PARTS XII, LINE 2B AND XIII, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILS OF CONTRIBUTED SERVICES: THE FOUNDATION RECEIVES CONTRIBUTED SERVICES FROM THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM IN THE FORM OF STAFF TIME AND FACILITIES. THE AMOUNT OF THE CONTRIBUTED SERVICES IS BASED ON THE PERCENTAGE OF TIME AND THE FACILITIES ATTRIBUTABLE TO THE FOUNDATION'S OPERATIONS. THE CONTRIBUTED SERVICES OF $326,151 ARE CLASSIFIED AS ALL MANAGEMENT AND GENERAL FOR THE YEAR ENDED JUNE, 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
