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        <ManagementAndGeneralAmt>695</ManagementAndGeneralAmt>
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        <Desc>OTHER</Desc>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>53246</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DEVELOPMEN</Desc>
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        <ProgramServicesAmt>20161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2352</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROFESSIONAL FEES AND S</Desc>
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        <ProgramServicesAmt>14297</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>13232</ManagementAndGeneralAmt>
        <FundraisingAmt>518</FundraisingAmt>
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        <ProgramServicesAmt>5437774</ProgramServicesAmt>
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        <EOYAmt>651528</EOYAmt>
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        <EOYAmt>3021054</EOYAmt>
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        <EOYAmt>863</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>37294</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>498924</EOYAmt>
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        <EOYAmt>1180417</EOYAmt>
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        <EOYAmt>6973763</EOYAmt>
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        <EOYAmt>1206876</EOYAmt>
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        <EOYAmt>1271949</EOYAmt>
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        <EOYAmt>2479125</EOYAmt>
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        <EOYAmt>4294638</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>200000</EOYAmt>
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        <EOYAmt>4494638</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6973763</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>527976</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-63497</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>629764</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1716931</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5737617</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7387173</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>629764</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1716931</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5737617</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7387173</CurrentTaxYearAmt>
        <TotalAmt>16124564</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>19967</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12184</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15520</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13208</CurrentTaxYearAmt>
        <TotalAmt>83915</TotalAmt>
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      <PublicSupportPY170Pct>0.98990</PublicSupportPY170Pct>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <EndYearBalanceAmt>25000</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>161</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>25000</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25000</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>205</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>205</OtherExpendituresAmt>
        <EndYearBalanceAmt>25000</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>149</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>25000</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <ContributionsAmt>2750</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>178</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2750</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>35178</OtherExpendituresAmt>
        <EndYearBalanceAmt>25000</EndYearBalanceAmt>
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      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <EquipmentGrp>
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        <DepreciationAmt>5512</DepreciationAmt>
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        <DepreciationAmt>31782</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherSecuritiesGrp>
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        <BookValueAmt>1180417</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>IRC SEC. 170 ANNUITY PROGRAM LIABILITY</Desc>
        <Amt>1271949</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>5058</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>5058</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>EARNINGS FROM THE FUNDS ARE TO BE USED FOR THE SALUTE TO SERVICE AWARDS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ACCOUNTING STANDARDS BOARD ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE FOUNDATION INCLUDES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES IN ADMINISTRATIVE AND GENERAL EXPENSES. THE FOUNDATION DID NOT HAVE PENALTIES AND INTEREST RELATING TO INCOME TAXES FOR THE YEARS ENDED DECEMBER 31, 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GALA EXPENSES (DIRECT EXPENSES FOR FUNDRAISING EVENT) 87,625.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT FEES 5,058.</ExplanationTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TitleTxt>MSV CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>104564</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>6084</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11632</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31893</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>154173</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY OF FORM 990 IS SENT TO BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS REVIEWED AT BOARD MEETING EACH JANUARY AND MEMBERS ARE REQUIRED TO SIGN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOP MANAGEMENT AND FINANCE OFFICIALS OF THE MSV FOUNDATION ARE EMPLOYEES OF THE MEDICAL SOCIETY OF VIRGINIA, AN AFFILIATED ORGANIZATION, AND AS A RESULT THEIR COMPENSATION IS DETERMINED BY THAT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. HOWEVER, THE FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE ANNUAL REPORT ON THE ORGANIZATION'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,943,678. MANAGEMENT AND GENERAL EXPENSES 2,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,945,738.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE MEDICAL SOCIETY OF VIRGINIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2924 EMERYWOOD PARKWAY SUITE 300</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>540299956</EIN>
        <PrimaryActivitiesTxt>ADVANCE QUALITY HEALTHCARE THROUGHOUT VIRGINIA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MSV SERVICES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2924 EMERYWOOD PARKWAY SUITE 200</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23294</ZIPCd>
        </USAddress>
        <EIN>541370171</EIN>
        <PrimaryActivitiesTxt>PROVIDES INSURANCE PRODUCTS &amp; OTHER SERVICES TO MEMBERS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE MEDICAL SOCIETY OF VIRGINIA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <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>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE MEDICAL SOCIETY OF VIRGINIA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2254533</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATED BASED ON TIME SPENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
