TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021

Name of foundation
NORTHERN VIRGINIA HEALTH FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)2000 DUKE STREET 300
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
ALEXANDRIA, VA22314

A Employer identification number

20-4062932

B Telephone number (see instructions)

(703) 486-5691

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$40,080,153J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	1,640,688		1,640,688
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		901,809
b	Gross sales price for all assets on line 6a 6,194,450
7	Capital gain net income (from Part IV, line 2)...			901,809
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	2,542,497		2,542,497
13	Compensation of officers, directors, trustees, etc.	221,870		8,875	212,995
14	Other employee salaries and wages......	193,107		7,724	198,744
15	Pension plans, employee benefits.......	88,858		3,555	82,916
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		44,029	11,007	33,021
c	Other professional fees (attach schedule)....		361,284	271,150	90,134
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		99,864	0	0
19	Depreciation (attach schedule) and depletion...		173	0
20	Occupancy..............	101,683		0	101,683
21	Travel, conferences, and meetings.......	8,884		0	8,884
22	Printing and publications..........	59		0	59
23	Other expenses (attach schedule).......		186,501	1,530	184,135
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	1,306,312		303,841	912,571
25	Contributions, gifts, grants paid.......	1,500,000			1,500,000
26	Total expenses and disbursements. Add lines 24 and 25	2,806,312		303,841	2,412,571
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-263,815
b	Net investment income (if negative, enter -0-)			2,238,656
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2021)

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	1,039,374	1,150,673	1,150,673
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	16,731	14,344	14,344
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	19,729,130	20,488,362	20,488,362
	c	Investments—corporate bonds (attach schedule).......	5,946,063	6,234,891	6,234,891
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	9,794,096	11,906,378	11,906,378
	14	Land, buildings, and equipment: basis 6,173
		Less: accumulated depreciation (attach schedule) 6,173	171	0	0
	15	Other assets (describe )	261,713	285,505	285,505
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	36,787,278	40,080,153	40,080,153
	17	Accounts payable and accrued expenses..........	24,693	12,167
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )	368,906	474,562
	23	Total liabilities (add lines 17 through 22).........	393,599	486,729
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	36,393,679	39,593,424
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	36,393,679	39,593,424
	30	Total liabilities and net assets/fund balances (see instructions).	36,787,278	40,080,153

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

36,393,679

Enter amount from Part I, line 27a .....................

-263,815

Other increases not included in line 2 (itemize) bullet

3,463,560

Add lines 1, 2, and 3 ..........................

39,593,424

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

39,593,424

Form 990-PF (2021)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation
1 a	JPM INVESTMENTS
b	CAPITAL GAINS DIVIDENDS	P
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	6,037,598	5,292,641	744,957
b	156,852		156,852
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69			(l) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col.(h))
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a			744,957
b			156,852
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	901,809
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

Form 990-PF (2021)

Page 4

Part V

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	31,117
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	31,117
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	22,593
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	25,000
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............		7	47,593
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	16,476
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax16,476	Refunded	11	0

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ 0(2) On foundation managers. bullet

$ 0

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XIV..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.

If "Yes," complete Part XIII .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

WEGLEY HIGGINBOTHAM ASSOCIATES Telephone no. bullet

(703) 591-7301

Located at bullet

1040 ARMSTRONG STFAIRFAXVA ZIP+4 bullet

22030

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........

1a(1)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? ......................

1a(5)

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.) ...............

1a(6)

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2021? .............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2021, did the foundation have any undistributed income (lines 6d

and 6e, Part XII) for tax year(s) beginning before 2021?....................

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2021.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive? ....................

5a(2)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals? .............

5a(5)

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .........................

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation
PATRICIA MATHEWS	PRESIDENT AND CEO 40.00	221,870	30,134
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	PRESIDENT AND CEO 40.00	221,870	30,134
JUDY FEDER PHD	CHAIR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	CHAIR 1.00	0	0
ILKA CHAVEZ	VICE CHAIR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	VICE CHAIR 1.00	0	0
IAN GREAVES PHD	TREASURER 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	TREASURER 1.00	0	0
LISA KAPLOWITZ MD	DIRECTOR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	DIRECTOR 1.00	0	0
MARSHA LILLIE-BLANTON MHS DRPH	DIRECTOR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	DIRECTOR 1.00	0	0
BILL HAZEL MD	DIRECTOR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	DIRECTOR 1.00	0	0
PHIL SUNDERLAND	DIRECTOR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	DIRECTOR 1.00	0	0
JANE WOODS	DIRECTOR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	DIRECTOR 1.00	0	0
GUILLERMO GARCIA	DIRECTOR 1.00	0	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	DIRECTOR 1.00	0	0

2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
PATRICIA RODGERS	PROGRAM OFFICER 40.00	134,539	23,506	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	PROGRAM OFFICER 40.00	134,539	23,506	0
SONIA SEGARRA LAW	EXEC. ADMIN. ASSIST. 40.00	63,142	18,309	0
2000 DUKE STREET SUITE 300 ALEXANDRIA,VA22314	EXEC. ADMIN. ASSIST. 40.00	63,142	18,309	0






Total number of other employees paid over $50,000...................				0

Form 990-PF (2021)

Page 7

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
BURNESS	COMMUNICATIONS	87,027
7910 WOODMONT AVENUE SUITE 700 BETHESDA,MD20814	COMMUNICATIONS	87,027
VCU CENTER ON SOCIETY AND HEALTH	RESEARCH	51,840
830 EAST MAIN STREET SUITE 5035 RICHMOND,VA23298	RESEARCH	51,840

Total number of others receiving over $50,000 for professional services............. bullet

Part VIII-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1


2


3


4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

37,624,280

Average of monthly cash balances.......................

61,101

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

37,685,381

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

37,685,381

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

565,281

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

37,120,100

Minimum investment return. Enter 5% (0.05) of line 5................

1,856,005

Part X

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

Minimum investment return from Part IX, line 6..................

1,856,005

Tax on investment income for 2021 from Part V, line 5.......

31,117

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

31,117

Distributable amount before adjustments. Subtract line 2c from line 1............

1,824,888

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

1,824,888

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

1,824,888

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

Form 990-PF (2021)

Page 9

Part XII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					1,824,888
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				0
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......
c From 2018......	668,901
d From 2019......	595,249
e From 2020......	408,060
f Total of lines 3a through e ........		1,672,210
4Qualifying distributions for 2021 from Part
XI, line 4: $ 2,412,571
a Applied to 2020, but not more than line 2a				0
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2021 distributable amount.....					1,824,888
e Remaining amount distributed out of corpus		587,683
5 Excess distributions carryover applied to 2021.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		2,259,893
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........					0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		0
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		2,259,893
10 Analysis of line 9:
a Excess from 2017....
b Excess from 2018....	668,901
c Excess from 2019....	595,249
d Excess from 2020....	408,060
e Excess from 2021....	587,683

Form 990-PF (2021)

Page 10

Part XIII

Private Operating Foundations (see instructions and Part VI-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section 4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XIV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Form 990-PF (2021)

Page 11

Part XIV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ARCADIA FOOD INC 9000 RICHMOND HIGHWAY ALEXANDRIA,VA22309		PUBLIC CHARITY	PLANNING GRANT PHASE III	100,000
ARLINGTON FREE CLINIC 2921 11TH ST SOUTH ARLINGTON,VA22204		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	275,000
GEORGE MASON FOUNDATION 4400 UNIVERSITY DRIVE MS 1A3 FAIRFAX,VA22030		PUBLIC CHARITY	MEDICATION ASSISTED TREATMENT PROGRAM	100,000
GR PRINCE WILLIAM COMM HEALTH CTR 4379 RIDGEWOOD CTR DR 102 WOODBRIDGE,VA22192		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	100,000
HEALTHWORKS FOR NORTHERN VIRGINIA 163 FORT EVANS RD NE LEESBURG,VA20176		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	100,000
NEIGHBORHOOD HEALTH 6677 RICHMOND HIGHWAY ALEXANDRIA,VA22014		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	100,000
NORTHERN VIRGINIA DENTAL CLINIC 8221 WILLOW OAKS CORPORATE DRIVE SUITE 405 FAIRFAX,VA22031		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	175,000
NORTHERN VIRGINIA FAMILY SERVICES 10455 WHITE GRANITE DR OAKTON,VA22124		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	175,000
NOVA SCRIPTSCENTRAL INC 6400 ARLINGTON BLVD SUITE 120 FALLS CHURCH,VA22042		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	100,000
UNITED COMMUNITY 7511 FORDSON ROAD ALEXANDRIA,VA22306		PUBLIC CHARITY	DEMONSTRATION	100,000
VIRGINIA HOSPITAL CENTER PEDIATRICS 1701 N GEORGE MASON DR ARLINGTON,VA22205		PUBLIC CHARITY	GENERAL OPERATING SUPPORT	175,000
Total ................................. 3a				1,500,000

bApproved for future payment

Total ................................. 3b				0

Form 990-PF (2021)

Page 12

Part XV-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............			18	901,809
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		2,542,497	0

13Total. Add line 12, columns (b), (d), and (e)..................

2,542,497

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2021)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2021 AccountingFeesSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING FEES	44,029	11,007		33,021

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2021 DepreciationSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense
COMPUTER EQUIPMENT	2013-04-29	4,134	4,134	SL	5.000000000000	0
EQUIPMENT	2012-11-01	597	597	SL	5.000000000000	0
COMPUTER EQUIPMENT	2016-09-27	1,145	972	SL	5.000000000000	173
BROTHER COLOR PRINTER	2015-04-28	297	297	SL	5.000000000000	0

- TIN:

TY 2021 InvestmentsCorpBondsSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Name of Bond	End of Year Book Value	End of Year Fair Market Value
ABB FIN USA INC 2.875% 05/08/2022 DTD 05/08/2012	15,121	15,121
ACTIVISION BLIZZARD	9,224	9,224
AFLAC INC SR NTS 2.875% 10/15/2026 DTD 09/19/2016	10,520	10,520
AL PWR CO SR NTS 2.45% 03/30/2022 DTD 03/03/2017	10,032	10,032
ALLSTATE CORP SR NTS 3.15% 06/15/2023 DTD 06/07/2013	10,338	10,338
ALTRIA GROUP	5,163	5,163
AMERIPRISE FINL INC SR NTS 3.7% 10/15/2024 DTD 09/18/2014	10,674	10,674
AMERISOURCEBERGEN CORP	4,987	4,987
AMERN EXPRESS CO SR NTS 2.5% 08/01/2022 DTD 08/01/2017	10,103	10,103
AMERN HONDA FIN	20,197	20,197
APPLE INC SR NTS 2.85% 05/11/2024 DTD 05/11/2017	15,623	15,623
APPLE INC SR NTS 3.45% 05/06/2024 DTD 05/06/2014	21,152	21,152
ASTRAZENECA FIN LLC	5,035	5,035
ATMOS ENERGY CORP SR NTS 2.625% 09/15/2029 DTD 10/02/2019	10,121	10,121
AVALONBAY COMMUNITIES 3.450% 06/01/2025 DTD 05/13/2015	10,613	10,613
BAKER HUGHES LLC/CO-OBL SR NTS 2.773% 12/15/2022 DTD 01/31/2018	10,199	10,199
BAKER HUGHES LLC/CO-OBL SR NTS 3.337% 12/15/2027 DTD 01/31/2018	5,329	5,329
BALTIMORE GAS & ELECTRIC 2.400% 08/15/2026 DTD 08/18/2016	15,383	15,383
BANK OF AMERICA CORP VAR RT 01/23/2026 DTD 01/23/2018	15,780	15,780
BB&T CORPORATION MTN 2.850% 10/26/2024 DTD 10/26/2017	30,303	30,303
BERKSHIRE HATHAWAY INC 2.750% 03/15/2023 DTD 03/15/2016	21,358	21,358
BK OF AMER CORP 7/23/31	43,068	43,068
BK OF AMER CORP SR NTS MTN 3.5% 04/19/2026 DTD 04/19/2016	26,734	26,734
BK OF AMER CORP SR NTS MTN VAR RT 10/22/2025 DTD 10/22/2019	4,965	4,965
BK OF NOVA SCOTIA SR NTS 3.4% 02/11/2024 DTD 02/11/2019	15,738	15,738
BP CAP MARKETS AMER 3.224% 04/14/2024 DTD 12/14/2018	33,100	33,100
CANADIAN IMPERIAL BK SR NTS 2.7% 02/02/2021 DTD 02/02/2018	30,055	30,055
CAP ONE FINL CO	10,060	10,060
CENTERPOINT ENER HOUSTON 3.000% 02/01/2027 DTD 01/12/2017	9,470	9,470
CHARLES SCHWAB CORP	15,199	15,199
CHUBB INA HOLDINGS INC	14,128	14,128
CITIGROUP INC SR NTS 3.2% 10/21/2026 DTD 10/21/2016	31,791	31,791
CITIGROUP INC SR NTS VAR RT 04/24/2025 DTD 04/24/2019	36,545	36,545
COMCAST CORP 1.5%	9,439	9,439
COMCAST CORP 3.150% 03/01/2026 DTD 02/23/2016	2,132	2,132
COMCAST CORP 3.375% 02/15/2025 DTD 08/12/2014	10,611	10,611
COMCAST CORP 3.95% 10/15/2025 DTD 10/05/2018	2,183	2,183
COMERICA INC SR NTS 3.7% 07/31/2023 DTD 07/31/2018	20,813	20,813
COOPERATIEVE RABOBANK UA MTN 3.875% 02/08/2022 DTD 02/08/2012	25,083	25,083
DTE ELEC CO 2.65% 06/15/2022 DTD 06/22/2012	5,022	5,022
DUKE ENERGY PROGRESS LLC 2.8% 05/15/2022 DTD 05/18/2012	20,053	20,053
ELECTR ARTS INC	9,584	9,584
ENTERGY ARKANSAS INC 3.050% 06/01/2023 DTD 05/30/2013	4,098	4,098
ENTERGY LA LLC 5.59% 10/01/2024 DTD 10/02/2009	11,102	11,102
ENTERGY LOUISIANA LLC 3.120% 09/01/2027 DTD 05/23/2017	5,264	5,264
ERP OPER LP SR NTS 2.85% 11/01/2026 DTD 10/12/2016	5,259	5,259
ERP OPER LP SR NTS 3.0% 04/15/2023 DTD 04/10/2013	5,129	5,129
ERP OPER LP SR NTS 3.375% 06/01/2025 DTD 05/14/2015	10,588	10,588
EXXON MOBIL CORP SR NTS 3.043% 03/01/2026 DTD 03/03/2016	5,290	5,290
GILEAD SCIENCES INC 3.700% 04/01/2024 DTD 03/07/2014	15,768	15,768
GOLDMAN SACHS GROUP INC 4.25% 10/21/2025 DTD 10/21/2015	2,181	2,181
GOLDMAN SACHS GROUP INC SR NTS 3.85% 01/26/2027 DTD 01/26/2017	37,221	37,221
HARBOR HIGH YIELD BOND-RET ISIN US4115123790 SEDOL 2DLQ6W0	820,661	820,661
INTEL CORP SR NTS 2.45% 11/15/2029 DTD 11/21/2019	5,172	5,172
INVESCO FIN PLC 4.0% 01/30/2024 DTD 11/12/2013	10,558	10,558
ISHARES CORE MSCI EMERGING	332,283	332,283
ISHARES TIPS BOND ETF	1,225,462	1,225,462
ISHARES US TREASURY BOND ETF	166,643	166,643
JOHN DEERE CAP CORP SR NTS MTN 2.8% 07/18/2029 DTD 07/18/2019	5,274	5,274
LINCOLN NATL CORP SR NTS 4.0% 09/01/2023 DTD 08/16/2013	7,338	7,338
LLOYDS BK PLC 6.375% 01/21/2021 DTD 01/21/2011	15,041	15,041
MANULIFE FINANCIAL CORP 4.150% 03/04/2026 DTD 03/04/2016	2,189	2,189
MARSH & MCLENNAN COS INC SR NTS 3.3% 03/14/2023 DTD 03/14/2016	5,131	5,131
MITSUBISHI UFJ FIN GRP SR NTS 3.741% 03/07/2029 DTD 03/07/2019	10,924	10,924
MORGAN STANLEY SR NTS MTN 3.7% 10/23/2024 DTD 10/23/2014	62,676	62,676
NATL RURAL UTIL COOP 3.9% 11/01/2028 DTD 10/31/2018	11,163	11,163
NEXTERA ENERGY CAP	14,842	14,842
ONCOR ELEC DELIVERY SR NTS 2.95% 04/01/2025 DTD 10/22/2015	16,700	16,700
ORACLE CORP SR NTS 2.4% 09/15/2023 DTD 07/07/2016	20,396	20,396
ORIX CORP SR NTS 3.7% 07/18/2027 DTD 07/18/2017	21,711	21,711
PGIM HIGH YIELD	1,358,398	1,358,398
POTOMAC ELECTRIC POWER 3.600% 03/15/2024 DTD 03/18/2014	5,230	5,230
PRECISION CASTPARTS CORP SR NTS 3.25% 06/15/2025 DTD 06/10/2015	5,301	5,301
PRIN FINL GRP 2.125% 06/15/2030 DTD 06/12/2020	16,807	16,807
PRIN FINL GRP 3.125% 05/15/2023 DTD 11/16/2012	2,056	2,056
PROLOGIS LP 4.25% 08/15/2023 DTD 08/15/2013	4,650	4,650
PUB STORAGE SR NTS 3.385% 05/01/2029 DTD 04/12/2019	15,076	15,076
PUB SVC CO 3.7% 06/15/2028 DTD 06/21/2018	14,731	14,731
QUALCOMM INC SR NTS 3.25% 05/20/2027 DTD 05/26/2017	9,711	9,711
RAYTHEON TECH CORP	14,984	14,984
RLTY INCOME CORP SR NTS 3.0% 01/15/2027 DTD 10/12/2016	21,099	21,099
S&P GLOBAL INC 2.5% 12/01/2029 DTD 11/26/2019	10,327	10,327
SHELL INTERNATIONAL FIN 3.250% 05/11/2025 DTD 05/11/2015	31,928	31,928
SIERRA PACIFIC POWER CO 3.375% 08/15/2023 DTD 08/15/2013	15,488	15,488
SIMON PPTY GROUP LP SR NTS 2.45% 09/13/2029 DTD 09/13/2019	5,034	5,034
SIMON PPTY GROUP LP SR NTS 3.75% 02/01/2024 DTD 01/21/2014	10,470	10,470
SIMON PROPERTY GROUP LP 3.375% 10/01/2024 DTD 09/10/2014	10,519	10,519
ST STR CORP 3.1% 05/15/2023 DTD 05/15/2013	2,062	2,062
ST STR CORP SR NTS 3.55% 08/18/2025 DTD 08/18/2015	10,073	10,073
ST STR CORP SR NTS VAR RT 05/15/2023 DTD 05/15/2017	16,159	16,159
SUMITOMO MITSUI FINL GRP 2.058% 07/14/2021 DTD 07/14/2016	48,535	48,535
TORONTO-DOMINION BK	36,575	36,575
TOTALENERGIES CAP INTL	20,614	20,614
TOTALENERGIES CAP INTL 2.829%	5,235	5,235
TRUIST BK SR NTS MTN 3.2% 04/01/2024 DTD 03/18/2019	20,935	20,935
TUCSON ELEC PWR CO 1.5%	14,011	14,011
UNITEDHEALTH GROUP INC SR NTS 2.95% 10/15/2027 DTD 10/25/2017	25,435	25,435
UNITEDHEALTH GROUP INC SR NTS 3.375% 11/15/2021 DTD 11/10/2011	15,277	15,277
US BANCORP MTN 3.0% 07/30/2029 DTD 07/29/2019	10,561	10,561
US BANCORP SR NTS MTN 3.375% 02/05/2024 DTD 02/04/2019	10,483	10,483
VA ELEC & PWR CO SR NTS 3.45% 02/15/2024 DTD 02/07/2014	10,420	10,420
VANGUARD SHORT-TERM BOND	501,146	501,146
VANGUARD MORTGAGE-BACKED SEC	324,913	324,913
WELLS FARGO & CO 4.15% 1/24/29 DTD 1/24/19	44,776	44,776
WELLS FARGO & CO MTN 3.45% 02/13/2023 DTD 02/13/2013	15,375	15,375
WESTPAC BNKG CORP SR NTS 2.35% 02/19/2025 DTD 11/19/2019	25,812	25,812
WESTPAC BNKG CORP SR NTS 2.85% 05/13/2026 DTD 05/13/2016	15,798	15,798
WI ELEC PWR	9,795	9,795

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Name of Stock	End of Year Book Value	End of Year Fair Market Value
COLUMBIA PIPELINE GROUP	10,779	10,779
INTUIT INC	9,865	9,865
ISHARES GOLD TRUST	820,994	820,994
ISHARES MSCI ALL COUNTRY ASI	985,867	985,867
ISHARES MSCI ALL COUNTRY ASI	401,624	401,624
ISHARES RUSSELL MID-CAP ETF	3,288,524	3,288,524
MFS INTL INTRINSIC VALUE-R6	691,807	691,807
NEUBERGER BERMAN LONG	718,727	718,727
ONE GAS INC	4,863	4,863
SCHLUMBERGER FIN CA	4,981	4,981
SIX CIRCLES INTERNATIONAL UNCONSTRAINED EQUITY FUND	1,209,282	1,209,282
SPDR S&P 500 ETF TRUST	5,074,948	5,074,948
VANGUARD FTSE EMERGING MARKE	534,762	534,762
VANGUARD S&P 500 ETF	6,720,122	6,720,122
WALT DISNEY COMPANY	11,217	11,217

- TIN:

TY 2021 InvestmentsOtherSchedule2

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
1992 MULTI-STRATEGY FUND CORPORATION CLASS C NEW ISSUES INELIGIBLE (S0708)	FMV	28,624	28,624
AP EUROPE VII (APAX) PRIVATE INVESTORS OFFSHORE LP	FMV	5,387	5,387
BCP VI PRIVATE INVESTORS OFFSHORE,LP	FMV	226,566	226,566
BLACKSTONE ALT MULTI-STRAT- Y	FMV	808,242	808,242
BLACKSTONE GSO PRIVATE INVESTORS, L.P. (OFFSHORE)	FMV	8,447	8,447
CLAYTON, DUBILIER & RICE (CD&R) FUND 8, LP (OFFSHORE INVESTORS)	FMV	83,322	83,322
COATUE OFFSHORE FUND, LTD. CLASS B SUB CLASS E TRANCHE 4R - NEW ISSUES INELI	FMV	1,564,169	1,564,169
JPM BETABUILDERS EUROPE	FMV	833,433	833,433
JPM BETABUILDERS JAPAN	FMV	482,170	482,170
JPM BTABLDRS DEV ASIA	FMV	289,975	289,975
JPM FLEMING EUROPEAN PROPERTY FUND	FMV	1,528	1,528
JPMORGAN BETABUILDERS CANADA ETF	FMV	626,170	626,170
PEG SECONDARY PRIVATE EQUITY INVESTORS OFFSHORE SPECIAL, L.P	FMV	48,565	48,565
SILVER LAKE PARTNERS III PRIVATE INVESTORS OFFSHORE LP	FMV	138,550	138,550
SIX CIRCLES U.S. UNCONSTRAINED EQUITY FUND	FMV	1,530,937	1,530,937
SIX CIRCLES ULTRA SHORT DURATION FUND	FMV	328,428	328,428
VINTAGE 2013 PRIVATE INVESTMENTS, OFFSHORE	FMV	744,507	744,507
VINTAGE 2014 PRIVATE INVESTMENTS, OFFSHORE	FMV	384,188	384,188
VINTAGE 2015 PRIVATE INVESTMENTS, OFFSHORE (LESS THAN $1M)	FMV	919,759	919,759
VINTAGE 2017 PRIVATE INVESTMENTS, OFFSHORE ($1 - 4.99MM)	FMV	976,468	976,468
VINTAGE 2018 PRIVATE INVESTMENTS, OFFSHORE (LESS THAN $1MM)	FMV	614,426	614,426
VINTAGE 2019 PRIVATE INVESTMENTS OFFSHORE SICAV-RAIF S.C.SP. (LESS THAN $1MM	FMV	583,892	583,892
XTRACKERS MSCI JAPAN HEDGED EQUITY ETF	FMV	532,245	532,245
JPM OFFSHORE INVESTMENTS ADJUSTMENTS	FMV	146,380	146,380

- TIN:

TY 2021 LandEtcSchedule2

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Category / Item	Cost / Other Basis	Accumulated Depreciation
COMPUTER EQUIPMENT	4,134	4,134
EQUIPMENT	597	597
COMPUTER EQUIPMENT	1,145	1,145
BROTHER COLOR PRINTER	297	297

- TIN:

TY 2021 OtherAssetsSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
SECURITY DEPOSIT	10,800	10,800	10,800
PREPAID INCOME AND EXCISE TAXES	25,000
DEFERRED COMPENSATION	225,913	274,705	274,705

- TIN:

TY 2021 OtherExpensesSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Description	Revenue and Expenses per Books	Net Investment Income	Disbursements for Charitable Purposes
DUES	19,712	0	19,712
OFFICE SUPPLIES	956	0	120
TECHNOLOGY MAINTENANCE	17,493	0	17,493
SUBSCRIPTIONS	1,329	0	1,329
POSTAGE AND DELIVERY	2,889	0	2,889
INSURANCE	1,200	0	1,200
COMMUNICATIONS AND REPORTS	87,027	0	87,027
REGISTRATION FEES	25	0	25
RESEARCH	54,340	0	54,340
BANK FEES	1,530	1,530	0

- TIN:

TY 2021 OtherIncreasesSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Description	Amount
UNREALIZED GAIN ON INVESTMENTS	3,463,560

- TIN:

TY 2021 OtherLiabilitiesSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Description	Beginning of Year - Book Value	End of Year - Book Value
DEFERRED COMPENSATION	225,913	274,705
DEFERRED TAX LIABILITY	142,993	199,857

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Category	Amount	Net Investment Income	Disbursements for Charitable Purposes
INVESTMENT FEES	271,150	271,150	0
PAYROLL SERVICES	2,820	0	2,820
STRATEGIC PARTNERSHIPS	40,500	0	40,500
TECHNICAL ASSISTANCE	38,500	0	38,500
403B MANAGEMENT FEES	814	0	814
STRATEGIC PLANNING	7,500	0	7,500

- TIN:

TY 2021 TaxesSchedule

Name:

NORTHERN VIRGINIA HEALTH FOUNDATION

EIN:

20-4062932

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INCOME AND EXCISE TAXES	51,721	0		0
DEFERRED EXCISE TAXES	48,143	0		0