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      <ReconcilationRevenueExpnssAmt>-190437</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1095024</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt II Ln 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part II, Line 10 Description: Other Income 2020: 1475. 2021: 200. 2022: 1019. 2023: 376.</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Nantahala Health Foundation is exempt from federal income taxes under 501(c)(3) of the Internal Revenue Code. Under the Code, however, income from certain activities not related to the organization's tax-exempt purpose may be subject to taxation as unrelated business income. The organization had no income from unrelated business activities in 2023 and was, therefore, not required to file Federal Form 990-T (Exempt Organization Business Income Tax Return). The organization believes that it has appropriate support for all tax positions taken, and as such, does not have any uncertain tax positions that are material to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NHF did not do the typical grantmaking in 2023 in order to use the year to work with previous grantees to complete projects and assess successes and worked with our partners and the broader community to further define our grantmaking priorities to enhance impact. We intend to continue grantmaking in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by a CPA firm, reviewed by management, presented to the board for review, proposed revisions and final approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Enforced as necessary. Any board member with a conflict of interest on any specific issue informs the board and abstains from voting on the issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Board of Directors used a search firm during 2019 when hiring the ED. The search firm provided this review and comparison for the Board decision-making. Only minimal salary increases for the ED since that time. In Nov 2022 the board adopted a salary range for the ED using comparability data but it did not change the actual salary of the ED at that time.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Forms 990 are available through the websites of many charity watch organizations and upon request. The Form 1023 is available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and reviewed financials statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>Some board members are in positions of leadership influence related to organizations that received grants. In all situations with these circumstances where grants were considered, we followed our conflict of interest policy and the individual did not participate in the decision making process.</ExplanationTxt>
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  </ReturnData>
</Return>