HALIFAX REGIONAL HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HALIFAX REGIONAL HOSPITAL INC (EIN 54-0648699)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-24
- IRS object ID
- 202202979349301325
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-24T13:33:27-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540648699 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HALI | BusinessNameControlTxt |
| Phone | 4345173183 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6015 POPLAR HALL DRIVE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT A BROERMANN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4345173183 | PhoneNum |
| Signature | 2022-10-24 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | BROERMANN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN K ZWOYER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2204 WILBORN AVE | AddressLine1Txt |
| City | SOUTH BOSTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24592 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $103,545,952 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SENTARA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 501 | TotalEmployeeCnt |
| Total Volunteers | 47 | TotalVolunteersCnt |
| Total Gross UBI | $62,467 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,930,510 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,883,231 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $78,842,750 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $98,552,451 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,894 | PYInvestmentIncomeAmt |
| CY Investment Income | $55,144 | CYInvestmentIncomeAmt |
| PY Other Revenue | $119,642 | PYOtherRevenueAmt |
| CY Other Revenue | $30,700 | CYOtherRevenueAmt |
| PY Total Revenue | $85,918,796 | PYTotalRevenueAmt |
| CY Total Revenue | $103,521,526 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $708,663 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $425,481 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,607,851 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,297,777 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $56,982,625 | PYOtherExpensesAmt |
| CY Other Expenses | $65,372,884 | CYOtherExpensesAmt |
| PY Total Expenses | $88,299,139 | PYTotalExpensesAmt |
| CY Total Expenses | $109,096,142 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,380,343 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,574,616 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,612,708 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,542,456 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,658,722 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,307,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,953,986 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $33,234,858 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $86,662,703 | ExpenseAmt |
| Grant | $425,481 | GrantAmt |
| Revenue | $98,489,984 | RevenueAmt |
| Desc | SEE SCHEDULE O. | Desc |
| Total Program Service Expenses | $86,662,703 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 501 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORPORATE OFFICERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7574557020 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6015 POPLAR HALL DR | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEGAN R PERRY | ||||||||||
| DIRECTOR | 1.00 | 40.40 | Yes (X) | $0 | $1,739,461 | $31,360 | ||||
| JENNIFER S SICTOR | ||||||||||
| DIRECTOR (THROUGH 4/30/2021) | 1.00 | 40.00 | Yes (X) | $0 | $487,562 | $39,285 | ||||
| HABIB BASSIL MD | ||||||||||
| DIRECTOR/SECRETARY | 1.00 | 0.00 | Yes (X) | $69,625 | $0 | $0 | Yes (X) | |||
| TERRANCE J TRUITT MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $24,274 | $0 | $0 | ||||
| WILLIAM E COLEMAN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| W JOSEPH FERGUSON MD | ||||||||||
| DIRECTOR (THROUGH 1/17/2021) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DABNEY TP GILLIAM JR | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| VALDIVIA T HALL | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SAID B ISKANDAR MD | ||||||||||
| DIRECTOR (VOTING EX-OFFICIO) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| J KENNETH MORGAN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHRYN F ROBERTS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID H WHITE JR | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY P SNEED | ||||||||||
| DIRECTOR/TREASURER (RESIGNED 12/2021) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CAROL C THOMAS | ||||||||||
| DIRECTOR/CHAIR | 1.60 | 4.30 | Yes (X) | $0 | $40,000 | $0 | Yes (X) | |||
| PAUL A GADEN | ||||||||||
| DIRECTOR/VICE CHAIRMAN | 1.00 | 45.40 | Yes (X) | $0 | $843,103 | $163,001 | Yes (X) | |||
| JOANNE M INMAN | ||||||||||
| DIRECTOR (EFFECTIVE 5/1/2021) | 1.00 | 40.00 | Yes (X) | $0 | $493,675 | $57,468 | ||||
| BRIAN K ZWOYER | ||||||||||
| PRESIDENT | 40.00 | 4.00 | $402,992 | $0 | $106,342 | Yes (X) | ||||
| SHERRI F BEE | ||||||||||
| KE (DIR CARDIAC SVCS) | 40.00 | 0.00 | $163,697 | $0 | $24,301 | Yes (X) | ||||
| JONI WOLTZ | ||||||||||
| KE (DIR SURGICAL SVCS) | 40.00 | 0.00 | $160,535 | $0 | $31,091 | Yes (X) | ||||
| NICOLE L DOCKERY | ||||||||||
| KE (DIR PATIENT CARE SVCS) | 40.00 | 0.00 | $153,268 | $0 | $21,261 | Yes (X) | ||||
| CHARLES W ROSCHE | ||||||||||
| PHYSICIAN - SPECIALIST | 40.00 | 0.00 | $417,415 | $0 | $69,415 | Yes (X) | ||||
| JONI O ABBOTT | ||||||||||
| PHYSICIAN - SPECIALIST | 40.00 | 0.00 | $412,797 | $0 | $42,157 | Yes (X) | ||||
| PABLO SOUZA MD | ||||||||||
| PHYSICIAN - HF | 40.00 | 0.00 | $375,923 | $0 | $59,456 | Yes (X) | ||||
| DEVMITH C GAJADEERA | ||||||||||
| PHYSICIAN - PC (FM IM PEDS) | 40.00 | 0.00 | $298,020 | $0 | $70,179 | Yes (X) | ||||
| VIRGILUS OZOUDE | ||||||||||
| PHYSICIAN - PC (FM IM PEDS) | 40.00 | 0.00 | $277,122 | $0 | $65,045 | Yes (X) | ||||
| JONATHAN S DAVIS | ||||||||||
| DIRECTOR/VICE CHAIR | 0.00 | 42.00 | $0 | $378,213 | $6,776 | Yes (X) | ||||
| MICHAEL V GENTRY | ||||||||||
| FORMER OFFICER | 0.00 | 50.00 | $0 | $1,912,697 | $552,158 | Yes (X) | ||||
| TORIE B BASHAY | ||||||||||
| FORMER KE | 0.00 | 40.00 | $0 | $189,077 | $40,821 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,755,668 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,083,788 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,380,116 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| J E BURTON CONSTRUCTION CO INC | |||||
| 220 WEBSTER STREET | SOUTH BOSTON | VA | 24592 | CONSTRUCTION | $2,514,737 |
| HEALTH CAROUSEL LLC | |||||
| 3805 EDWARDS ROAD SUITE 700 | CINCINNATI | OH | 45209 | HEALTHCARE STAFFING SERVICES | $1,570,361 |
| TRIMEDX | |||||
| 5451 LAKEVIEW PARKWAY SOUTH DRIVE | INDIANAPOLIS | IN | 46268 | CLINICAL ASSET MANAGEMENT | $1,344,250 |
| PULMONARY ASSOCIATES OF SOUTHSIDE VIRGIN | |||||
| 2210 WILBORN AVENUE | SOUTH BOSTON | VA | 24592 | MEDICAL PROFESSIONAL SERVICES | $1,276,750 |
| MEP HEALTH LLC | |||||
| 4535 DRESSLER ROAD NW | CANTON | OH | 44718 | HEALTHCARE SERVICES | $996,352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,716,005 | GovernmentGrantsAmt |
| All Other Contributions | $167,226 | AllOtherContributionsAmt |
| Total Contributions | $4,883,231 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | $98,087,963 | $98,087,963 | |
| OTHER PROGRAM SERVICE REVENUE | 990009 | $267,295 | $267,295 | |
| PREMIUM & CAPITATION REVENUE | 621300 | $134,726 | $134,726 | |
| OUTSIDE LAB SERVICES | 541900 | $62,467 | $62,467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $98,552,451 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,256 | TotalRevenueColumnAmt |
| Exclusion | $45,256 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,764 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,764 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,764 | TotalRevenueColumnAmt |
| Exclusion | $5,764 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,112 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,888 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,888 | TotalRevenueColumnAmt |
| Exclusion | $9,888 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $34,040 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $14,314 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,726 | TotalRevenueColumnAmt |
| Exclusion | $19,726 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFE/VENDING | 721000 | $5,010 | $5,010 |
| MISCELLANEOUS | 900099 | $200 | $200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,210 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,521,526 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $98,489,984 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $62,467 | UnrelatedBusinessRevenueAmt |
| Exclusion | $85,844 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,481 | TotalAmt |
| Program Services | $425,481 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,157,386 | TotalAmt |
| Program Services | $972,436 | ProgramServicesAmt |
| Management And General | $184,950 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,328,921 | TotalAmt |
| Program Services | $27,162,759 | ProgramServicesAmt |
| Management And General | $5,166,162 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,180,173 | TotalAmt |
| Program Services | $2,671,981 | ProgramServicesAmt |
| Management And General | $508,192 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,267,136 | TotalAmt |
| Program Services | $3,585,248 | ProgramServicesAmt |
| Management And General | $681,888 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,364,161 | TotalAmt |
| Program Services | $1,986,368 | ProgramServicesAmt |
| Management And General | $377,793 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,114 | TotalAmt |
| Program Services | $668,055 | ProgramServicesAmt |
| Management And General | $127,059 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,821 | TotalAmt |
| Program Services | $7,411 | ProgramServicesAmt |
| Management And General | $1,410 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,119,368 | TotalAmt |
| Program Services | $14,174,490 | ProgramServicesAmt |
| Management And General | -$55,122 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,411 | TotalAmt |
| Program Services | $2,866 | ProgramServicesAmt |
| Management And General | $545 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,828,623 | TotalAmt |
| Program Services | $3,216,809 | ProgramServicesAmt |
| Management And General | $611,814 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,199 | TotalAmt |
| Program Services | $248,866 | ProgramServicesAmt |
| Management And General | $47,333 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,707,891 | TotalAmt |
| Program Services | $2,275,170 | ProgramServicesAmt |
| Management And General | $432,721 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,152 | TotalAmt |
| Program Services | $119,436 | ProgramServicesAmt |
| Management And General | $22,716 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,241 | TotalAmt |
| Program Services | $3,563 | ProgramServicesAmt |
| Management And General | $678 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29 | TotalAmt |
| Program Services | $24 | ProgramServicesAmt |
| Management And General | $5 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,468,043 | TotalAmt |
| Program Services | $3,754,050 | ProgramServicesAmt |
| Management And General | $713,993 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,551 | TotalAmt |
| Program Services | $505,423 | ProgramServicesAmt |
| Management And General | $96,128 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UBIT | -$69,714 | -$69,714 | |
| MEDICAL SUPPLIES | $18,629,261 | $18,629,261 | |
| SENTARA SERVICE EXPENSE | $13,124,496 | $13,124,496 | |
| TAXES & LICENSES | $4,293,324 | $4,289,374 | $3,950 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,420,074 | TotalAmt |
| Program Services | $2,033,346 | ProgramServicesAmt |
| Management And General | $386,728 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,096,142 | TotalAmt |
| Program Services | $86,662,703 | ProgramServicesAmt |
| Management And General | $22,433,439 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,757 | BOYAmt |
| EOY | $217,529 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,992,782 | BOYAmt |
| EOY | $12,748,729 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,419 | BOYAmt |
| EOY | $137,584 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,523,958 | BOYAmt |
| EOY | $2,430,157 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,627 | BOYAmt |
| EOY | $111,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $69,431,966 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,297,939 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,352,425 | BOYAmt |
| EOY | $34,134,027 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,263,353 | BOYAmt |
| EOY | $3,738,917 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,387 | BOYAmt |
| EOY | $23,837 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,612,708 | BOYAmt |
| EOY | $53,542,456 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,120,613 | BOYAmt |
| EOY | $3,596,430 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,538,109 | BOYAmt |
| EOY | $16,711,168 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,658,722 | BOYAmt |
| EOY | $20,307,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,433,000 | BOYAmt |
| EOY | $32,016,611 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,986 | BOYAmt |
| EOY | $1,218,247 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,953,986 | BOYAmt |
| EOY | $33,234,858 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,612,708 | BOYAmt |
| EOY | $53,542,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,574,616 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,420,809 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,434,679 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $520,986 | BeginningYearBalanceAmt |
| Contributions | $715,000 | ContributionsAmt |
| Other Expenditures | $17,739 | OtherExpendituresAmt |
| End Year Balance | $1,218,247 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $148,110 | BeginningYearBalanceAmt |
| Contributions | $438,540 | ContributionsAmt |
| Other Expenditures | $65,664 | OtherExpendituresAmt |
| End Year Balance | $520,986 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $103,110 | BeginningYearBalanceAmt |
| Contributions | $45,100 | ContributionsAmt |
| Other Expenditures | $100 | OtherExpendituresAmt |
| End Year Balance | $148,110 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,994 | BeginningYearBalanceAmt |
| Contributions | $70,065 | ContributionsAmt |
| Grants Or Scholarships | $16,976 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,973 | OtherExpendituresAmt |
| End Year Balance | $103,110 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $50,780 | BeginningYearBalanceAmt |
| Contributions | $134,671 | ContributionsAmt |
| Grants Or Scholarships | $114,159 | GrantsOrScholarshipsAmt |
| Other Expenditures | $16,298 | OtherExpendituresAmt |
| End Year Balance | $54,994 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,576,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,576,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,814,949 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,815,081 | DepreciationAmt |
| Book Value | $24,999,868 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,444 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,805 | DepreciationAmt |
| Book Value | $47,639 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,248,723 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,674,145 | DepreciationAmt |
| Book Value | $2,574,578 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,740,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,804,908 | DepreciationAmt |
| Book Value | $3,935,942 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,134,027 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PROGRAMS | $8,024,440 |
| OTHER LIABILITIES | $462,570 |
| DUE TO AFFILIATES | $1,848,459 |
| GENERAL RESERVE | $2,553,706 |
| ROU LIABILITIES | $3,821,993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,711,168 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE CLARK MEMORIAL FUNDS HELP TO DEFRAY THE COST OF MEDICAL CARE FOR RESIDENTS OF HALIFAX COUNTY WHO QUALIFY FOR THE PATIENT FINANCIAL ASSISTANCE (PFA) PROGRAM OFFERED BY THE HOSPITAL. THE FUNDS ARE USED TO ASSIST IN PAYING MAJOR MEDICAL EXPENSES THAT PERSIST AFTER THE PFA ADJUSTMENT HAS DECREASED THE INITIAL EXPENSE. SURGERIES AND OTHER MAJOR HOSPITALIZATIONS CAN LEAVE INDIVIDUALS WITH THOUSANDS OF DOLLARS IN UNEXPECTED DEBT, AND SOMETIMES WITH DIMINISHED CAPACITY TO EARN MONEY TO PAY THE INCURRED EXPENSES. WHILE THOSE WHO ARE COMPLETELY WITHOUT RESOURCES WILL RECEIVE A 100% DISCOUNT FROM THE HOSPITAL, THOSE WHO HAVE SOME, BUT INSUFFICIENT, RESOURCES WILL GET A LESSER DISCOUNT AND MAY SPEND YEARS TRYING TO CLEAR THE DEBT. THE CLARK FUNDS WILL BE USED TO ASSIST THOSE VERY-LOW-INCOME INDIVIDUALS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,737,774 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,737,774 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,433,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,587,696 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,846,262 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,171,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,587,696 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,584,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200,281 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200,281 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,100,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,326,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,774,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03460 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,605 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123,605 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,424,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,326,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,098,774 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,596,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,913,793 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,682,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,384 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,374 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,726 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,399 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $261,688 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $261,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,721,906 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,041,834 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,822,418 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,780,584 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HALIFAX PHO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MANAGED CARE | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2204 WILBORN AVENUE | AddressLine1Txt |
| City | SOUTH BOSTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24592 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SENTARA.COM | WebsiteAddressTxt |
| State License | H1853 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | HOME HEALTH HOSPICE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE SECTION C BELOW. | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SENTARA.COM/FINANCIALASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SENTARA.COM/FINANCIALASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SENTARA.COM/FINANCIALASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HALIFAX REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SENTARA HALIFAX REGIONAL HOSPITAL (SHRH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS THROUGH INTERVIEWS AND A FOCUS GROUP.1) SHRH IDENTIFIED ITS SENIOR LEADERSHIP TEAM TO SERVE AS THE CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. THE SURVEY DISTRIBUTION LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS WERE IDENTIFIED AND REVIEWED. THESE FINDINGS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. MEMBERS OF THE STEERING COMMITTEE PROVIDED INPUT BASED UPON THEIR INVOLVEMENT IN COMMUNITY COALITIONS AND COMMUNITY HEALTH INITIATIVES AND THEIR COMMUNICATIONS WITH INDIVIDUALS IN THE COMMUNITY. IN ADDITION, HOSPITAL STAFF CONDUCTED KEY INFORMANT INTERVIEWS AND A FOCUS GROUP TO RECEIVE BROADER INPUT. |
| HALIFAX REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO COMMUNITY ORGANIZATIONS.A LINK TO THE HOSPITAL FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO ON THE SENTARA HEALTHCARE WEBSITE:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2021-SHRH-CHNA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF |
| HALIFAX REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: THE SHRH COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL UNDERWENT A PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. THE PROCESS CONSIDERED FACTORS SUCH AS SIZE AND SCOPE OF THE HEALTH PROBLEM, THE INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, IMPACT ON HEALTH DISPARITIES, THE IMPORTANCE TO THE COMMUNITY, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTION OF THE IMPLEMENTATION STRATEGIES, THE HOSPITAL IS PARTICIPATING IN A VARIETY OF LOCAL INITIATIVES. SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. |
| HALIFAX REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES, EVEN IF THEY ARE INELIGIBLE FOR FINANCIAL ASSISTANCE BY MODEL. |
| HALIFAX REGIONAL HOSPITAL: | PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SENTARA HALIFAX FAMILY MEDICINE | ||||
| 101 AUBREYS LOOP | SOUTH BOSTON | VA | 24592 | OTHER OUTPATIENT SITE |
| 2 - SENTARA OBGYN-SOUTH BOSTON | ||||
| 2206 WILBORN AVENUE | SOUTH BOSTON | VA | 24592 | OTHER OUTPATIENT SITE |
| 3 - SENTARA CHASE CITY FAMILY MEDICINE | ||||
| 946 NORTH MAIN STREET | CHASE CITY | VA | 23924 | OTHER OUTPATIENT SITE |
| 4 - CENTER FOR BEHAVIORAL HEALTH | ||||
| 504 WILBORN AVENUE | SOUTH BOSTON | VA | 24592 | REHABILITATION CENTER |
| 5 - SENTARA HALIFAX PEDIATRICS | ||||
| 2100 WILBORN AVENUE | SOUTH BOSTON | VA | 24592 | OTHER OUTPATIENT SITE |
| 6 - SENTARA VOLENS FAMILY MEDICINE | ||||
| 15210 L P BAILEY MEMORIAL HIGHWAY | NATHALIE | VA | 24577 | OTHER OUTPATIENT SITE |
| 7 - SENTARA CLARKSVILLE FAMILY MEDICINE | ||||
| 115 COLLEGE STREET | CLARKSVILLE | VA | 23927 | OTHER OUTPATIENT SITE |
| 8 - SENTARA SOUTHSIDE HEMATOLOGY & ONC | ||||
| 2232 WILBORN AVENUE STE D | SOUTH BOSTON | VA | 24592 | OTHER OUTPATIENT SITE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO FPG, THE ORGANIZATION ALSO USED INSURANCE STATUS AND AN ASSET TEST AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE:-UNINSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 300% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.-INSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 200% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.-UNINSURED PATIENTS WITH A HOUSEHOLD INCOME ABOVE 300%, BUT AT OR BELOW 400%, OF THE FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR DISCOUNTED CARE AT 75% OFF OF GROSS CHARGES."AVAILABLE ASSETS" INCLUDE THE PATIENT HOUSEHOLD'S TOTAL AMOUNT OF ASSETS AVAILABLE, INCLUDING ANY LIQUID AND/OR FIXED ASSETS, FOR USE IN PAYING FOR MEDICAL CARE INCLUDING, BUT NOT LIMITED TO: CASH AND CASH EQUIVALENTS, BANK ACCOUNTS, CERTIFICATES OF DEPOSIT, INVESTMENTS, TRUST ACCOUNTS, AUTOMOBILES, RECREATIONAL VEHICLES AND OTHER FORMS OF LEISURE TRANSPORT, AND REAL ESTATE EQUITY IN REAL PROPERTY OTHER THAN THE PRINCIPAL PLACE OF RESIDENCE. SPECIFICALLY EXCLUDED FROM AVAILABLE ASSETS IS THE EQUITY IN AN APPLICANT'S PRINCIPAL PLACE OF RESIDENCE, PRIMARY SOURCE OF TRANSPORTATION, IRS RECOGNIZED RETIREMENT SAVINGS ACCOUNTS, BUSINESS ASSETS, AND 3.99 ACRES OF LAND. |
| PART I, LINE 6A: | THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE 501(C)(3) PARENT ORGANIZATION OF THE SENTARA HEALTH SYSTEM. |
| PART I, LINE 7: | EXCEPT FOR SUBSIDIZED HEALTH SERVICES, THE ORGANIZATION USED A COST-TO-CHARGES RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. COST METHOD WAS USED FOR SUBSIDIZED HEALTH SERVICES (7G). |
| PART I, LINE 7G: | $2,143,367 OF THE AMOUNT REPORTED IN COLUMN (E) WAS ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE ORGANIZATION IS PART OF THE SENTARA HEALTH SYSTEM AND FUNDS THE SYSTEM'S COMMUNITY ENGAGEMENT DEPARTMENT AND ITS PROGRAM, SENTARA CARES. SENTARA CARES GOES ABOVE AND BEYOND THE DELIVERY OF MEDICAL CARE AND COMPREHENSIVE HEALTH SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH--THE CONDITIONS IN WHICH PEOPLE LIVE, WORK, AND LEARN--WHICH ARE PROVEN TO HAVE A SIGNIFICANT AND LASTING IMPACT ON HEALTH OUTCOMES. THROUGH THE PROGRAM, SENTARA COLLABORATES WITH COMMUNITY ORGANIZATIONS TO ELIMINATE HEALTH DISPARITIES AND PROMOTE EQUITABLE ACCESS TO NUTRITIOUS FOOD, EDUCATION, SAFE AND AFFORDABLE HOUSING, AND STABLE, REWARDING JOB OPPORTUNITIES. DURING THE CURRENT YEAR, THE PROGRAM INCLUDED PARTNERSHIPS WITH LOCAL YMCAS, SCHOOLS, FOOD BANKS, AND HOMELESS SHELTERS; HABITAT FOR HUMANITY; AND VETERAN AND SENIOR SERVICES ORGANIZATIONS. IN ADDITION TO THE ABOVE, THE ORGANIZATION'S EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: HALIFAX COUNTY CHAMBER OF COMMERCE; CHASE CITY CHAMBER OF COMMERCE; CLARKSVILLE CHAMBER OF COMMERCE; MECKLENBURG COUNTY BUSINESS EDUCATION PARTNERSHIP; HALIFAX ADVOCATES FOR SUBSTANCE ABUSE PREVENTION; SOUTHSIDE HEALTH COALITION; HEALTHY HARVEST COMMUNITY GARDEN, HALIFAX VOCATIONAL EDUCATION FOUNDATION; SOUTHSIDE VIRGINIA COMMUNITY COLLEGE SCHOOL OF NURSING ADVISORY COUNCIL; COMMITTEE FOR THE CENTER FOR NURSING EXCELLENCE; SOUTHERN VIRGINIA HIGHER EDUCATION CENTER; VIRGINIA COMMUNITY COLLEGE SYSTEM; HALIFAX COUNTY PUBLIC SCHOOLS EDUCATION FOUNDATION; VIRGINIA ADVANCED STUDY ON STRATEGIES BOARD; WORKFORCE INVESTMENT BOARD; TRI-COUNTY COMMUNITY ACTION AGENCY BOARD; HEALTHY FAMILIES TRI-COUNTY ADVISORY COUNCIL; DIXIE YOUTH SOFTBALL BOARD; MENTOR ROLE MODEL PROGRAM AND THE HALIFAX AND MECKLENBURG COUNTY YMCAS.THE ORGANIZATION CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP THE ORGANIZATION PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, THE ORGANIZATION SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS." |
| PART III, LINE 2: | FOR SCHEDULE H PART III LINE 2 PURPOSES, THE ORGANIZATION REPORTS WHAT WOULD'VE BEEN CONSIDERED BAD DEBT EXPENSE PRIOR TO ITS 2018 ADOPTION OF ASC TOPIC 606. ASC TOPIC 606 NOW CLASSIFIES THIS COMPONENT OF UNCOMPENSATED CARE AS IMPLICIT PRICE CONCESSIONS, WHICH ARE A REDUCTION TO NET OPERATING REVENUE.IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT BASED ON ITS COLLECTION'S HISTORY WITH THOSE PATIENTS AND CURRENT MARKET CONDITIONS. IT UTILIZES A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS AS A COLLECTIVE GROUP RATHER THAN INDIVIDUALLY.SEE FOOTNOTE 4 ON PAGES 17-21 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. |
| PART III, LINE 4: | SEE FOOTNOTE 4 ON PAGES 17-21 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES IMPLICIT PRICE CONCESSIONS (FORMERLY BAD DEBT.) |
| PART III, LINE 8: | WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6. |
| PART III, LINE 9B: | IF AN INSURED PATIENT QUALIFIES FOR FREE CARE BASED ON 200% OF FEDERAL POVERTY GUIDELINES, AND AN UNINSURED (SELF-PAY) PATIENT QUALIFIES FOR FREE CARE BASED ON 300% OF FEDERAL POVERTY GUIDELINES, THE ENTIRE BALANCE IS WRITTEN OFF TO CHARITY AND NO COLLECTION EFFORTS ARE MADE. A NOTICE IS SENT TO THE PATIENT ADVISING THAT CHARITY QUALIFICATIONS HAVE BEEN MET IF THE PATIENT MAKES A FORMAL APPLICATION OF FINANCIAL ASSISTANCE WITH THE HOSPITAL. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE, THE APPROPRIATE DISCOUNT IS APPLIED TO THE BALANCE. A NOTICE IS SENT TO THE PATIENT ADVISING THAT CHARITY QUALIFICATIONS HAVE BEEN MET AND THE PATIENT IS REQUESTED TO CONTACT THE HOSPITAL FACILITY TO SET UP THE REMAINING BALANCE ON A PAYMENT PLAN. UNINSURED PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE A 75% DISCOUNT IF THEIR INCOME IS BETWEEN 301-400% OF THE FEDERAL POVERTY GUIDELINES. THE HOSPITAL FACILITY DID NOT IMPOSE COLLECTION ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT WAS ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:-ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED IN THE DEVELOPMENT OF ORGANIZATIONAL PLANS.-OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY.-REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED, INCORPORATED INTO THE ORGANIZATION'S PLANS, AND SHARED WITH ORGANIZATIONAL DECISION MAKERS.-PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY THE LOCAL HEALTH DISTRICTS AND OTHER ORGANIZATIONS. INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING.-INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS. |
| PART VI, LINE 3: | WHEN A PATIENT IS REGISTERED AT THE ORGANIZATION'S HOSPITAL FACILITY, S/HE IS OFFERED A FINANCIAL ASSISTANCE BROCHURE AND APPLICATION WHICH INCLUDES CONTACT INFORMATION FOR ADDITIONAL INFORMATION. FRAMED COPIES OF THE NOTICE ARE LOCATED IN REGISTRATION AREAS AND KEY PUBLIC AREAS OF THE FACILITY. IN ADDITION TO NOTICES ABOUT FINANCIAL ASSISTANCE IN REGISTRATION AREAS AND PATIENTS BEING OFFERED FINANCIAL ASSISTANCE FORMS DURING THE REGISTRATION PROCESS THE HOSPITAL ALSO INCLUDES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS ON ITS WEBSITE AND IT IS ALSO COMMUNICATED ON PATIENT BILLING STATEMENTS. THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY (PLS) ARE INCLUDED WITH A PATIENT'S GUARANTOR STATEMENT PRIOR TO AN ACCOUNT DROPPING TO BAD DEBT (COLLECTIONS). THE SAME DEDICATED PHONE NUMBER FOR HOSPITAL FINANCIAL ASSISTANCE IS COMMUNICATED TO PATIENTS AND IS USED BY ALL SENTARA HOSPITAL FACILITIES AND MEDICAL GROUPS.THE ORGANIZATION HAS PARTNERED WITH FIRSTSOURCE TO AID UNINSURED EMERGENCY DEPARTMENT PATIENTS, UNINSURED AND UNDERINSURED INPATIENTS, OUTPATIENT SURGERY, AND OBSERVATION PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS. FIRSTSOURCE ASSISTS PATIENTS THROUGHOUT THE ENTIRE APPLICATION PROCESS TO ENSURE ALL DOCUMENTATION IS COMPLETE.FIRSTSOURCE ALSO HELPS PATIENTS COMPLETE FINANCIAL ASSISTANCEAPPLICATIONS IF THEY MAY NOT QUALIFY FOR GOVERNMENT ASSISTANCE |
| PART VI, LINE 4: | SENTARA HALIFAX REGIONAL HOSPITAL SERVES RESIDENTS OF HALIFAX, MECKLENBURG, AND CHARLOTTE COUNTIES.THE 2021 POPULATION OF THE SERVICE AREA IS 85,316 AND IS EXPECTED TO DECLINE OVER THE NEXT FIVE YEARS, DECREASING BY -2.6% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 2.8%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A HIGHER PERCENT OF THE POPULATION 65+ (25.4% VS. 17.0%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 20 YEARS (21.1% VS. 24.6%). A HIGHER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 35.6% VS. 26.9% FOR THE US OVERALL, WHILE 11.2% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 20.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $47,451 VS. $73,066 FOR THE US, AND A HIGHER PERCENT OF HOUSEHOLDS, 29.1% VS. 18.3%, SUBSIST ON LESS THAN $25,000 PER YEAR. RACIALLY, THE SERVICE AREA IS HOME TO 60.8% WHITES (VS. 61.2% FOR THE US), 33.5% BLACK/AFRICAN AMERICANS (VS. 12.6% US), 0.6% ASIANS (VS. 6.7% US), WITH 1.4% REPORTING ANOTHER RACE VS. 8.1% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 2.5% HISPANICS VS. 18.8% NATIONALLY, AND 97.5% NON-HISPANICS, VS. 81.2% NATIONALLY. |
| PART VI, LINE 5: | THE ORGANIZATION'S GOVERNING BODY IS A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MEET CREDENTIALING REQUIREMENTS. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS. |
| PART VI, LINE 6: | THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTH SYSTEM ("SENTARA.") NAMED TO IBM WATSON HEALTH'S 2021 "TOP 15 HEALTH SYSTEMS," SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT SYSTEM OF 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. THE SENTARA FAMILY ALSO INCLUDES FOUR MEDICAL GROUPS, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND THE OPTIMA HEALTH PLAN AND VIRGINIA PREMIER HEALTH PLAN SERVING OVER 900,000 MEMBERS IN VIRGINIA, NORTH CAROLINA AND OHIO. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR ITS PATIENTS AND MEMBERS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| SENTARA HEALTHCARE | ||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 521271901 | 501(C)(3) | $362,569 | $0 | CORPORATE ALLOCATION TO PARENT |
| COMMUNITY ARTS CENTER FOUNDATION INC | ||||||||
| 700 BRUCE STREET | SOUTH BOSTON | VA | 24592 | 541795927 | 501(C)(3) | $10,000 | $0 | DONATION |
| SOUTHERN VIRGINIA BOTANICAL GARDENS & INVIRON EDUCATION CENTER | ||||||||
| PO BOX 624 | HALIFAX | VA | 24558 | 371591057 | 501(C)(3) | $8,000 | $0 | DONATION |
| TOWN OF HALIFAX HALIFAX POLICE DEPARTMENT | ||||||||
| PO BOX 627 | HALIFAX | VA | 24558 | 546001330 | GOVERNMENT ENTITY | $7,781 | $0 | PURCHASE AEDS |
| HALIFAX PUBLIC SCHOOLS EDUCATIONAL FOUNDATION | ||||||||
| PO BOX 1114 | HALIFAX | VA | 24558 | 202098518 | 501(C)(3) | $6,000 | $0 | SUPPORT FOR TEACHER MINI GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL V GENTRY | ||||||||||||||
| FORMER OFFICER | $0 | $1,000,664 | $0 | $754,388 | $0 | $157,645 | $0 | $529,145 | $0 | $23,013 | $0 | $2,464,855 | $0 | $0 |
| MEGAN R PERRY | ||||||||||||||
| DIRECTOR | $0 | $619,656 | $0 | $343,786 | $0 | $776,019 | $0 | $9,060 | $0 | $22,300 | $0 | $1,770,821 | $0 | $324,861 |
| PAUL A GADEN | ||||||||||||||
| DIRECTOR/VICE CHAIRMAN | $0 | $551,150 | $0 | $287,438 | $0 | $4,515 | $0 | $138,008 | $0 | $24,993 | $0 | $1,006,104 | $0 | $0 |
| JOANNE M INMAN | ||||||||||||||
| DIRECTOR (EFFECTIVE 5/1/2021) | $0 | $319,291 | $0 | $131,496 | $0 | $42,888 | $0 | $19,964 | $0 | $37,504 | $0 | $551,143 | $0 | $7,299 |
| JENNIFER S SICTOR | ||||||||||||||
| DIRECTOR (THROUGH 4/30/2021) | $0 | $333,034 | $0 | $141,090 | $0 | $13,438 | $0 | $13,140 | $0 | $26,145 | $0 | $526,847 | $0 | $0 |
| BRIAN K ZWOYER | ||||||||||||||
| PRESIDENT | $221,962 | $0 | $94,455 | $0 | $86,575 | $0 | $70,541 | $0 | $35,801 | $0 | $509,334 | $0 | $0 | $0 |
| CHARLES W ROSCHE | ||||||||||||||
| PHYSICIAN - SPECIALIST | $388,783 | $0 | $3,500 | $0 | $25,132 | $0 | $38,720 | $0 | $30,695 | $0 | $486,830 | $0 | $0 | $0 |
| JONI O ABBOTT | ||||||||||||||
| PHYSICIAN - SPECIALIST | $401,660 | $0 | $3,500 | $0 | $7,637 | $0 | $10,313 | $0 | $31,844 | $0 | $454,954 | $0 | $0 | $0 |
| PABLO SOUZA MD | ||||||||||||||
| PHYSICIAN - HF | $345,823 | $0 | $3,500 | $0 | $26,600 | $0 | $27,080 | $0 | $32,376 | $0 | $435,379 | $0 | $0 | $0 |
| JONATHAN S DAVIS | ||||||||||||||
| DIRECTOR/VICE CHAIR | $0 | $70,397 | $0 | $176,677 | $0 | $131,139 | $0 | -$368 | $0 | $7,144 | $0 | $384,989 | $0 | $28,840 |
| DEVMITH C GAJADEERA | ||||||||||||||
| PHYSICIAN - PC (FM IM PEDS) | $267,093 | $0 | $20,301 | $0 | $10,626 | $0 | $40,537 | $0 | $29,642 | $0 | $368,199 | $0 | $0 | $0 |
| VIRGILUS OZOUDE | ||||||||||||||
| PHYSICIAN - PC (FM IM PEDS) | $223,313 | $0 | $35,852 | $0 | $17,957 | $0 | $31,000 | $0 | $34,045 | $0 | $342,167 | $0 | $0 | $0 |
| TORIE B BASHAY | ||||||||||||||
| FORMER KE | $0 | $153,379 | $0 | $28,912 | $0 | $6,786 | $0 | $33,455 | $0 | $7,366 | $0 | $229,898 | $0 | $0 |
| JONI WOLTZ | ||||||||||||||
| KE (DIR SURGICAL SVCS) | $137,004 | $0 | $23,144 | $0 | $387 | $0 | $14,932 | $0 | $16,159 | $0 | $191,626 | $0 | $0 | $0 |
| SHERRI F BEE | ||||||||||||||
| KE (DIR CARDIAC SVCS) | $137,323 | $0 | $25,385 | $0 | $989 | $0 | $12,847 | $0 | $11,454 | $0 | $187,998 | $0 | $0 | $0 |
| NICOLE L DOCKERY | ||||||||||||||
| KE (DIR PATIENT CARE SVCS) | $124,263 | $0 | $19,787 | $0 | $9,218 | $0 | $10,899 | $0 | $10,362 | $0 | $174,529 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAID FOR TEMPORARY HOUSING OF AN EXECUTIVE RECRUIT, INCLUDING THE ADDITIONAL TAXES ASSOCIATED WITH SUCH BENEFIT, ALL OF WHICH WERE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. |
| PART I, LINE 3 | SENTARA HEALTHCARE, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION STUDY. SENTARA HEALTHCARE RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. |
| PART I, LINE 4B | MICHAEL GENTRY, MEGAN PERRY, JONATHAN DAVIS, JOANNE INMAN, PAUL GADEN, AND BRIAN ZWOYER PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PROGRAM. SUCH PLANS ARE COMMONLY OFFERED TO NOT-FOR-PROFIT HEALTH CARE EXECUTIVES TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT LIMITATIONS IN QUALIFIED PLANS. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2021, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: MICHAEL GENTRY ($139,700); MEGAN PERRY ($700,638); JONATHAN DAVIS ($51,086), AND JOANNE INMAN ($12,237). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. |
| PART I, LINE 7 | DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. KEY CONTRIBUTOR AWARDS - REWARDS EXCEPTIONAL INDIVIDUALS OR TEAMS FOR SIGNIFICANT CONTRIBUTION AND RESULTS AS RECOGNIZED BY BUSINESS UNITS. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AS DETERMINED BY THE BOARD; BUSINESS UNIT RESULTS FOR FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE; AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HALIFAX HEART CENTER | |||
| SEE BELOW | $1,237,000 | SEE BELOW | 0 |
| PULMONARY ASSOCIATES | |||
| SEE BELOW | $1,276,750 | SEE BELOW | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV | FormAndLineReferenceDesc |
| Explanation | A) NAME OF PERSON: HALIFAX HEART CENTERB) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 35%-CONTROLLED ENTITY OF BOARD MEMBERS HABIB BASSIL, MD AND SAID ISKANDAR, MDD) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/SUBSIDIESA) NAME OF PERSON: PULMONARY ASSOCIATESB) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 35%-CONTROLLED ENTITY OF BOARD MEMBER TERRANCE J. TRUITT, MDD) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/SUBSIDIES | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION | AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH BUILDING, ESTABLISHING, MAINTAINING AND OPERATING HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; PROVIDING ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; PROVIDING MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS OUR OWN; ENGAGING IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY THE ORGANIZATION'S GOVERNING BODY; AND FOR SUCH PURPOSES, SOLICITING AND RECEIVING FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND INVESTING, REINVESTING, HOLDING, MANAGING, ADMINISTERING, EXPENDING, AND APPLYING SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. ALL SUCH ACTIVITIES SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE SERVED. |
| FORM 990, PART III, LINE 4A | HALIFAX REGIONAL HOSPITAL, INC. IS ORGANIZED TO BUILD, ESTABLISH, MAINTAIN AND OPERATE HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; PROVIDE ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; PROVIDE MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS ITS OWN; ENGAGE IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY ITS GOVERNING BODY; AND FOR SUCH PURPOSES, SOLICIT AND RECEIVE FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND INVEST, REINVEST, HOLD, MANAGE, ADMINISTER, EXPEND, AND APPLY SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. ALL SUCH ACTIVITIES SUPPORT ITS MISSION TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE SERVED. |
| FORM 990, PART III, LINE 4A | SENTARA HEALTHCARE I. SENTARA HEALTHCARE: YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE CELEBRATES MORE THAN 133 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEM WITH MORE THAN 29,000 EMPLOYEES (INCLUDING 1,375 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES OVER 900,000 MEMBERS. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA WAS NAMED TO IBM WATSON HEALTH'S "TOP 15 HEALTH SYSTEMS" IN 2021 AND 2018, RECOGNIZED AS A "BEST EMPLOYER FOR WOMEN" BY FORBES IN 2020, AND RANKED AS ONE OF FORBES "AMERICA'S BEST EMPLOYERS" IN 2018. SENTARA HAS A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. THE SENTARA FAMILY ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE (MADE 778 LIFE-SAVING TRIPS IN 2021 ALONE), HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, AND THE SENTARA COLLEGE OF HEALTH SCIENCES. EFFORTS ARE CENTERED ON PROVIDING THE RIGHT CARE IN THE RIGHT SETTING AT THE RIGHT TIME AND ADDING VALUE TO THE COMMUNITIES WE SERVE. WE STRIVE TO SERVE ALL OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT FOR OTHER NOT FOR PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. AS AN INTEGRATED DELIVERY NETWORK (IDN), SENTARA PROVIDES BOTH HEALTH CARE SERVICES (HOSPITALS, CLINICS, PROVIDERS) AND HEALTH INSURANCE PLANS, WHICH ENABLES SENTARA TO FULLY UNDERSTAND AND DELIVER ON THE NEEDS OF OUR CONSUMERS IN A UNIQUE AND INSIGHTFUL WAY. ADDITIONALLY, SERVING AS AN IDN PROVIDES US WITH THE OPPORTUNITY TO IMPACT AND LIFT OUR COMMUNITIES GIVEN THE COMPREHENSIVE NATURE OF OUR ABILITY TO DELIVER CARE AND RESOURCES WITHIN THE WALLS OF OUR CARE SITES AS WELL AS WITHIN THE COMMUNITY. II. COMMITMENT TO THE COMMUNITY A. SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE 2021 VALUE OF COMMUNITY BENEFIT TOTALED $254,186,000. SENTARA PROVIDED $167,441,000 IN NET UNCOMPENSATED PATIENT CARE COSTS; $48,150,000 IN NET UNFUNDED COSTS OF TEACHING PROGRAMS; AND $38,595,000 IN INCURRED COSTS FOR COMMUNITY BENEFIT PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED $2.5 MILLION TO UNITED WAYS IN VIRGINIA AND NORTH CAROLINA. B. SENTARA CONTINUES ITS EFFORTS IN THE COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. IN 2021, SENTARA COMMITTED $50 MILLION TO ITS SENTARA HEALTHIER COMMUNITIES FUND TO ADDRESS HEALTH DISPARITIES MAGNIFIED BY THE IMPACT OF COVID-19 AND TO BOLSTER REGIONAL HEALTH SCIENCES PROGRAMS. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIRONMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASES OUR COMMUNITY CONNECTION. IT BUILDS ON SENTARA RECOGNIZED LEADERSHIP AND COMMITMENT TO THE COMMUNITIES WE SERVE. C. SENTARA CONTINUED THE FOCUS ON THE IMPORTANT WORK OF DIVERSITY IN OUR WORKFORCE, TO DEEPEN OUR UNDERSTANDING ON CARING FOR OUR DIVERSE PATIENT POPULATION AND TO DEVELOP STRONG RELATIONSHIPS WITH DIVERSE COMMUNITY POPULATIONS. WE FORMED SEVERAL PARTNERSHIPS WITH KEY DIVERSITY-FOCUSED ORGANIZATIONS. WE CONTINUE THE WORK OF DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS. AND WE CONTINUE TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. THIS WAS ESPECIALLY IMPORTANT GIVEN THE SOCIAL JUSTICE ISSUES AND CIVIL UNREST IN 2020. ADDITIONALLY, SENTARA CONTINUED THE EXCELLENT WORK IN IDENTIFYING AND REDUCING BARRIERS SO PEOPLE CAN RECEIVE THE CARE THEY NEED. THE TEAM IDENTIFIES HEALTH DISPARITIES AND RESEARCH POSSIBLE CAUSES. THIS INCLUDES CHRONIC HEALTH ISSUES SUCH AS HYPERTENSION, DIABETES, AND THE HIGH RATES OF CANCER DEATHS IN MINORITY COMMUNITIES. ADDITIONALLY, WE CREATED POLICIES AND GUIDELINES TO ENSURE PROTECTION OF LGBTQ PATIENTS' RIGHTS AND PARTNERED WITH NUMEROUS COMMUNITY GROUPS TO PROVIDE EDUCATION AND EARLY DETECTION FOR COLORECTAL AND BREAST CANCERS. D. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED $16.9 MILLION TO SUPPORT THE CLINICAL NEEDS OF THE SYSTEM AND PROVIDED FUNDING THROUGH GRANTS AND DIRECT CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT HAVE SIMILAR INTERESTS IN SUPPORTING COMMUNITY HEALTH NEEDS. E. SEVERAL YEARS AGO, SENTARA ESTABLISHED THE HOPE (HELPING OVERCOME PERSONAL EMERGENCY) FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE HOPE FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2021, EMPLOYEES DONATED $271,469 TO THE HOPE FUND AND WE AWARDED $406,978 TO SENTARA EMPLOYEES IN CRISES ACROSS THE SYSTEM. F. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA DONATED $6 MILLION (AS PART OF OUR COMMUNITY BENEFIT) TO OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL TO START A NEW SCHOOL OF PUBLIC HEALTH. SENTARA SIGNED A MEMORANDUM OF UNDERSTANDING WITH OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL TO STRENGTHEN MEDICAL EDUCATION IN HAMPTON ROADS. G. ALSO, AS PART OF OUR COMMUNITY BENEFIT, SENTARA CONTRIBUTED $150,000 TO VIRGINIA VETERANS SERVICES FOUNDATION TO BE USED FOR HOUSING ASSISTANCE AND SUICIDE PREVENTION PROGRAMS. H. BECAUSE OF THE GROWING NUMBER OF INDIVIDUALS FACING HOMELESSNESS, SENTARA CONTINUES TO PARTNER WITH MANY ORGANIZATIONS TO ADDRESS THIS CRITICAL NEED THAT HAS REACHED NEW HEIGHTS DUE TO THE COVID-19 PANDEMIC. HERE ARE A FEW EXAMPLES: 1. HEALTHY HOTEL PROJECT: THANKS TO OUR PARTNERSHIP WITH THE NORFOLK COMMUNITY SERVICES BOARD (NCSB), SENTARA'S MEDICAL GROUP AND HOME CARE DIVISIONS HAVE BEEN ABLE TO HELP NCSB SAFELY LEVERAGE HOTEL ROOMS CONVERTED INTO A SAFE AND SUPPORTIVE SHELTER PROGRAM. THROUGH THE HEALTHY HOTEL PROJECT, NCSB IS PROVIDING TEMPORARY SHELTER FOR NORFOLK'S MOST VULNERABLE HOMELESS RESIDENTS, WHILE SENTARA PROVIDES PREVENTIVE SCREENING, SUPPORT, AND CHRONIC DISEASE MANAGEMENT SERVICES. 2. THE HELP CLINIC: THIS FREE CLINIC IN HAMPTON, VIRGINIA, CONTINUED TO OPERATE A SINGLE SITE SHELTER FOR THE HOMELESS WITH COVID-19 SAFEGUARDS. SENTARA CAREPLEX HOSPITAL CASE MANAGERS WORK WITH THE HELP CLINIC TO ENSURE HOMELESS INDIVIDUALS HAVE ACCESS TO THERMAL SHELTERS, WHERE THEY CAN LINK THE CLIENTS TO MORE PERMANENT HOUSING SOLUTIONS. 3. SUITCASE CLINIC: A COLLABORATION AMONG JAMES MADISON UNIVERSITY AND OTHER COMMUNITY PARTNERS, INCLUDING THE RMH FOUNDATION, WORKS TO OVERCOME BARRIERS TO HEALTHCARE IN THE HARRISONBURG, VIRGINIA COMMUNITY. IMPORTANTLY, IT SUPPORTS HEALTH AND WELLNESS AMONG THE REGION'S HOMELESS POPULATION THROUGH MOBILE HEALTH SERVICES. I. COMMUNITY HEALTH INITIATIVES SENTARA AND OPTIMA HEALTH HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTHCARE COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2021: SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. SENTARA HOSTS SEVERAL COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THROUGH THE PROMOTION OF "28 DAYS OF HEART" IN FEBRUARY 2021 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, VIDEOS, SCREENINGS, AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. ADDITIONALLY, SENTARA NORFOLK GENERAL HOSPITAL RECEIVED GRANT FUNDING THAT SUPPORTS COMMUNITY HEALTH WORKERS TO PROVIDE CASE MANAGEMENT SERVICES FOR SURVIVORS OF GUN VIOLENCE, ASSAULTS AND STABBINGS ADMITTED TO THE TRAUMA SERVICE OR DISCHARGED FROM THE EMERGENCY DEPARTMENT. THE PURPOSE OF THE PROGRAM IS TO ASSIST SURVIVORS OF VIOLENCE, ASSESS THEIR SOCIAL DETERMINANTS OF HEALTH AND BASED ON THE RESULTS DEVELOP AN INTERVENTION PLAN. THE GOAL IS TO PROVIDE SKILLS AND KNOWLEDGE TO AID THE INDIVIDUAL AND FAMILY TO IMPROVE THE QUALITY OF THEIR LIVES. |
| FORM 990, PART III, LINE 4A | III. COMMITMENT TO OUR TEAM MEMBERS A. SENTARA INVESTING IN OUR PEOPLE IS ALWAYS A TOP PRIORITY AND IN LINE WITH OUR MISSION TO IMPROVE HEALTH EVERY DAY. IN 2021 ALONE, SENTARA GAVE OUT MONETARY APPRECIATION GIFTS IN APRIL AND DECEMBER OF UP TO $3,500 TOTAL PER TEAM MEMBER IN RECOGNITION OF THEIR SERVICE TO THE PUBLIC DURING THE COVID-19 PANDEMIC. THE COMPANY RAISED ITS STARTING WAGE TO $15 PER HOUR MORE THAN TWICE THE FEDERAL MINIMUM WAGE EARLIER THAN PREVIOUSLY ANNOUNCED. SENTARA COLLEAGUES ALSO RECEIVED MARKET AND MERIT INCREASES IN MAY 2021 OF UP TO 8%, VALUED AT OVER $50 MILLION. THE TOTAL INVESTED IN TEAM MEMBERS IN 2021 WAS APPROXIMATELY $185 MILLION. IV. GROWTH IN SENTARA HEALTHCARE OUR GROWTH IN 2021 INCLUDED THE FOLLOWING: A. SENTARA BROKE GROUND ON THE NEW 135-ACRE SENTARA ALBEMARLE REGIONAL HEALTH CAMPUS IN ELIZABETH CITY, NC THAT WILL HOUSE A HOSPITAL AND MEDICAL OFFICE BUILDING. THIS GROUNDBREAKING MARKS THE MOST SIGNIFICANT INVESTMENT IN HEALTH CARE IN NORTHEAST NORTH CAROLINA SINCE THE CURRENT SENTARA ALBEMARLE MEDICAL CENTER WAS OPENED MORE THAN 60 YEARS AGO. B. OPTIMA HEALTH AND VIRGINIA PREMIER CONTINUED TO COLLECTIVELY SERVE OVER 600,000 PLUS ELIGIBLE VIRGINIANS WHO QUALIFIED FOR MEDICAID. C. THE SENTARA BROCK CANCER CENTER IN NORFOLK, VIRGINIA, BEGAN ITS SECOND YEAR SERVING AS A PATIENT-CENTERED FACILITY THAT IS TRANSFORMING CANCER CARE IN SOUTHEAST VIRGINIA/NORTHEAST NORTH CAROLINA. THE SENTARA BROCK CANCER CENTER SERVES 700-1000 PATIENTS PER DAY. D. IN HAMPTON ROADS, SENTARA OPENED A NEW WEIGHT-LOSS SURGERY PRACTICE; OPENED THE SENTARA BEHAVIORAL HEALTH CARE CENTER; OPENED A NEW NEUROLOGY PRACTICE; LAUNCHED VIRTUAL PHYSICAL THERAPY SERVICES; AND LAUNCHED HOSPITAL AT HOME TO CARE FOR PATIENTS IN THEIR HOME WHO WOULD HAVE OTHERWISE RECEIVED CARE IN A HOSPITAL SETTING. E. IN THE BLUE RIDGE REGION (HARRISONBURG AND CHARLOTTESVILLE), SENTARA LAUNCHED NEW ANESTHESIA PROGRAMS; ADDED FIVE NEW ORTHOPEDIC SURGEONS; AND ADDED ONE NEW PRIMARY CARE OFFICE LOCATION IN WAYNESBORO. F. IN THE HALIFAX REGION, SENTARA HALIFAX REGIONAL HOSPITAL OPENED PHASE ONE AND TWO OF THE LABOR DELIVERY RECOVERY AND POSTPARTUM UNIT (LDRP). THIS NEW MOTHER, BABY AND FAMILY UNIT WILL TRANSFORM THE EXPERIENCE MOMS AND FAMILIES HAVE WHEN DELIVERING THEIR BABY. SENTARA HALIFAX REGIONAL HOSPITAL ALSO ADDED A NEW ORTHOPEDIC SURGEON. G. IN NORTHERN VIRGINIA, SENTARA NORTHERN VIRGINIA MEDICAL CENTER ACHIEVED A TRAUMA III DESIGNATION; INTRODUCED A NEW PRIMARY CARE PHYSICIAN; EXPANDED THERAPY SERVICES; AND ADDED THE MOBILE PET/CT SERVICE. V. DIGITAL INITIATIVES AND INNOVATION SUCCESS A. SENTARA CONTINUED ITS FOCUS ON ENHANCING THE CONSUMER DIGITAL EXPERIENCE THROUGH THE ONGOING DEVELOPMENT AND ENHANCEMENT OF THE SENTARA "APP AND THE OPTIMA "APP". AS OF DECEMBER 2021, CUMULATIVE INITIAL UNIQUE LOGINS TO THE SENTARA APP WERE 290,473 AND CUMULATIVE DIGITAL ACCOUNTS ARE 685,154. AS OF DECEMBER 2021, CUMULATIVE INITIAL UNIQUE LOGINS TO THE OPTIMA HEALTH APP WERE 59,374 AND CUMULATIVE DIGITAL ACCOUNTS ARE 226,585. THE FINAL COMBINED APP ADOPTION NUMBER IS 38.4% VS. A BASELINE OF 27.5%, A NEARLY 11-PERCENTAGE POINT INCREASE. OUR AIM IS TO CONTINUOUSLY IMPROVE THE VIRTUAL EXPERIENCE, ENABLE VOICE OF THE CUSTOMER TO DRIVE CHANGE TO THE EXPERIENCE, AND ALLOW FOR A MORE FRICTIONLESS EXPERIENCE. B. THE VOICE OF THE CUSTOMER MODEL WAS HEAVILY UTILIZED TO UNDERSTAND MORE FROM SENTARA AND OPTIMA CUSTOMERS. THE MODEL IS AN OPERATIONAL DESIGN THAT ENABLES SENTARA TO INTEGRATE THE VOICE OF THE CUSTOMER INTO ALL FACETS OF BUSINESS DECISION-MAKING AND PRODUCT DEVELOPMENT BOTH IN THE BRICK-AND-MORTAR WORLD AND IN THE WORLD OF VIRTUAL CARE. VI. BY THE NUMBERS: A. 734,339 EMERGENCY ROOM VISITS; 15,994 BABIES DELIVERED, 17 HEART TRANSPLANTS, 70 KIDNEY TRANSPLANTS, 1 PANCREAS TRANSPLANT, 260 CLINICAL TRIALS, 60 PUBLICATIONS IN MEDICAL JOURNALS, 778 LIFE-SAVING TRIPS FROM THE NIGHTINGALE AIR AMBULANCE, AND 4,182,096 POUNDS OF PAPER RECYCLED. VII. EXPANDING EDUCATIONAL AND RESEARCH OPPORTUNITIES A. EDUCATION: SENTARA IS COMMITTED TO ALWAYS IMPROVING--INCLUDING ENCOURAGING REGISTERED NURSES (RNS) TO CONTINUE PURSUING EDUCATIONAL OPPORTUNITIES. CONTINUOUS LEARNING WILL ADVANCE THE CARE SENTARA NURSES DELIVER TO OUR PATIENTS AND ALLOW THEM TO ADVANCE IN THEIR CAREERS. IN 2021, SENTARA REACHED 83.2% OF SENTARA NURSES HAVING EARNED OR ARE UNDER CONTRACT TO EARN A BSN. SENTARA HAD 69.2% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 14.0% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. B. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. IN 2021, SENTARA PARTICIPATED IN 260 CLINICAL TRIALS, INCLUDING 5 RELATED TO COVID-19. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA HEALTHCARE AND IN OUR COMMUNITIES. THE SENTARA HEALTH RESEARCH CENTER STRIVES TO IMPROVE TREATMENT OPTIONS, MEDICAL TECHNOLOGY, AND HEALTH EQUITIES WITH OUR DEDICATED TEAM OF EXPERTS AND STATE-OF-THE-ART TECHNOLOGY. OUR RESEARCH TAKES PLACE INSIDE AND OUTSIDE OF THE HOSPITAL. WE ALSO CONDUCT RESEARCH IN OUR COMMUNITY AND PARTNER WITH MANY COMMUNITY PRACTICES. OUR RESEARCH HELPS TO ADVANCE SCIENTIFIC UNDERSTANDING OF DISEASES AND ADVANCE KNOWLEDGE THAT LEADS TO BETTER AND MORE EFFECTIVE TREATMENTS THAT IMPROVE THE HEALTH IN OUR COMMUNITIES. OUR AREAS OF RESEARCH INCLUDE: CANCER CARDIOVASCULAR HEALTHCARE DELIVERY AND HEALTH EQUITY INTERNAL MEDICINE NEUROSCIENCES ORTHOPEDICS PULMONARY/CRITICAL CARE WITH HEALTH CARE FACILITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA, SENTARA TREATS A DIVERSE POPULATION OF PATIENTS. BECAUSE OF OUR WEALTH OF EXPERTISE, CUTTING-EDGE TECHNOLOGY AND CENTRALIZED AND COHESIVE RESEARCH DEPARTMENT, SENTARA CONTINUES TO BE A PREMIER HEALTH RESEARCH PARTNER. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. AWARD-WINNING CARE-- AS ALWAYS, SENTARA IS PROUD AND HUMBLED BY THE VARIOUS AWARDS AND RECOGNITIONS THE SYSTEM RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY. TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION DRIVEN WORK. HERE ARE A FEW OF THE 2021 AWARDS AND RECOGNITIONS: 1. SENTARA HEALTHCARE WAS NAMED ONE OF THE TOP 15 HEALTH SYSTEMS IN THE NATION FOR 2021 BY IBM WATSON HEALTH. THIS IS THE SECOND TIME SENTARA RECEIVED THIS PRESTIGIOUS HONOR, WHICH HIGHLIGHTS TOP-PERFORMING U.S. HEALTH SYSTEMS WITH EXCELLENT CLINICAL OUTCOMES, OPERATIONAL EFFICIENCY, AND PATIENT EXPERIENCE. SENTARA HEALTHCARE IS THE ONLY HEALTH SYSTEM IN THE MID-ATLANTIC AND SOUTHEAST REGIONS TO BE RECOGNIZED WITH THIS HONOR. 2. SENTARA NORFOLK GENERAL HOSPITAL EARNED A TOP 50 NATIONAL RANKING FROM U.S. NEWS & WORLD REPORT: UROLOGY. THIS EXTRAORDINARY RANKING, 40TH IN THE NATION, IS DUE TO THE GREAT PARTNERSHIP AND COLLABORATION WITH UROLOGY OF VIRGINIA AND EASTERN VIRGINIA MEDICAL SCHOOL (EVMS). UROLOGY SERVICES INCLUDE EXPERT TREATMENT METHODS FOR KIDNEY STONES TO COMPLEX BLADDER SURGERY, ROBOTIC SURGERY FOR PROSTATE, KIDNEY AND BLADDER CANCERS, GREEN LIGHT THERAPY FOR ENLARGED PROSTATE, AND THE SENTARA-EVMS COMPREHENSIVE PELVIC FLOOR CENTER. 3. ALL 12 SENTARA HOSPITALS EARNED A "LEADER IN LGBTQ HEALTHCARE EQUALITY" IN THE 2020 - 2021 TIMEFRAME FOR THE HEALTHCARE EQUALITY INDEX (HEI), A NATIONAL LGBTQ BENCHMARKING TOOL FROM THE HUMAN RIGHTS CAMPAIGN. 4. SENTARA WAS ACKNOWLEDGED AS ONE OF THE LEADING COMPANIES IN THE "GENEROUS VIRGINIANS" REPORT PUBLISHED IN VIRGINIA BUSINESS IN MAY 2021. SENTARA PROVIDED THE LARGEST DONATION BY A COMPANY OR CORPORATE FOUNDATION THROUGH ITS DONATION OF $23.5 MILLION TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) IN 2020. AND, IN THE CATEGORY OF TOTAL CORPORATE DONATIONS TO VIRGINIA NONPROFITS IN 2020, SENTARA WAS TOP OF THE LIST WITH DONATIONS TOTALING $35.3 MILLION. IX. HEALTH PLANS A. GROWTH OPTIMA HEALTH CONTINUES TO SEE GROWTH IN THE COMMERCIAL EMPLOYER MARKET. OPTIMA HEALTH ALONG WITH VIRGINIA PREMIER SERVES OVER 951,000 MEMBERS IN VIRGINIA, NORTH CAROLINA, AND OHIO. OPTIMA MEDICARE STAR RATING INCREASED TO 4.0 FROM 3.5 AND OPTIMA CONTINUES TO PRESS FORWARD ON ITS QUALITY, AFFORDABILITY, ACCESSIBILITY, HEALTH AND WELLNESS, VIRTUAL CARE, AND CUSTOMER EXPERIENCE. |
| FORM 990, PART III, LINE 4A | X. COVID-19 A. THE SECOND YEAR OF THE PANDEMIC PRESENTED MANY CHALLENGES, YET MUCH HOPE GIVEN THE INTRODUCTION OF THE COVID-19 VACCINES. SENTARA LEADERS AND TEAM MEMBERS CONTINUED TO RISE TO NEW HEIGHTS WITH THEIR HARD WORK AND PERSEVERANCE IN TAKING CARE OF EACH OTHER AS WELL AS OUR MEMBERS AND PATIENTS. HERE ARE A FEW HIGHLIGHTS: 1. BY THE NUMBERS: - SENTARA WAS THE FIRST IN THE COMMONWEALTH OF VIRGINIA TO HOST A VACCINE CLINIC AND IN FULL, PARTNERED WITH COMMUNITY AND FAITH-BASED ORGANIZATIONS TO HOLD OVER 550 COVID-19 VACCINE CLINICS. SENTARA ADMINISTERED NEARLY 200,000 VACCINES. TEAM MEMBERS AND VOLUNTEERS REGISTERED MORE THAN 30,000 HOURS AT COVID-19 VACCINE CLINICS. SENTARA PARTICIPATED IN 5 COVID-19 CLINICAL TRIALS WITH MORE THAN 1,000 PATIENTS ENROLLED. - COVID-19 SINCE THE BEGINNING OF THE PANDEMIC, 19,080 COVID-19 PATIENTS WERE ADMITTED TO SENTARA HOSPITALS, 13,255 WERE IN 2021. SINCE THE BEGINNING OF THE PANDEMIC, SENTARA HAD 155,798 COVID-19 PATIENT DAYS, 98,806 DAYS WERE IN 2021; 33,736 TOTAL INTENSIVE CARE UNIT DAYS FOR COVID -19 PATIENTS; AND 27,235 TOTAL VENTILATOR DAYS FOR COVID-19 PATIENTS. 2. SAFETY FOR OUR PATIENTS AND VISITORS: SENTARA CONTINUED ITS DILIGENCE FOR CLEANING/SANITIZING PATIENT CARE AREAS, MANDATORY MASKING, AND SOCIAL DISTANCING. 3. VACCINE EDUCATION: SENTARA LAUNCHED SEVERAL MARKETING CAMPAIGNS TO EDUCATE ALL IN THE COMMUNITY THE NEED TO GET VACCINATED AND BOOSTED. 4. PROTECTING OUR TEAM MEMBERS: SENTARA CONTINUED ITS RIGOROUS SCREENING PROCEDURES AT ALL OUR FACILITIES AND WORK LOCATIONS. WE ALSO EMBARKED ON A "BE KIND" CAMPAIGN TO ENCOURAGE THE PUBLIC, PATIENTS, AND VISITORS TO TREAT OUR EMPLOYEES WITH KINDNESS, EMPATHY, AND COMPASSION. 5. SUPPORTING OUR TEAM MEMBERS: SENTARA CONTINUED WITH THE PROGRAM, "YOU MATTER" TO HELP TEAM MEMBERS WITH THEIR SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH NEEDS DURING THIS DIFFICULT PANDEMIC PERIOD. "YOU MATTER" HAS AN ABUNDANCE OF RESOURCES FOR STRESS MANAGEMENT, MINDFULNESS, RESILIENCE, MENTAL WELLNESS, AND CARE GIVER STRESS. SENTARA STRESSED THE NEED FOR TEAM MEMBERS TO TAKE CARE OF THEMSELVES AND EACH OTHER. WE ALSO LAUNCHED A PUBLIC "THANK YOU" ADVERTISING CAMPAIGN TO SHOW OUR APPRECIATION FOR OUR EMPLOYEES' RESILIENCE, DEDICATION, AND HARD WORK. 6. SENTARA COVID-19 STEERING COMMITTEE: SENTARA CONTINUED TO DILIGENTLY MONITOR THE PANDEMIC CRISIS WITH THE ONGOING WORK OF THE COVID-19 STEERING COMMITTEE. LEADERS MET FREQUENTLY AND THIS ALLOWED SENTARA TO SUCCESSFULLY RESPOND, PIVOT, PLAN, AND COORDINATE ACTIONS IN RESPONSE TO THE UNPRECEDENTED PANDEMIC ESPECIALLY DURING THE ADMINISTRATION OF VACCINES, STANDING UP VACCINE CLINICS AND WORKING IN THE COMMUNITY REACHING UNDERSERVED POPULATIONS. SENTARA LEADERS FREQUENTLY WERE IN COMMUNICATION WITH FEDERAL, STATE, REGIONAL AND LOCAL ELECTED OFFICIALS, AND OTHER KEY STAKEHOLDERS TO COLLECTIVELY LEARN AND ADVISE OTHERS OF NEEDS AND ISSUES. CONCLUSION: SENTARA HEALTHCARE IS COMMITTED TO OUR MISSION WE IMPROVE HEALTH EVERY DAY. WE PROVIDE QUALITY CARE THROUGH EXPERT PROVIDERS, USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE ALL WITH A CONSTANT FOCUS ON INNOVATION. AND WE ARE COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT PROGRAM, SERVING DIVERSITY AND EXPLORING HEALTH EQUITIES, VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND SUPPORTING INITIATIVES THAT LIFT OUR COMMUNITIES. WE LOOK FORWARD TO ANOTHER YEAR OF COMMUNITY SUCCESS, GROWTH, AND INNOVATION IN 2022. |
| FORM 990, PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096: | SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID H. WHITE, JR. AND LARRY P. SNEED HAVE A BUSINESS RELATIONSHIP. DRS. HABIB BASSIL AND SAID B. ISKANDAR HAVE A BUSINESS RELATIONSHIP. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | A BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, AND A CLASS OF DIRECTORS NOMINATED BY HALIFAX REGIONAL HOSPITAL, INC.'S NOMINATING COMMITTEE, AND RATIFIED BY THE BOARD OF DIRECTORS OF SENTARA HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS SOLE MEMBER, SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEATLH SYSTEM: APPROVAL OR ADOPTION OF ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITON REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS; THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF STRATEGIC OR LONG-RANGE BUSINESS PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT, CHIEF OPERATING OFFICER OR CHIEF FINANCIAL OFFICER; TRANSACTIONS WITH INTERESTED PARTIES; INDEBTEDNESS NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER; THE COMMENCEMENT OR SETTLEMENT OF CERTAIN LITIGATION; AND ENTERING INTO, TERMINATING OR CHANGING ANY THIRD-PARTY PAYOR CONTRACT. SENTARA HEALTHCARE, AS SOLE MEMBER, HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION, AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION WAS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. THE PARENT OF THE SYSTEM IS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. ADDITIONALLY, EACH ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE BODY MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS' REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON EACH SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 26 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 37 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS THAT ARE COMPARABLE IN SIZE TO SENTARA'S HEALTH PLAN, BASED ON NET REVENUE GROWTH, OPERATING MARGIN, VARIOUS CLINICAL QUALITY METRICS AND PATIENT SATISFACTION. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE SYSTEM'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A) ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S VICE CHAIRMAN, WHO ALSO SERVED AS CORPORATE VICE PRESIDENT OF THE SYSTEM. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, WHO IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION. RESULTS WERE PRESENTED TO THE PRESIDENT AND CEO OF THE SYSTEM FOR REVIEW AND APPROVAL RATHER THAN THE SYSTEM'S COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VI, LINE 1B, BOARD MEMBER INDEPENDENCE: | SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, APPOINTS THE ORGANIZATION'S DIRECTORS AS DESCRIBED IN CORE PART VI LINE 7. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 17 VOTING MEMBERS, 16 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. |
| FORM 990, PART IX, LINE 11G | OTHER NON-EMPLOYEE PROFESSIONALS: PROGRAM SERVICE EXPENSES -289,821. MANAGEMENT AND GENERAL EXPENSES -55,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -344,943. NON-EMPLOYEE HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 14,464,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,464,311. |
| FORM 990, PART XI, LINE 9: | BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY 4,434,679. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL PROFESSIONAL SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6015 POPLAR HALL DRIVE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208386107 | EIN |
| Primary Activities | PHYSN SUBSIDY | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $2,778,980 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SENTARA HEALTHCARE | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 521271901 | HEALTHCARE | VA | 501(C)(3) | LINE 7 | N/A | 0 | |
| CLARKSVILLE SENIOR CARE LLC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541957066 | SENIOR CARE | VA | 501(C)(3) | LINE 12A, I | Yes (1) | HALIFAX REGIONAL HOSPITAL | |
| HALIFAX REGIONAL DEV FOUNDATION INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541801459 | HLTH/WELFARE | VA | 501(C)(3) | LINE 7 | Yes (1) | HALIFAX REGIONAL HOSPITAL | |
| HALIFAX REGIONAL LONG TERM CARE INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 546074529 | SENIOR CARE | VA | 501(C)(3) | LINE 12A, I | Yes (1) | HALIFAX REGIONAL HOSPITAL | |
| SENTARA HALIFAX REGIONAL PROPERTIES INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541801463 | HLTH/WELFARE | VA | 501(C)(3) | LINE 12A, I | Yes (1) | HALIFAX REGIONAL HOSPITAL | |
| SENTARA PRINCESS ANNE HOSPITAL | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 273208969 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | Yes (1) | SENTARA HOSPITALS | |
| SENTARA HOSPITALS | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541547408 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | Yes (1) | SENTARA HEALTHCARE | |
| SENTARA MEDICAL GROUP | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541217184 | HEALTHCARE | VA | 501(C)(3) | LINE 10 | Yes (1) | SENTARA HEALTHCARE | |
| SENTARA ENTERPRISES | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541917649 | HEALTHCARE | VA | 501(C)(3) | LINE 10 | Yes (1) | SENTARA HEALTHCARE | |
| SENTARA LIFE CARE CORP | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541217183 | HEALTHCARE | VA | 501(C)(3) | LINE 10 | Yes (1) | SENTARA HEALTHCARE | |
| MPB INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541346393 | TITLE HOLDING COMPANY | VA | 501(C)(2) | Yes (1) | SENTARA ENTERPRISES | ||
| OPTIMA HEALTH PLAN | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541283337 | HMO | VA | 501(C)(3) | LINE 12A, I | Yes (1) | SENTARA HEALTHCARE | |
| POTOMAC HOSPITAL CORP OF PRINCE WILLIAM | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 540853898 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | Yes (1) | SENTARA HEALTHCARE | |
| SENTARA RMH MEDICAL CENTER | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 540506331 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | Yes (1) | SENTARA HOSPITALS | |
| VALLEY WELLNESS CENTER | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 521309257 | PREVENTATIVE HEALTH/REHAB | VA | 501(C)(3) | LINE 10 | Yes (1) | SENTARA RMH MEDICAL CENTER | |
| MJH FOUNDATION | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541401357 | INVEST/MGT SVCS FOR SUPPORTED ORG | VA | 501(C)(3) | LINE 12A, I | Yes (1) | MARTHA JEFFERSON HOSPITAL | |
| MARTHA JEFFERSON HOSPITAL FOUNDATION | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 300041113 | FUNDRAISING FOR SUPPORTED ORG | VA | 501(C)(3) | LINE 12A, I | Yes (1) | MARTHA JEFFERSON HOSPITAL | |
| MARTHA JEFFERSON HOSPITAL | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 540261840 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | Yes (1) | SENTARA HOSPITALS | |
| OPTIMA FAMILY CARE OF NC INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 823610648 | MEDICAID HMO | NC | 501(C)(3) | LINE 10 | Yes (1) | OPTIMA HEALTH OF NORTH CAROLINA LLC | |
| OPTIMA HEALTH OF NORTH CAROLINA LLC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 823623430 | SUPPORTS MCAID HMO | NC | 501(C)(3) | LINE 12A, I | Yes (1) | SENTARA HEALTHCARE | |
| SENTARA MEDICARE ADVANTAGE OF NORTH CAROLINA INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 842066617 | MEDICAID HMO | NC | 501(C)(4) | LINE 12A, I | Yes (1) | SENTARA HEALTHCARE | |
| VIRGINIA PREMIER HEALTH PLAN INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541760974 | MEDICAID HMO | VA | 501(C)(3) | LINE 10 | Yes (1) | SENTARA HEALTHCARE | |
| SENTARA COMMERCIAL HEALTH PLANS OF NORTH CAROLINA INC | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 851043564 | SOCIAL WELFARE | NC | 501(C)(4) | Yes (1) | SENTARA HEALTHCARE | ||
| SENTARA COMMUNITY HEALTH AND WELLNESS INITIATIVE | |||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 863471400 | SOCIAL WELFARE | VA | 501(C)(4) | Yes (1) | SENTARA HEALTHCARE | ||
| SENTARA EMPLOYEES PAC OF VIRGINIA | |||||||||||
| 925 DOWNSHIRE CHASE | VIRGINIA BEACH | VA | 23452 | 863515192 | POLITICAL | VA | 527 | 0 | SENTARA COMMUNITY HEALTH AND WELLNESS INITIATIVE | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| MANAGEMENT SERVICES LLC | |||||||||
| 814 GREENBRIER CIRCLE STE H | CHESAPEAKE | VA | 23320 | 541365012 | HLTH MGT SV | VA | N/A | 0 | 0 |
| OBICI REAL ESTATE HOLDINGS LLC | |||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 261749881 | RE RENTAL | VA | N/A | 0 | 0 |
| PRINCESS ANNE AMB SURG MGT LLC | |||||||||
| 1975 GLENN MITCHELL STE 300 | VA BEACH | VA | 23456 | 204920880 | HEALTH CARE | VA | N/A | 0 | 0 |
| VA BEACH AMBULATORY SURGERY CENTER | |||||||||
| 1700 WILL O WISP DRIVE | VA BEACH | VA | 23454 | 541448218 | HEALTH CARE | VA | N/A | 0 | 0 |
| CANCER CENTERS OF VA LLC | |||||||||
| 5900 LAKE WRIGHT DRIVE | NORFOLK | VA | 23502 | 201338518 | HEALTH CARE | VA | N/A | 0 | 0 |
| HAMPTON ROADS LITHOTRIPSY LLC | |||||||||
| 225 CLEARFIELD AVE | VIRGINIA BEACH | VA | 23462 | 200942600 | HEALTH CARE | VA | N/A | 0 | 0 |
| RADIOLOGY SERVICES OF HAMPTON ROADS LC | |||||||||
| 814 GREENBRIER CIRCLE STE H | CHESAPEAKE | VA | 23320 | 541774472 | HEALTH CARE | VA | N/A | 0 | 0 |
| SENTARA OBICI AMBULATORY SURGERY LLC | |||||||||
| 2750 GODWIN BLVD | SUFFOLK | VA | 23434 | 260144898 | HEALTH CARE | VA | N/A | 0 | 0 |
| POTOMAC INOVA HEALTHCARE ALLIANCE LLC | |||||||||
| 8110 GATEHOUSE RD STE 400W | FALLS CHURCH | VA | 22042 | 541802733 | HEALTH CARE | VA | N/A | 0 | 0 |
| CAREPLEX ORTHOPAEDIC ASC LLC | |||||||||
| 3000 COLISEUM DRIVE | HAMPTON | VA | 23666 | 271867311 | HEALTH CARE | VA | N/A | 0 | 0 |
| PHYSICAL THERAPY ACACLLC | |||||||||
| 501 ALBEMARLE SQUARE | CHARLOTTESVILLE | VA | 22901 | 260080717 | HEALTH CARE | VA | N/A | 0 | 0 |
| MNS SUPPLY CHAIN NETWORK LLC | |||||||||
| 11525 N COMMUNITY HOUSE RD STE 450 | CHARLOTTE | NC | 28277 | 454235238 | GPO | DE | N/A | 0 | 0 |
| LAKE RIDGE AMBULATORY SURGERY CENTER LLC | |||||||||
| 12825 MINNIEVILLE RD STE 204 | WOODBRIDGE | VA | 22192 | 455347932 | HEALTH CARE | VA | N/A | 0 | 0 |
| CAHABA PARTNERS CORE FIXED INCOME FUND | |||||||||
| C/O GTC 12 GILL ST SUITE 2600 | WOBURN | MA | 01801 | 474618533 | POOLED INV FD | DE | N/A | Yes (1) | 0 |
| HIGHLAND EQUITY FUND | |||||||||
| C/O GTC 12 GILL ST SUITE 2600 | WOBURN | MA | 01801 | 474606269 | POOLED INV FD | DE | N/A | Yes (1) | 0 |
| CAHABA PARTNERS PUBLIC INFLATION HEDGES FD | |||||||||
| C/O GTC 12 GILL ST SUITE 2600 | WOBURN | MA | 01801 | 474601867 | POOLED INV FD | DE | N/A | Yes (1) | 0 |
| LEIGH ORTHOPEDIC SURGERY CENTER LLC | |||||||||
| 830 KEMPSVILLE ROAD | NORFOLK | VA | 23502 | 832402528 | HEALTH CARE | VA | N/A | 0 | 0 |
| SURGICAL SUITES OF COASTAL VIRGINIA LLC | |||||||||
| 400 SENTARA CIRCLE | WILLIAMSBURG | VA | 23188 | 833205375 | HEALTH CARE | VA | N/A | 0 | 0 |
| PORT WARWICK SURGERY CENTER LLC | |||||||||
| 1031 LOFTIS BOULEVARD | NEWPORT NEWS | VA | 23606 | 832749039 | HEALTH CARE | VA | N/A | 0 | 0 |
| CAHABA PARTNERS EQUITY PLUS FUND | |||||||||
| C/O GTC 12 GILL ST SUITE 2600 | WOBURN | MA | 01801 | 611865746 | POOLED INV FD | DE | N/A | Yes (1) | 0 |
| CAHABA PARTNERS TACTICAL EQUITY FUND | |||||||||
| C/O GTC 12 GILL ST SUITE 2600 | WOBURN | MA | 01801 | 371939267 | POOLED INV FD | DE | N/A | Yes (1) | 0 |
| HA INTL EQUITY CEF FD CL-A | |||||||||
| C/O BNY MELLON TRUST 4005 KENNET PI | GREENVILLE | DE | 19807 | 845176311 | POOLED INV FD | DE | N/A | Yes (1) | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SENTARA HOLDINGS INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541555638 | HOLDING COMPANY | VA | N/A | C | Yes (1) | |||||||||
| SENTARA HEALTH PLANS INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 522368125 | TPA | VA | N/A | C | Yes (1) | |||||||||
| OPTIMA HEALTH GROUP | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541473382 | HMO | VA | N/A | C | Yes (1) | |||||||||
| OPTIMA HEALTH INSURANCE COMPANY | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541642752 | HEALTH INSURANCE | VA | N/A | C | Yes (1) | |||||||||
| OPTIMA BEHAVIORAL HEALTH SERVICES | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 621382666 | MENTAL HEALTH SVCS | VA | N/A | C | Yes (1) | |||||||||
| SENTARA VENTURES INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541688615 | HOLDING COMPANY | VA | N/A | C | Yes (1) | |||||||||
| SENTARA HEALTH INSURANCE CO OF NC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 471888140 | HEALTH INSURANCE | NC | N/A | C | Yes (1) | |||||||||
| SENTARA HEALTH PLANS OF NC INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 465510421 | TPA | NC | N/A | C | Yes (1) | |||||||||
| MANAGED CARE SERVICES INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 815421060 | ALT HEALTH DELIVERY | VA | N/A | C | Yes (1) | |||||||||
| SENTARA SOUTHSIDE HEALTH SERVICES INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541417772 | HEALTH SERVICES | VA | C | Yes (1) | HALIFAX REGIONAL HOSPITAL INC | $3,922 | $2,340,317 | 1.00000 | ||||||
| DOMINION HEALTH MEDICAL ASSOCIATES LTD | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541060357 | PHYS PRACTICE | VA | C | Yes (1) | HALIFAX REGIONAL PROFESSIONAL SERVICES LLC | $8,938,617 | $10,197,811 | 1.00000 | ||||||
| SMG INNOVATIONS INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 203730331 | HEALTH CARE | VA | N/A | C | Yes (1) | |||||||||
| POTOMAC VENTURES CORP | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541441420 | HOLDING COMPANY | VA | N/A | C | Yes (1) | |||||||||
| ROCKINGHAM HEALTH SERVICES INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 541721387 | CONTRACTING SVCS | VA | N/A | C | Yes (1) | |||||||||
| MARTHA JEFFERSON MEDICAL ENTERPRISES INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 22911 | 541841528 | MEDICAL BILLING SVCS | VA | N/A | C | Yes (1) | |||||||||
| BAY PRIMEX INSURANCE COMPANY LTD | ||||||||||||||||||
| 980704114 | OTHER INSURANCE FUNDS | N/A | C | Yes (1) | PO BOX 1051 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||||||
| ALBEMARLE PHYSICIAN SERVICES-SENTARA INC | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 264592192 | PHYS PRACTICE | NC | N/A | C | Yes (1) | |||||||||
| THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION | ||||||||||||||||||
| 6015 POPLAR HALL DRIVE | NORFOLK | VA | 23502 | 562295574 | BUILDING ASSOCIATION | VA | N/A | C | Yes (1) | |||||||||
| MEDSTREAMING EGYPT SOFTWARE | ||||||||||||||||||
| CONSULTING | N/A | C | Yes (1) | 5A-ELNASRROADDELTA BUILDING8T | CAIRO | EG | EG | |||||||||||
| CAHABA PARTNERS TOTAL RETURN FUND LTD | ||||||||||||||||||
| POOLED INV FD | N/A | C | 0 | 27 HOSPITAL ROAD | GEORGE TOWN | CJ | KY1-9008 | CJ | ||||||||||
| FIVOS INC | ||||||||||||||||||
| 8 COMMERCE AVE | WEST LEBANON | NH | 03784 | 451573625 | HEALTHCARE IT | DE | N/A | C | Yes (1) | |||||||||
| PINEBRIDGE SSL SUB-TRUST 2 | ||||||||||||||||||
| 986079263 | POOLED INV FD | N/A | T | 0 | 190 ELGIN AVENUE | GEORGE TOWN | CJ | KY1-9005 | CJ | |||||||||
| MEDICAL METRX HOLDING INC | ||||||||||||||||||
| 8 COMMERCE AVE | WEST LEBANON | NH | 03784 | 204195631 | HOLDING COMPANY | DE | N/A | C | Yes (1) | |||||||||
| M2M INC | ||||||||||||||||||
| 8 COMMERCE AVE | WEST LEBANON | NH | 03784 | 133978513 | DATA COLLECTION/AGGREGATION | DE | N/A | C | Yes (1) | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (16 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CLARKSVILLE SENIOR CARE LLC | ||
| C | $121,141 | CORP BOOKS/REC |
| DOMINION HEALTH MEDICAL ASSOCIATES LTD | ||
| H | $433,350 | CORP BOOKS/REC |
| DOMINION HEALTH MEDICAL ASSOCIATES LTD | ||
| L | $722,330 | CORP BOOKS/REC |
| DOMINION HEALTH MEDICAL ASSOCIATES LTD | ||
| M | $5,738,528 | CORP BOOKS/REC |
| HALIFAX REGIONAL LONG TERM CARE INC | ||
| C | $168,486 | CORP BOOKS/REC |
| MPB INC | ||
| S | $1,196,812 | CORP BOOKS/REC |
| OPTIMA HEALTH INSURANCE COMPANY | ||
| L | $116,126 | CORP BOOKS/REC |
| OPTIMA HEALTH PLAN | ||
| L | $2,682,242 | CORP BOOKS/REC |
| SENTARA HALIFAX REGIONAL PROPERTIES INC | ||
| K | $1,196,812 | CORP BOOKS/REC |
| SENTARA HEALTH PLANS INC | ||
| L | $4,203,026 | CORP BOOKS/REC |
| SENTARA HOSPITALS | ||
| M | $9,685,490 | CORP BOOKS/REC |
| SENTARA HOSPITALS | ||
| R | $79,719,929 | CORP BOOKS/REC |
| SENTARA HOSPITALS | ||
| S | $168,291 | CORP BOOKS/REC |
| SENTARA MEDICAL GROUP | ||
| S | $5,772,552 | CORP BOOKS/REC |
| VIRGINIA PREMIER HEALTH PLAN | ||
| L | $2,310,754 | CORP BOOKS/REC |
| SENTARA RMH MEDICAL CENTER | ||
| R | $108,759 | CORP BOOKS/REC |