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        <BeginningYearBalanceAmt>899933</BeginningYearBalanceAmt>
        <ContributionsAmt>60574</ContributionsAmt>
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        <GrantsOrScholarshipsAmt>10735</GrantsOrScholarshipsAmt>
        <AdministrativeExpensesAmt>63352</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>812035</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <GrantsOrScholarshipsAmt>17540</GrantsOrScholarshipsAmt>
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        <EndYearBalanceAmt>899933</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>62476</InvestmentEarningsOrLossesAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HALIFAX REGIONAL COMMUNITY PARTNERSHIP IS A CHARITABLE PROGRAM ESTABLISHED TO PROMOTE ALL AREAS OF HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE, INCLUDING PHYSICAL, MENTAL, VOCATIONAL, EMOTIONAL, INTELLECTUAL AND SPIRITUAL WELL-BEING. THE CHARITABLE GIVING COMMITTEE CONSISTS OF NO LESS THAN THREE AND NO MORE THAN FIVE MEMBERS, WITH ONE MEMBER SERVING AS CHAIR AND ONE MEMBER SERVING AS THE COORDINATOR. CONTRIBUTIONS CAN ONLY BE GIVEN TO ORGANIZATIONS THAT: (1) TIE DIRECTLY WITH PROMOTING A HEALTHY LIFESTYLE AND AWARENESS OF HEALTH ISSUES, (2) PROMOTE KEY COMMUNITY GOALS AND FILL IMPORTANT UNMET NEEDS AS IDENTIFIED BY ELECTED OFFICIALS AND LEADERS IN THE COMMUNITY, (3) SUPPORT THE HALIFAX REGIONAL HOSPITAL INC. ("HRH") PHILOSOPHY OF BEING AN EXCELLENT CORPORATE CITIZEN, (4) THAT ARE NON-PROFIT ENTITIES, AND (5) THAT INCLUDE HRH SYSTEM EMPLOYEES, ESPECIALLY WHEN THESE EMPLOYEES SERVE IN LEADERSHIP ROLES. ALL REQUESTS MUST BE IN WRITING AS NO VERBAL REQUESTS WILL BE REVIEWED OR FUNDED. THE REQUEST MUST STATE THE INTENDED USE OF THE FUNDS. THE PROCESS FOR REVIEWING REQUESTS IS AS FOLLOWS: (1) ALL REQUESTS FOR CONTRIBUTIONS SHOULD BE DIRECTED TO THE COORDINATOR. (2) THE COORDINATOR WILL CONSOLIDATE THE REQUESTS AND BE READY TO PROVIDE A SUMMARY FOR THE COMMITTEE DURING MEETINGS. (3) THE CHAIR WILL PRESENT RECOMMENDATIONS FOR GIVING. (4) THE COMMITTEE WILL REVIEW THE REQUESTS AND DECIDE ON THE AMOUNT OF FUNDING. (5) THE COORDINATOR WILL ISSUE THE CHECK REQUEST TO THE ACCOUNTING DEPARTMENT AND PROVIDE AN APPROVAL LETTER WITH THE CHECK WHEN IT IS MAILED OUT. THE PROJECT PRIME SCHOLARSHIP FUND IS ADMINISTERED BY HALIFAX REGIONAL HOSPITAL TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO WISH TO PURSUE A CAREER IN HEALTHCARE OR A HEALTHCARE-RELATED FIELD. THE APPLICANTS MUST SUBMIT GRADES AND RECEIPTS UPON COMPLETION OF EACH SEMESTER TO VERIFY THAT THE GRANTS WERE USED AS INTENDED. THE RECIPIENT IS REQUIRED TO REPAY ANY FUNDS NOT USED OR IF THE RECIPIENT CANNOT PROVIDE RECEIPTS AND GRADES AT AN ACCEPTABLE LEVEL. THE JESSE J. BATES SCHOLARSHIP PROGRAM PROVIDES SCHOLARSHIPS TO GRADUATING HIGH SCHOOL SENIORS TO SEEK EDUCATION TO FILL CRITICAL HEALTHCARE VACANCIES. RECIPIENTS ARE REQUIRED TO PROVIDE DOCUMENTATION OF ACCEPTANCE INTO A PROGRAM AT THE TIME OF APPLICATION. THE FUNDS ARE MADE PAYABLE TO THE EDUCATIONAL INSTITUTIONS. THE MEDICATION ASSISTANCE PROGRAM (MEDASSIST) PROVIDES ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS TO OBTAIN PRESCRIPTION MEDICATIONS AT REDUCED OR NO COST. THE PROGRAM IS ADMINISTERED THROUGH DOMINION HEALTH GROUP AND DOMINION HEALTH MEDICAL ASSOCIATES. APPLICANTS ARE REQUIRED TO SUBMIT FINANCIAL INFORMATION TO SUPPORT THE NEED FOR ASSISTANCE ON A PERIODIC BASIS. FUNDS ARE USED TO COVER THE EXPENSES OF THE PROGRAM. THE HOSPICE FUND WAS ESTABLISHED TO PROVIDE ASSISTANCE TO TERMINALLY ILL PATIENTS WHO ARE UNABLE TO AFFORD GOODS AND SERVICES NECESSARY FOR THE PROVISION OF END-OF-LIFE MEDICAL SERVICES. THE PROGRAM IS ADMINISTERED BY HALIFAX HOME HEALTH AND HOSPICE.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>10000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HOSPICE PATIENTS</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>735</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REQUESTS MUST BE IN WRITING AS NO VERBAL REQUESTS WILL BE REVIEWED OR FUNDED. THE REQUEST MUST STATE THE INTENDED USE OF THE FUNDS. THE REQUESTS ARE REVIEWED BY THE RESPECTIVE COMMITTEES. ANY UNRELATED ORGANIZATION RECEIVING MORE THAN $5,000 IS REQUIRED TO PROVIDE A FORM W-9 AND AN INTERNAL REVENUE SERVICE DETERMINATION LETTER.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL V GENTRY</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1135214</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>943662</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1400508</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>-71826</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31611</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>3439169</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>904144</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT A BROERMANN</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1136501</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2315161</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>PAUL A GADEN</PersonNm>
        <TitleTxt>DIRECTOR/VICE CHAIR</TitleTxt>
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        <BonusRelatedOrganizationsAmt>362393</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEGAN R PERRY</PersonNm>
        <TitleTxt>DIRECTOR/TREASURER</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>-388488</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>1080111</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>BRIAN K ZWOYER</PersonNm>
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        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>84767</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>114781</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>36531</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>495285</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SENTARA HEALTH, 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 HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ROBERT BROERMANN, MICHAEL GENTRY, MEGAN PERRY, 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 HEALTH'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 2022, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($202,592); MICHAEL GENTRY ($172,528); AND MEGAN PERRY ($127,468). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 1, ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>HALIFAX REGIONAL DEVELOPMENT FOUNDATION, INC. IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC. THE FUNCTIONS TO BE PERFORMED BY THE CORPORATION ARE TO SOLICIT, RECEIVE, AND ADMINISTER GIFTS, GRANTS, CONTRIBUTIONS AND DONATIONS FOR HALIFAX REGIONAL HOSPITAL, INC. OR PROVIDE SUCH OTHER SERVICES THAT ARE REQUESTED BY HALIFAX REGIONAL HOSPITAL, INC. AND TO CARRY OUT OTHER EXCLUSIVELY CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES OF HALIFAX REGIONAL HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>SENTARA HEALTH I. SENTARA HEALTH YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTH CELEBRATES 134 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 1,000,000 MEMBERS IN VIRGINIA, NORTH CAROLINA, AND FLORIDA. 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 RECOGNIZED AS A "BEST EMPLOYER FOR NEW GRADS", "VETERANS AND "AMERICA'S BEST EMPLOYER" BY FORBES IN 2022. 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. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE (MADE 863 LIFE-SAVING TRIPS IN 2022 ALONE), HOME CARE, 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 DEEP WITHIN THE COMMUNITY. II. COMMITMENT TO THE COMMUNITY SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE 2022 VALUE OF COMMUNITY BENEFIT TOTALED $260.2 MILLION. SENTARA PROVIDED $157 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $48.5 MILLION IN TEACHING &amp; TRAINING OF HEALTHCARE PROFESSIONALS; $48 MILLION IN COMMUNITY GIVING; AND $6.7 MILLION IN HEALTH &amp; PREVENTION PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED $1.9 MILLION THROUGH DIRECT CONTRIBUTION AND EMPLOYEE MATCHING TO UNITED WAYS IN VIRGINIA AND NORTH CAROLINA. A. SENTARA CONTINUES ITS EFFORTS THROUGH THE COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. SENTARA AWARDED 86 GRANTS TOTALING $8,609,557 FOR OUR COMMUNITIES AS WELL AS $1,069,683 IN MICROGRANTS REACHING THE DEEPEST LEVELS IN OUR COMMUNITIES. SENTARA INVESTED $3,850,300 FOR SENTARA SCHOLARS AND SENTARA CHOICE, WHICH ARE PROGRAMS TO SUPPORT STUDENTS WITH A VISION AND PATHWAY FOR SUCCESS THAT INCLUDES SUPPORT AND REMOVES BARRIERS TO HIGHER PAYING, MEANINGFUL HEALTHCARE CAREERS. SENTARA DONATED NEARLY $3.5 MILLION IN MEDICAL SUPPLIES TO SUPPORT CHARITIES ADDRESSING HUMANITARIAN CRISES IN UKRAINE, POLAND, HAITI, AND THE PHILIPPINES. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIROMENTAL 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. B. IN 2022, SENTARA LAUNCHED SENTARA COMMUNITY CARE, A NEW MODEL OF CARE WHICH INCLUDES SENTARA COMMUNITY CARE CENTERS AND SENTARA MOBILE CARE. SENTARA OPENED THE FIRST SENTARA COMMUNITY CARE CENTER AT UNION MISSION (HOMELESS SHELTER) IN NORFOLK, VIRGINIA FOLLOWED BY A CENTER IN THE BERKLEY NEIGHBORHOOD OF NORFOLK. ADDITIONALLY, SENTARA MOBILE CARE LAUNCHED, DELIVERING CARE IN A NUMBER OF COMMUNITIES WHO ARE UNDERSERVED AND LACKING ACCESS TO HEALTHCARE. C. SENTARA CONTINUED THE FOCUS ON THE IMPORTANT WORK OF DIVERSITY IN OUR WORKFORCE, TO DEEPEN OUR UNDERSTANDING OF 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 THE DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS. AND WE CONTINUE TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. 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 HAVE POLICIES AND GUIDELINES TO ENSURE PROTECTION OF LGBTQ PATIENTS' RIGHTS AND IN 2022, IMPLEMENTED SOGI (SEXUAL ORIENTATION, GENDER IDENTITY) QUESTIONS INTO OUR EPIC EMR (ELECTRONIC MEDICAL RCORD) TO FURTHER OUR ABILITY TO CARE FOR PATIENTS AND CREATE TRUSTING RELATIONSHIPS WITH THEM. SENTARA ALSO PARTNERED WITH NUMEROUS COMMUNITY AND FAITH-BASED GROUPS TO PROVIDE EDUCATION AND EARLY DETECTION FOR COLORECTAL AND BREAST CANCERS. ELEVEN SENTARA HOSPITALS WERE NAMED A "TOP PERFORMER" IN THE 2022 LGBTQ HEALTHCARE EQUALITY INDEX (HEI), WHICH IS AWARDED TO THOSE SURVEYED ORGANIZATIONS THAT EARN HIGH SCORES BETWEEN 80 AND 95 IN THE 2022 HEI SURVEY. D. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED $11,458,852 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 2022, EMPLOYEES DONATED $274,078 TO THE HOPE FUND AND WE AWARDED $820,353 TO SENTARA EMPLOYEES IN CRISES ACROSS THE COMPANY. F. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA CONTRIBUTED SIGNIFICANTLY TOWARD THE FUTURE OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) INTEGRATION. AND SEPARATELY, SENTARA DONATED TO OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL IN SUPPORT OF ADDRESSING HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES. G. SENTARA IS DEEPLY COMMITTED TO DEEPENING THE ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND OUR HEALTH PLANS. WE UNDERSTAND THAT IMPROVING OVERALL COMMUNITY HEALTH AT ALL LEVELS IS CRITICAL TO OUR EFFORTS FOR IMPROVING HEALTH ESPECIALLY FOR UNDERSERVED COMMUNITY MEMBERS. THROUGH OUR TRUSTED PARTNERSHIPS WITH ORGANIZATIONS, WE WORKED TO ENSURE GREATER ACCESS TO BEHAVIORAL HEALTH, SECURE, CONSISTENT, AND EQUITABLE ACCESS TO NUTRITIOUS FOOD, SUPPORT TARGETED TRAINING FOR SKILLED CAREERS IN HIGH-DEMAND FIELDS, DEVELOP EMERGENCY AND DIVERSE HOUSING SOLUTIONS AND ELIMINATE BARRIERS TO CARE AND STRENGTHEN THE CULTURAL FABRIC OF OUR COMMUNITIES. H. TO SUPPORT REDUCING HEALTH DISPARITIES WE HAVE ONGOING PARTNERSHIPS WITH THE UNIVERSITIES IN HAMPTON ROADS WHICH ARE OPERATIONALIZING A $3M COMMITMENT MADE IN 2021 TO LEVERAGE OUR INITIAL INVESTMENT TO BUILD COMMUNITY ENGAGEMENT AROUND CRITICAL ISSUES IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SUCH AS MATERNAL HEALTH AND SUBSTANCE USE DISORDER, CHILDREN'S BEHAVIORAL HEALTH, AND WORKING WITH MINORITY COMMUNITIES TO LEARN HOW TO ACCESS CRUCIAL SOCIAL SERVICES AND RESOURCES. I. SENTARA CONTRIBUTED $500,000 TO THE VIRGINIA FEDERATION OF FOOD BANKS TO BREAK DOWN BARRIERS WITH A 3-YEAR PLAN THAT AIMS TO DEEPEN FOOD BANK AND HEALTHCARE PARTNERSHIPS. THIS EFFORT WAS A HEALTH-FOCUSED, NEIGHBOR-CENTERED TRANSFORMATION OF VIRGINIA'S PANTRY NETWORK THAT IS A MOVEMENT GUIDING ALL INTERESTED PANTRIES TO IMPLEMENT MORE HEALTH-FOCUSED AND NEIGHBOR CENTERED PRACTICES. THIS COMMITMENT TO FOOD SECURITY EXTENDS DEEPER INTO OUR COMMUNITIES AS WE PARTNER WITH LOCAL FOOD PANTRIES AND OTHER COMMUNITY-BASED ORGANIZATIONS THAT SERVE MARGINALIZED POPULATIONS THAT WAS SHARED WITH OVER 30 ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>J. SENTARA CONTINUES TO RECOGNIZE THE NEED FOR HOUSING ALONG THE CONTINUUM TO INCLUDE SUPPORTING EMERGENCY, AFFORDABLE AND SUPPORTIVE HOUSING SERVICES IN CONNECTION WITH CITIES, COMMUNITY SERVICE BOARDS AND MENTAL HEALTH PROVIDERS ACROSS VIRGINIA. SENTARA ANNOUNCED AN $11M INVESTMENT IN THE MARSHALL-RIDLEY CHOICE NEIGHBORHOOD REVITALIZATION INITIATIVE IN NEWPORT NEWS, VIRGINIA. THIS PROJECT IS PART OF THE CHOICE NEIGHBORHOOD INITIATIVE, WHICH LEVERAGES PUBLIC AND PRIVATE INVESTMENTS TO REPLACE DISTRESSED PUBLIC HOUSING AND TRANSFORM NEIGHBORHOODS OF CONCENTRATED POVERTY INTO NEIGHBORHOODS OF OPPORTUNITY. IN 2022, SENTARA FUNDED A CAPITAL GRANT TO JUDEO CHRISTIAN OUTREACH CENTER (JCOC) IN SUPPORT OF AN AMBITIOUS CAMPUS REBUILD PROJECT THAT WILL DRAMATICALLY INCREASE OUR ABILITY TO LEAD PEOPLE OUT OF HUNGER AND HOMELESSNESS. THE NEW 20,644 SQ FT. FACILITY IN VIRGINIA BEACH WILL CREATE 38 SINGLE ROOM OCCUPANCY (SRO) AFFORDABLE-HOUSING UNITS. ALL RESIDENTS WILL HAVE ACCESS TO THE SUPPORT SERVICES PROVIDED BY JCOC AND OUR CONTINUUM OF CARE PARTNERS. THE COMPLEX WILL HOUSE OUR COMMUNITY DINNER, FOOD PANTRY AND FAMILY FOOD BOX PROGRAMS, WHICH SERVE MORE THAN 110,000 FREE MEALS WORTH OF FOOD A YEAR INCLUDING THE DISTRIBUTION OF MEAT AND NONPERISHABLES TO APPROXIMATELY 4,000 INDIVIDUALS ANNUALLY. SENTARA FUNDED 32 ORGANIZATIONS ACROSS VIRGINIA RANGING FROM $10,000-$500,000 THAT SUPPORT PROGRAMS AND PROJECTS WHO WORK IN THE AREA OF DISTRESSED PUBLIC HOUSING, TRANSFORMING NEIGHBORHOODS OF CONCENTRATED POVERTY INTO NEIGHBORHOODS OF OPPORTUNITY. K. COMMUNITY HEALTH INITIATIVES SENTARA AND SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTH COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2022: 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 2022 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 CONTINUED TO UTILIZE 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. 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 2022 ALONE, SENTARA INVESTED MORE THAN $125M IN PAY INCREASES AND ENHANCED BENEFITS FOR OUR COLLEAGUES. THE PAY INCREASES TOTALED $110M AND $15M CONSTITUTED ENHANCED OR NEW BENEFITS INCLUDING - REIMBURSEMENT PROGRAMS TO ASSIST WITH ADOPTION EXPENSES; INFERTILITY CARE EXPENSES AND SURROGACY AND GESTATIONAL CARRIER EXPENSES; SHORT TERM DISABILITY ELIGIBILITY AT 7 DAYS; INCREASED PAID TIME OFF; PAID PARENTAL LEAVE; ENHANCED SICK TIME ELIGIBILITY; ADDITIONAL SUPPORT FOR FAMILY CAREGIVER; AND INCREASED EDUCATIONAL ASSISTANCE TO SUPPORT CAREER ADVANCEMENT. B. WORKPLACE SAFETY FOR OUR SENTARA COLLEAGUES IS PARAMOUNT. WE MUST KEEP OUR COLLEAGUES SAFE FOR THEM TO BE ABLE TO CARE FOR OUR MEMBERS, PATIENTS, AND THE COMMUNITIES WE SERVE. IN THE INTEREST OF EMPLOYEE, PATIENT AND VISITOR SAFETY, SENTARA IMPLEMENTED A VISITOR BADGING SYSTEM AT OUR HOSPITALS. ADDITIONALLY, PERSONAL SAFETY DEVICES WERE DISTRIBUTED TO THE HOME VISITING STAFF WHO WORK IN THE AREAS OF HOME HEALTH, INFUSION SERVICES, AND SENTARA PACE. THESE DEVICES ATTACH TO A SMART PHONE AND SUMMON HELP FOR A SAFETY RESPONSE TEAM AT A TOUCH OF A BUTTON. ALSO, SENTARA IMPLEMENTED A "BE KIND" MARKETING CAMPAIGN TO EMPHASIZE THE IMPORTANCE OF COMPASSION AND RESPECT, ESPECIALLY TOWARD HEALTH CARE EMPLOYEES. IV. GROWTH IN SENTARA HEALTH OUR GROWTH IN 2022 INCLUDED THE FOLLOWING: A. SENTARA BROKE GROUND ON ITS NEW SENTARA ALBEMARLE MEDICAL CENTER, A STATE-OF-THE-ART 88 BED HOSPITAL TO REPLACE THE CURRENT 60-YEAR-OLD FACILITY ALSO LOCATED IN ELIZABETH CITY, NC. THE NEW HOSPITAL WILL ADJOIN A 60,000 SQUARE FOOT MEDICAL OFFICE BUILDING THAT IS SLATED TO OPEN IN SPRING 2023. THIS CAMPUS REFLECTS 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. SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, CONTINUED TO COLLECTIVELY SERVE OVER 737,000 ELIGIBLE VIRGINIANS WHO QUALIFIED FOR MEDICAID. C. SENTARA ACQUIRED AVMED, INC., A NOT-FOR-PROFIT HEALTH PLAN IN FLORIDA. AVMED PROVIDES COMMERCIAL GROUP, INDIVIDUAL, AND MEDICARE ADVANTAGE COVERAGE TO ABOUT 200,000 MEMBERS. D. THE SENTARA BROCK CANCER CENTER IN NORFOLK, VIRGINIA, BEGAN ITS THIRD YEAR SERVING AS A PATIENT-CENTERED FACILITY THAT IS TRANSFORMING CANCER CARE IN SOUTHEAST VIRGINIA/NORTHEAST NORTH CAROLINA. THE SENTARA BROCK CANCER CENTER SERVES 700-1,000 PATIENTS PER DAY. ADDITIONALLY, SENTARA FORMED THE LUKE HILLIER CANCER RESEARCH ALLIANCE, AND DEDICATED THE LOBBY OF THE SENTARA BROCK CANCER CENTER IN HONOR OF KAY MORGAN STOCKWELL. ALSO, WITHIN THE CANCER CENTER, SENTARA OPENED THE CARILLO KERN CENTER FOR INTEGRATIVE THERAPIES. E. IN HAMPTON ROADS, SENTARA OPENED A NEW PLASTIC SURGERY PRACTICE; A NEW GASTROENTEROLOGY PRACTICE; A NEW WEIGHT LOSS PRACTICE AND OPENED A NEW COMPREHENSIVE CARE PRACTICE. ADDITIONALLY, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WAS AWARDED THE HIGHEST RATING FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS FOR SENIOR EMERGENCY CARE. F. IN THE BLUE RIDGE REGION (HARRISONBURG AND CHARLOTTESVILLE), SENTARA LAUNCHED A NEW PRIMARY CARE AND THERAPY CENTER IN STAUNTON AND OPENED A NEW OUTPATIENT CARE CENTER IN CHARLOTTESVILLE. G. IN THE HALIFAX REGION, SENTARA HALIFAX REGIONAL HOSPITAL INTRODUCED A DIALECTICAL BEHAVIOR THERAPY PROGRAM, WHICH IS COGNITIVE BEHAVIORAL THERAPY DESIGNED TO TREAT BORDERLINE PERSONALITY DISORDER AND FOR TREATMENT OF OTHER MENTAL HEALTH ISSUES. H. IN NORTHERN VIRGINIA, SENTARA OPENED A NEW FAMILY AND INTERNAL MEDICINE PRACTICE. I. THE VB STRONG CENTER, A PARTNERSHIP BETWEEN SENTARA AND THE CITY OF VIRGINIA BEACH, HAS RECEIVED FUNDING TO EXTEND ITS SERVICE TO THE COMMUNITY. THE CENTER IS COMMITTED TO EMPOWERING AND UPLIFTING THOSE AFFECTED BY THE VIRGINIA BEACH MUNICIPAL CENTER SHOOTING ON MAY 31, 2019. V. DIGITAL INITIATIVES AND INNOVATION SUCCESS A. SENTARA IMPLEMENTED KEY INFRASTRUCTURE TECHNOLOGIES TO IMPROVE ORGANIZATIONAL PERFORMANCE TO INCLUDE WORKDAY (FINANCE AND HR PLATFORM) AND STRATA (PRODUCTIVITY PERFORMANCE PLATFORM). B. SENTARA CONTINUED ITS FOCUS ON ENHANCING THE CONSUMER DIGITAL EXPERIENCE AND PROVIDING IMPROVED EFFICIENCIES BY CONVERTING FROM THE SENTARA APP TO THE SENTARA BRANDED EPIC MYCHART APP. C. THE VOICE OF THE CUSTOMER MODEL WAS HEAVILY UTILIZED TO UNDERSTAND MORE FROM OUR CONSUMERS. THE MODEL 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. D. SENTARA HEALTH PLANS MIGRATED TO A NEW PHARMACY BENEFIT PLATFORM TO BETTER MANAGE PHARMACY SPEND AND OFFER COMPETITIVE PRICING AND ENHANCED SERVICES TO OUR CURRENT AND FUTURE CONSUMERS. E. SENTARA CREATED AN ENVIRONMENTAL STEWARDSHIP COUNCIL TO BETTER ALIGN THE COMPANY WITH COMMON ENVIRONMENTAL, SOCIAL AND GOVERNANCE (ESG) STANDARDS. THE COUNCIL SHARES BEST PRACTICES AND POLICIES WITHIN THE COMPANY AS WELL AS REVIEWS THE ACCOMPLISHMENTS FROM OTHER HEALTH SYSTEMS AND COMMUNITIES TO INTEGRATE INTO SUCCESSES FOR SENTARA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>VI. BY THE NUMBERS: A. 786,063 EMERGENCY ROOM VISITS; 16,036 BABIES DELIVERED, 14 HEART TRANSPLANTS, 66 KIDNEY TRANSPLANTS, 2 PANCREAS TRANSPLANTS, 130 COVID-19 VACCINE CLINICS, 261,000 SENTARA LAB COVID-19 TESTS, 25,000 COVID-19 BOOSTERS AND FLU VACCINES BY SENTARA EMPLOYEE HEALTH, 863 LIFE-SAVING TRIPS FROM THE NIGHTINGALE AIR AMBULANCE, AND 157,967 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. 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 2022, SENTARA REACHED 78.1% OF SENTARA NURSES HAVING EARNED OR ARE UNDER CONTRACT TO EARN A BSN. SENTARA HAD 71.6% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 6.5% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. B. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. IN 2022, SENTARA EXPERIENCED A 16.5% INCREASE IN CLINICAL TRIALS AND 31.5% INCREASE IN PRINCIPAL INVESTIGATORS COMPARED TO 2021. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA HEALTH 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 COMPANY RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS "WE IMPROVE HEALTH EVERY DAY". TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION DRIVEN WORK. HERE ARE A FEW OF THE 2022 AWARDS AND RECOGNITIONS: I. SENTARA HEALTH WAS NAMED BEST EMPLOYER - NEW GRADS, BEST EMPLOYER - VETERANS, AND AMERICA'S BEST EMPLOYER - ALL BY FORBES. II. ELEVEN SENTARA HOSPITALS EARNED A "TOP PERFORMER IN LGBTQ HEALTHCARE EQUALITY" IN THE 2022 TIMEFRAME FOR THE HEALTHCARE EQUALITY INDEX (HEI), A NATIONAL LGBTQ BENCHMARKING TOOL FROM THE HUMAN RIGHTS CAMPAIGN. III. SENTARA WAS ACKNOWLEDGED AS A LEADING COMPANY IN THE "GENEROUS VIRGINIANS" REPORT PUBLISHED IN VIRGINIA BUSINESS IN MAY 2022. SENTARA PROVIDED $18 MILLION TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND $2 MILLION TO THE EASTERN VIRGINIA MEDICAL SCHOOL'S SCHOOL OF PUBLIC HEALTH IN 2021. AND, IN THE CATEGORY OF TOTAL CORPORATE DONATIONS TO VIRGINIA NONPROFITS IN 2021, SENTARA WAS TOP OF THE LIST WITH DONATIONS TOTALING $35 MILLION. IV. SENTARA WAS NAMED DIGITAL HEALTH MOST WIRED HEALTH SYSTEM BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME). THE DIGITAL HEALTH MOST WIRED PROGRAM CONDUCTS AN ANNUAL SURVEY TO ASSESS HOW EFFECTIVELY HEALTHCARE ORGANIZATIONS APPLY CORE AND ADVANCED TECHNOLOGIES INTO THEIR CLINICAL AND BUSINESS PROGRAMS TO IMPROVE HEALTH AND CARE IN THEIR COMMUNITIES. V. SENTARA WAS AWARDED THE REGIONAL CORPORATION OF THE YEAR - CAROLINAS - VIRGINIA MINORITY SUPPLIERS DEVELOPMENT COUNCIL. THE AWARD RECOGNIZES A MEMBER COMPANY WHO HAS EVIDENCED THE MOST COMMITMENT TO MINORITY BUSINESS DEVELOPMENT DURING THE PREVIOUS YEAR. VI. SENTARA COLLEGE OF HEALTH SCIENCES WAS AWARDED THE BEST OF COASTAL VIRGINIA - PRIVATE COLLEGE/UNIVERSITY; BEST OF COASTAL VIRGINIA - SPECIALTY SCHOOL; BEST OF COASTAL VIRGINIA - TECHNICAL SCHOOL. IX. HEALTH PLANS A. GROWTH SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, CONTINUES TO SEE GROWTH AND ALONG WITH AVMED, SERVES OVER ONE MILLION MEMBERS IN VIRGINIA, NORTH CAROLINA, AND FLORIDA. OPTIMA HEALTH MEDICARE STAR RATING INCREASED TO 4.0 FROM 3.5 AND SENTARA HEALTH PLANS CONTINUES TO PRESS FORWARD ON ITS QUALITY, AFFORDABILITY, ACCESSIBILITY, HEALTH AND WELLNESS, VIRTUAL CARE, AND CUSTOMER EXPERIENCE. X. COVID-19 A. THE THIRD YEAR OF THE PANDEMIC PRESENTED MANY CHALLENGES, YET MUCH HOPE GIVEN THE DISTRIBUTION OF THE COVID-19 VACCINES AND BOOSTERS. 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: I. SAFETY FOR OUR PATIENTS AND VISITORS: SENTARA CONTINUED ITS DILIGENCE FOR CLEANING/SANITIZING PATIENT CARE AREAS, MANDATORY MASKING, AND SOCIAL DISTANCING. II. VACCINE EDUCATION: SENTARA IMPLEMENTED SEVERAL MARKETING CAMPAIGNS TO EDUCATE ALL IN THE COMMUNITY THE NEED TO GET VACCINATED AND BOOSTED. III. PROTECTING OUR TEAM MEMBERS: SENTARA CONTINUED ITS RIGOROUS SCREENING PROCEDURES AT ALL OUR FACILITIES AND WORK LOCATIONS. IV. 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. 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. 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 HEALTH 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 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096:</FormAndLineReferenceDesc>
        <ExplanationTxt>SENTARA HEALTH, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SOLE MEMBER WAS HALIFAX REGIONAL HOSPITAL, INC., A VIRGINIA NONSTOCK CORPORATION AND SECTION 501(C)(3) TAX EXEMPT ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY THE ORGANIZATION'S SOLE MEMBER, HALIFAX REGIONAL HOSPITAL, INC., A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. THE ELECTION WAS SUBJECT TO RATIFICATION BY SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SENTARA HEALTH ("SENTARA"), A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, IN ITS CAPACITY AS THE SOLE MEMBER OF HALIFAX REGIONAL HOSPITAL, INC. ("HRH"), A VIRGINIA NONSTOCK CORPORATION WHICH IS A 501(C)(3) TAX EXEMPT ENTITY AND SOLE MEMBER OF THE ORGANIZATION, HAS RESERVED THE EXCLUSIVE RIGHT, POWER AND AUTHORITY TO MAKE DECISIONS FOR AND ON BEHALF OF THE ORGANIZATION WITH RESPECT TO THE 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; AND THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION. ELECTION OF THE ORGANIZATION'S GOVERNING BODY IS ALSO SUBJECT TO RATIFICATION BY SENTARA. FINALLY, SPECIAL APPROVAL BY HRH'S GOVERNING BODY IS REQUIRED FOR CERTAIN OTHER ACTIONS OF THE ORGANIZATION. THESE INCLUDE A CHANGE IN THE ORGANIZATION'S MISSION; THE ESTABLISHMENT OF, AND APPOINTMENT OF MEMBERS TO, ANY COMMITTEES WHICH WILL HAVE ANY OF THE AUTHORITY OF THE HRH GOVERNING BODY; AND 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. FINAL AUTHORITY FOR THE ESTABLISHMENT OF ALL POLICY PERTAINING TO THE ORGANIZATION FOR ITS OPERATION, MAINTENANCE AND DEVELOPMENT, AND FOR THE ATTAINMENT OF ITS OBJECTIVES, IS VESTED IN THE GOVERNING BODY OF HRH, AND SUBJECT TO RATIFICATION AND APPROVAL BY SENTARA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ORGANIZATION IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, 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 ORGANIZATION PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF INDEPENDENT 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 ORGANIZATION'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM 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 EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 28 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 36 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS 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 ORGANIZATION'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 MEETINGS AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S TREASURER AND VICE CHAIRMAN, WHO ALSO SERVED AS SENIOR VICE PRESIDENT AND CORPORATE VICE PRESIDENT OF THE SYSTEM, RESPECTIVELY. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1B, BOARD MEMBER INDEPENDENCE:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS IS APPOINTED BY HALIFAX REGIONAL HOSPITAL, INC., A VIRGINIA NONSTOCK CORPORATION WHICH IS A 501(C)(3) TAX EXEMPT ENTITY AND SOLE MEMBER OF THE ORGANIZATION. APPOINTMENTS ARE SUBJECT TO RATIFICATION BY SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARA HEALTH IS A COMMUNITY-BASED BOARD COMPRISED OF 16 VOTING MEMBERS, 15 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E, ALL OTHER FUNCTIONAL EXPENSES:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES: PROGRAM SERVICE EXPENSES 62,706 MANAGMENT AND GENERAL EXPENSES 0 FUNDRAISING EXPENSES 0 TOTAL EXPENSES 62,706</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK RECLASS OF INTERCOMPANY ACCOUNTS TO EQUITY -9,593.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>521271901</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CLARKSVILLE SENIOR CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541957066</EIN>
        <PrimaryActivitiesTxt>SENIOR CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HALIFAX REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HALIFAX REGIONAL HOSPITAL INCORPORATED</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>540648699</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HALIFAX REGIONAL LONG TERM CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>546074529</EIN>
        <PrimaryActivitiesTxt>SENIOR CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HALIFAX REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA HALIFAX REGIONAL PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541801463</EIN>
        <PrimaryActivitiesTxt>HLTH/WELFARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HALIFAX REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA PRINCESS ANNE HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>273208969</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HOSPITALS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA HOSPITALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541547408</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541217184</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA ENTERPRISES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541917649</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA LIFE CARE CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541217183</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MPB INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541346393</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA ENTERPRISES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH PLANS (FORMERLY OPTIMA HEALTH PLAN)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>541283337</EIN>
        <PrimaryActivitiesTxt>HMO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>POTOMAC HOSPITAL CORP OF PRINCE WILLIAM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>540853898</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENTARA RMH MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
        </USAddress>
        <EIN>540506331</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENTARA HOSPITALS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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          <AddressLine1Txt>C/O GTC 12 GILL ST SUITE 2600</AddressLine1Txt>
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          <AddressLine1Txt>C/O GTC 12 GILL ST SUITE 2600</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>HA INTL EQUITY CEF FD CL-A</BusinessNameLine1Txt>
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          <AddressLine1Txt>C/O BNY MELLON TRUST 4005 KENNET PI</AddressLine1Txt>
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          <BusinessNameLine1Txt>SENTARA HOLDINGS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23464</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SENTARA HEALTH ADMINISTRATION INC (FORMERLY SENTARA HEALTH PLANS INC)</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
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          <BusinessNameLine1Txt>OPTIMA HEALTH GROUP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SENTARA HEALTH INSURANCE COMPANY (FORMERLY OPTIMA HEALTH INSURANCE COMPANY)</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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          <BusinessNameLine1Txt>SENTARA BEHAVIORAL HEALTH SERVICES (FKA OPTIMA BEHAVIORAL HEALTH SERVICE</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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          <BusinessNameLine1Txt>SENTARA HEALTH INSURANCE CO OF NC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>MANAGED CARE SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>ALT HEALTH DELIVERY</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SENTARA SOUTHSIDE HEALTH SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DOMINION HEALTH MEDICAL ASSOCIATES LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
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          <BusinessNameLine1Txt>SMG INNOVATIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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          <BusinessNameLine1Txt>POTOMAC VENTURES CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ROCKINGHAM HEALTH SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MARTHA JEFFERSON MEDICAL ENTERPRISES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BAY PRIMEX INSURANCE COMPANY LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 1051</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
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          <BusinessNameLine1Txt>ALBEMARLE PHYSICIAN SERVICES-SENTARA INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
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        <PrimaryActivitiesTxt>PHYS PRACTICE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1300 SENTARA PARK</AddressLine1Txt>
          <CityNm>VIRGINIA BEACH</CityNm>
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        <PrimaryActivitiesTxt>BUILDING ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDSTREAMING EGYPT SOFTWARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>5A-ELNASRROADDELTA BUILDING8TH FL</AddressLine1Txt>
          <CityNm>CAIRO</CityNm>
          <CountryCd>EG</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EG</LegalDomicileForeignCountryCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CAHABA PARTNERS TOTAL RETURN FUND LTD</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>27 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>GEORGE TOWN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-9008</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>POOLED INV FD</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FIVOS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8 COMMERCE AVE</AddressLine1Txt>
          <CityNm>WEST LEBANON</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03784</ZIPCd>
        </USAddress>
        <EIN>451573625</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE IT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICAL METRX HOLDING INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8 COMMERCE AVE</AddressLine1Txt>
          <CityNm>WEST LEBANON</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03784</ZIPCd>
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        <EIN>204195631</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>M2S INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8 COMMERCE AVE</AddressLine1Txt>
          <CityNm>WEST LEBANON</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03784</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>DATA COLLECTION/AGGREGATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AVMED ADMINISTRATORS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 749</AddressLine1Txt>
          <CityNm>GAINSVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32627</ZIPCd>
        </USAddress>
        <EIN>842931956</EIN>
        <PrimaryActivitiesTxt>TPA SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
