2024-09-06T16:15:18-05:00 2024-05-07 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-09-01 541801466 HALIFAX REGIONAL HEALTH SYSTEM INC HALI 4345173183 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 WILLIAM E CONFOY CHAIRMAN 4345173183 2024-09-06 1 0 BRIAN KEARNS P02061479 7032868000 2024-08-29 2023 2024-08-08 14:25:15Z X WILLIAM E CONFROY 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 1077579 0 X WWW.HRHS.ORG X 1996 VA ENSURE HALIFAX REGIONAL HOSPITAL MEETS THE COMMUNITY'S NEEDS UNDER THE AFFILIATION AGREEMENT. X 10 10 0 0 0 0 0 0 0 0 40486 -9255 0 0 40486 -9255 0 0 0 0 0 0 0 0 0 17999 21600 17999 21600 22487 -30855 975921 0 0 0 975921 0 ENSURE HALIFAX REGIONAL HOSPITAL CONTINUES TO MEET THE COMMUNITY'S NEEDS UNDER THE AFFILIATION AGREEMENT. 0 0 OVERSIGHT OF AFFILIATION AGREEMENT BETWEEN SENTARA AND HALIFAX REGIONAL HOSPITAL GROUP. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X DEBORAH L THEXTON 4346548199 2204 WILBORN AVE SOUTH BOSTON VA 24592 X W W TED BENNETT VICE CHAIRMAN 0.25 0.00 X X 0 0 0 BRET A BERNECHE BOARD MEMBER 0.25 0.00 X 0 0 0 WILLIAM E CONFROY CHAIRMAN 0.25 0.00 X X 0 0 0 GREGORY V GORDON BOARD MEMBER 0.25 0.00 X 0 0 0 VALDIVIA T HALL BOARD MEMBER 0.25 0.00 X 0 0 0 J KENNETH MORGAN BOARD MEMBER 0.25 0.00 X 0 0 0 ARTHUR W REYNOLDS SECRETARY 0.25 0.00 X X 0 0 0 CAROL C THOMAS BOARD MEMBER 0.25 0.00 X 0 0 0 DAVID H WHITE JR BOARD MEMBER 0.25 0.00 X 0 0 0 DEXTER GILLIAM BOARD MEMBER 0.25 0.00 X 0 0 0 0 0 0 0 0 0 0 0 24159 24159 1053420 1086834 -33414 -33414 -33414 -9255 0 0 -9255 9270 9270 1900 1900 5669 5669 CLOSING ACCOUNT FEE 2897 2897 BANK FEES 1844 1844 STATE CORP RENEWAL 20 20 21600 0 21600 0 3375 0 970759 0 0 0 0 0 0 0 1787 0 0 0 0 0 0 0 975921 0 0 0 X 975921 0 975921 0 975921 0 X -30855 44816 -989882 X 0 0 0 X X 1 HALIFAX REGIONAL HOSPITAL INC 540648699 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 THE DIRECTORS OF HALIFAX REGIONAL HOSPITAL, INC. ("HOSPITAL") THE SUPPORTED ORGANIZATION, HAVE A CLOSE AND CONTINUOUS RELATIONSHIP WITH HRHS, AND THUS A SIGNIFICANT VOICE. HRHS' AMENDED ARTICLES OF INCORPORATION AND AFFILIATION AGREEMENT, PROVIDES THAT NOT LESS THAN ONE-HALF OF HRHS' DIRECTORS SHALL BE CLASS A DIRECTORS THEN SERVING ON THE HOSPITAL'S BOARD OF DIRECTORS. BECAUSE OF THIS, THE SUPPORTED ORGANIZATION IS ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF HRHS AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS. PART IV, SECTION E, LINE 2A/B HALIFAX REGIONAL HOSPITAL SYSTEM INC., ("HRHS") PROVIDES OVERSIGHT AND ENFORCEMENT FUNCTIONS TO THE HALIFAX REGIONAL HOSPITAL, INCLUDING MONITORING SENTARA HEALTHCARE TO ENSURE THAT IT ABIDES BY AND FOLLOWS THE AFFILIATION AGREEMENT. BY MONITORING SENTARA HEALTHCARE, HRHS IS INSURING THAT THE HOSPITAL'S CHARITABLE PURPOSE IS CARRIED OUT THUS, DIRECTLY FURTHERING THE EXEMPT PURPOSE OF THE HOSPITAL. BUT FOR THE INVOLVEMENT OF HRHS, THE HOSPITAL WOULD HAVE TO ENSURE THAT SENTARA IS OPERATING THE HOSPITAL IN A MANNER CONSISTENT WITH THE HOSPITAL'S EXEMPT PURPOSE. THEREFORE, HRHS IS FUNCTIONALLY INTEGRATED BY PARTICIPATING IN ACTIVITIES SUBSTANTIALLY ALL OF WHICH DIRECTLY FURTHER THE EXEMPT PURPOSE OF THE HOSPITAL, BY PERFORMING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF THE HOSPITAL, AND WHICH, BUT FOR THE INVOLVEMENT OF HRHS, WOULD NORMALLY BE ENGAGED IN BY THE HOSPITAL. SHORT TERM INVESTMENTS 2024-05-31 989382 COST 521271901 SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 IRC 501(C)(3) 0 0 0 0 1 1 1 1 0 FORM 990, PART VI, SECTION B, LINE 11B GIVEN THE HOSPITAL DISSOLVED BEFORE THE FILING DATE, NO BOARD REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EVERY YEAR. A REPORT OF THE DISCLOSED POTENTIAL CONFLICTS IS PRESENTED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS TO THE BOARD IN EXECUTIVE SESSION ANNUALLY. IF IT IS DETERMINED BY THE BOARD SECRETARY AND BOARD PRESIDENT, THAT AN ACTUAL POTENTIAL CONFLICT OF INTEREST EXISTS, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN DETAIL BY THE AFFECTED PARTY. SUBSEQUENTLY, WHEN A RESOLUTION CANNOT BE FOUND TO THE SATISFACTION OF THE BOARD SECRETARY AND BOARD PRESIDENT, THE MATTER WILL BE REVIEWED AND ADDRESSED BY THE BOARD OF DIRECTORS. A RECOMMENDATION WILL BE MADE TO THE AFFECTED PARTY ON HOW TO REMOVE THE CONFLICT. IF THE CONFLICT CANNOT BE RESOLVED TO THE SATISFACTION OF THE BOARD OF DIRECTORS, A RECOMMENDATION WILL BE MADE TO REMOVE THE AFFECTED BOARD MEMBER FORM THE BOARD OF DIRECTORS. IN SUCH CASE WHERE REMOVAL IS RECOMMENDED, PROVISIONS OF SECTION V OF THE CORPORATE BYLAWS WILL BE FOLLOWED. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE RETAINED BY THE SECRETARY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CASH DISBURSEMENT -989,476. INSURANCE REFUND -406. HALIFAX REGIONAL HOSPITAL INC 2204 WILBORN AVE SOUTH BOSTON MA 24592 540648699 HEALTHCARE VA 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0