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        <Desc>OPERATING LEASE</Desc>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>LEASE INTEREST 11,144 LEASE AMORTIZATION 34,393 LEASE EXPENSE -42,808</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FITZGERALD MARCELIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMANDA RUSSELL</PersonNm>
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        <PersonNm>HYO PARK</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA SEQUEIRA</PersonNm>
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        <PersonNm>APRIL KING</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE QAULITY FOCUSED, COST EFFECTIVE, PATIENT-BASED HEALTH SERVICES WITH DIGNITY AND RESPECT TO ALL PEOPLE, WITHOUT REGARD TO THEIR FINANCES, CULTURE OR LIFESTYLE AND TO PROVIDE THE EDUCATION AND SUPPORT TO PROMOTE THEIR PARTICIPATION IN HEALTH CARE DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER RECEIVING THE AUDITED FINANCIAL STATEMENTS (F/S) AND TAX RETURN FROM OUR AUDIT FIRM, COPIES ARE MAILED TO THE MEMBERS OF THE BOARD FINANCE COMMITTEE AND TO THE BOARD CHAIRMAN. A FINANCE MEETING IS SCHEDULED TO DISCUSS THE REPORTS. BOARD FINANCE COMMITTEE MEMBERS SIGN A STATEMENT THAT THE REPORTS WERE REVIEWED. THE PRESIDENT SIGNS THE RETURN TO AUTHORIZE THE AUDIT FIRM TO E-FILE THE FORM 990 WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY, SOUTHERN DOMINION HEALTH SYSTEMS, INC. HAS A CONFLICT OF INTEREST POLICY IN PLACE THAT IS DOCUMENTED IN THE EMPLOYEE HANDBOOK. THERE IS A SEPARATE CONFLICT OF INTEREST POLICY IN PLACE THAT GOVERNS THE BOARD OF DIRECTORS. MONITORING OF POTENTIAL CONFLICTS OF INTEREST VIOLATIONS BASED ON SPECIFIC COMMUNICATION FROM THE BOARD OF DIRECTORS REGARDING CONFLICTS. ANNUAL DISCLOSURE REGARDING POTENTIAL CONFLICTS OF INTEREST IS DOCUMENTED IN WRITING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER, WITH APPROVAL OF THE BOARD OF DIRECTORS, WILL SPECIFY A PAY RANGE FOR EACH POSITION BASED ON THE RELATIVE IMPORTANCE OF THE POSITION, THE COMPLEXITIES OF THE JOB, QUALIFICATIONS AND EXPERIENCE REQUIRED, AND CURRENT PREVAILING RATES OF PAY FOR SIMILAR JOBS IN THE AREA. SALARIES WILL BE REVIEWED ANNUALLY AND ADJUSTED ACCORDINGLY. DEPENDING UPON THE AVAILABILITY OF FUNDS, THE CEO MAY AUTHORIZE OR RECCOMMEND ANNUAL STEP INCREASES, MERIT INCREASES, AND/OR BONUSES. MERIT INCREASES MAY BE INITIATED BASED ON RECOMMENDATIONS BY SUPERVISORS AND BONUSES MUST HAVE BOARD APPROVAL. COMPENSATION, INCLUDING SALARIES, BONUSES, AND/OR INCREASES PROVIDED TO THE CHIEF EXECUTIVE OFFICER ARE TO BE DETERMINED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION AT 15A.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTHERN DOMINION HEALTH SYSTESMS, INC. MAKES THEIR 990 AND POLICIES PUBLIC INFORMATION BY WAY OF SUBMITTING COPIES OF THE FINANCIAL STATEMENTS TO THE FEDERAL AND LOCAL GOVERNMENT AGENCIES (I.E. DEPARTMENT OF HEALTH &amp; HUMAN SERVICES, HRSA). SOUTHERN DOMINION ALSO CONSIDERS THESE FINANCIAL STATEMENTS TO BE PUBLIC INFORMATION, THEREFORE, COPIES MAY BE REQUESTED BY AN INDIVIDUAL OR AN ORGANIZATION.</ExplanationTxt>
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</Return>