TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MEGAN R PERRY...................................................................... DIRECTOR/TREASURER	1.00 ................. 42.40	X	X			0	1,901,177	49,920
(2) PAUL A GADEN...................................................................... DIRECTOR/VICE CHAIR	1.00 ................. 46.40	X	X			0	1,100,833	141,071
(3) JOANNE M INMAN...................................................................... DIRECTOR	1.00 ................. 41.00	X				0	664,914	61,301
(4) HABIB BASSIL MD...................................................................... DIRECTOR/SECRETARY	1.00 ................. 0.00	X	X			68,375	0	0
(5) CAROL C THOMAS...................................................................... DIRECTOR/CHAIR	1.60 ................. 2.30	X	X			0	40,000	0
(6) TERRANCE J TRUITT MD...................................................................... DIRECTOR	1.00 ................. 0.00	X				19,138	0	0
(7) DABNEY TP GILLIAM JR...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(8) DAVID H WHITE JR...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(9) J KENNETH MORGAN...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(10) JEREMY SATTERFIELD...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(11) KATHRYN F ROBERTS...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(12) SAID B ISKANDAR MD...................................................................... DIRECTOR (VOTING EX-OFFICIO)	1.00 ................. 0.00	X				0	0	0
(13) VALDIVIA T MARSHALL...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(14) BRIAN K ZWOYER...................................................................... PRESIDENT	40.00 ................. 4.00		X			336,387	0	75,277
(15) NICOLE L DOCKERY...................................................................... KE (VP, CNO)	40.00 ................. 0.00			X		230,625	0	20,114
(16) SHERRI F BEE...................................................................... KE (DIR CARDIAC SVCS)	40.00 ................. 0.00			X		184,016	0	19,504
(17) VICTOR MIHAL...................................................................... PHYSICIAN	40.00 ................. 0.00				X	383,598	0	23,829

(A) Name and business address	(B) Description of services	(C) Compensation
PREMIER ANESTHESIA OF VA 2655 NORTHWINDS PARKWAY ALPHARETTA,GA30009	HEALTHCARE STAFFING SOLUTIONS	3,398,802
WM JORDAN COMPANY INC 11010 JEFFERSON AVE NEWPORT NEWS,VA23601	CONSTRUCTION	2,638,318
PULMONARY ASSOCIATES OF SOUTHSIDE VA 2210 WILBORN AVE SOUTH BOSTON,VA24592	MEDICAL PROFESSIONAL SERVICES	2,172,406
KAHLER SLATER INC 790 N WATER ST SUITE 1700 MILWAUKEE,WI53202	ARCHITECTURAL SERVICES	2,126,869
MEP HEALTH LLC 4535 DRESSLER RD NW CANTON,OH44718	HEALTHCARE SERVICES	2,026,310
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 21

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization HALIFAX REGIONAL HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization HALIFAX REGIONAL HOSPITAL INC		Employer identification number 54-0648699

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization HALIFAX REGIONAL HOSPITAL INC			Employer identification number 54-0648699
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	1,249,430	1,265,195	1,218,247	520,986	148,110
b	Contributions ...	43,000	45,000	50,000	715,000	438,540
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,004,261	60,765	3,052	17,739	65,664
f	Administrative expenses ....
g	End of year balance ......	288,169	1,249,430	1,265,195	1,218,247	520,986

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

100.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	2,576,000		2,576,000
b	Buildings ....	30,407,984	16,709,926	13,698,058
c	Leasehold improvements	51,444	26,636	24,808
d	Equipment ....	33,408,124	25,406,466	8,001,658
e	Other .....	9,457,851	2,337,116	7,120,735
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				31,421,259

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LIABILITIES	2,499,964
GENERAL RESERVE	140,469
ROU LIABILITIES	2,491,446
DUE TO AFFILIATES	13,810,509





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	18,942,388
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

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.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,992,407		1,992,407	1.600 %
b	Medicaid (from Worksheet 3, column a) . . . . .	28,087,497	24,194,566	3,892,931	3.130 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	30,079,904	24,194,566	5,885,338	4.730 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	569,230		569,230	0.460 %
f	Health professions education (from Worksheet 5) . . .	19,113		19,113	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .	2,488,104	812,941	1,675,163	1.350 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	988,470		988,470	0.800 %
j	Total. Other Benefits . .	4,064,917	812,941	3,251,976	2.630 %
k	Total. Add lines 7d and 7j .	34,144,821	25,007,507	9,137,314	7.360 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			58,812		58,812	0.050 %
2	Economic development			1,232		1,232	0 %
3	Community support			62,473		62,473	0.050 %
4	Environmental improvements
5	Leadership development and training for community members			1,823		1,823	0 %
6	Coalition building			2,159		2,159	0 %
7	Community health improvement advocacy			58,142		58,142	0.050 %
8	Workforce development			50,421		50,421	0.040 %
9	Other			73,744		73,744	0.060 %
10	Total			308,806		308,806	0.250 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,736,672

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

20,160,908

Enter Medicare allowable costs of care relating to payments on line 5.....

26,530,377

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-6,369,469

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 HALIFAX PHO INC	MANAGED CARE	50.000 %	50.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	HALIFAX REGIONAL HOSPITAL INC 2204 WILBORN AVENUE SOUTH BOSTON,VA24592 WWW.SENTARA.COM H-0001853	X	X	X	HOME HEALTH HOSPICE

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	HALIFAX REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url): SEE SECTION C BELOW.

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HALIFAX REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

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Part VFacility Information (continued)

Billing and Collections

	HALIFAX REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	HALIFAX REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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 DEPARTMENT 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. IN COLLABORATION WITH THE SOUTHSIDE HEALTH DISTRICT, THE SURVEY QUESTIONS WERE DEVELOPED, AND THE DISTRIBUTION LIST WAS CAREFULLY 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 BROAD 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 PARTNERED WITH A COMMUNITY ORGANIZATION TO ASSIST WITH CONDUCTING FOCUS GROUPS 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.THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
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.IMPROVING THE MENTAL AND EMOTIONAL WELL-BEING OF ALL LIVING IN THE INITIALS SERVICE AREA BY INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES IS AN IMPORTANT PRIORITY. SENTARA CONTINUES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES KNOWING THAT ONE IN FIVE ADULTS WILL HAVE A MENTAL ILLNESS SEVERE ENOUGH TO REQUIRE TREATMENT, AND MANY MORE WILL HAVE EMOTIONAL AND MENTAL HEALTH PROBLEMS THAT PREVENT THEM FROM FULLY ENJOYING THEIR LIVES. AT SENTARA, WE OFFER INPATIENT TREATMENT SERVICES THROUGH TELEPSYCHIATRY. OUR ADULT AND SENIOR BEHAVIORAL HEALTH INPATIENT PROGRAMS PROVIDE DIAGNOSTIC SERVICES AND TREATMENT FOR PEOPLE 18 AND OLDER WHO ARE IN CRISIS DUE TO MENTAL ILLNESS, EMOTIONAL DISTRESS, OR DESTRUCTIVE BEHAVIOR PATTERNS. BECAUSE OUR TREATMENT FACILITIES ARE LOCATED WITHIN SEVERAL OF OUR HOSPITALS, PATIENTS HAVE ACCESS TO THE FULL RANGE OF BOTH PSYCHIATRIC AND MEDICAL CARE. SENTARA WILL CONTINUE TO PARTNER WITH COMMUNITY MENTAL HEALTH PROGRAMS TO IDENTIFY ALTERNATE PLACEMENT OPTIONS FOR BEHAVIORAL HEALTH EMERGENCY DEPARTMENT PATIENTS.SENTARA BEHAVIORAL HEALTH CREATED A DIALECTICAL BEHAVIOR THERAPY (DBT) SKILL BUILDING GROUP TO REDUCE BARRIERS TO ACCESS MENTAL HEALTH SERVICES AND PROVIDE EDUCATION TO THE COMMUNITY TO REDUCE THE STIGMA SURROUNDING MENTAL AND BEHAVIORAL HEALTH ISSUES. WEEKLY INDIVIDUAL AND GROUP SESSIONS WERE HELD TO HELP PEOPLE DEVELOP HEALTHIER WAYS OF THINKING AND ACCEPTING WHO THEY ARE. DIARY CARDS, BEHAVIORAL CHAIN ANALYSIS, PRIORITIZING TARGETS, AND FORMAL ASSESSMENTS ARE INCLUDED IN INDIVIDUAL DBT SKILL BUILDING SESSIONS. THERE ARE FOUR MODES IN DBT: INDIVIDUAL THERAPY, GROUP SKILLS TRAINING, PEER CONSULTATION TEAM MEETINGS, AND INTERSESSION CONTACT BETWEEN THERAPIST AND PATIENT. SENTARA BEHAVIORAL HEALTH HAS ADDED TWO LICENSED RESIDENTS IN COUNSELING TO SERVE CLIENTS IN THIS SERVICE AREA. SHRH ALSO HOSTS COMMUNITY WELLNESS SCREENING ACTIVITIES TO PROVIDE ANXIETY SCREENING AND EDUCATIONAL MATERIALS TO THE COMMUNITY.SHRH COLLABORATES WITH MULTIPLE COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF THE COMMUNITY. SHRH PROVIDES HEALTH EDUCATION THROUGH SOCIAL MEDIA AND EDUCATIONAL VIDEOS TO IMPROVE COMMUNITY AWARENESS OF PREVENTATIVE CARE AND SERVICES AVAILABLE. SHRH ALSO ATTENDS MULTIPLE COMMUNITY EVENTS EACH YEAR TO PROVIDE CANCER, CARDIAC, CHOLESTEROL, DIABETES, BMI, AND STROKE EDUCATION AND SCREENINGS TO COMMUNITY MEMBERS. DIABETES EDUCATION CLASSES ARE AVAILABLE TO LEARN ABOUT SELF-MONITORING BLOOD GLUCOSE, DIABETES COMPLICATIONS, STRESS MANAGEMENT, LIPID CONTROL, AND WEIGHT MANAGEMENT, WHICH INCLUDES SETTING HEALTH GOALS, EXERCISE, NUTRITION, AND MEAL PLANNING.SHRH CONTINUES TO MEET PEOPLE WHERE THEY LIVE, WORK AND PLAY TO INCREASE COMMUNITY HEALTH AND ACCESS TO SERVICES. SHRH PROVIDES COMMUNITY SUPPORT THROUGH MULTIPLE INITIATIVES. ONE INITIATIVE IS THE HEALTH HARVEST COMMUNITY GARDEN, WHICH PROVIDES FRESH PRODUCE FOR THOSE IN NEED, EDUCATION ON THE IMPORTANCE OF HEALTHY EATING, AND COLLABORATION WITH OTHER COMMUNITY ACTORS WHO WORK TOWARD THE SAME GOALS.SHRH HAS IMPLEMENTED THE USE OF UNITE US, A CROSS-SECTOR COLLABORATION SOFTWARE ESTABLISHING A NEW STANDARD OF CARE THAT IDENTIFIES SOCIAL NEEDS IN COMMUNITIES, MANAGES ENROLLMENT OF INDIVIDUALS IN SERVICES, AND LEVERAGES MEANINGFUL OUTCOMES DATA AND ANALYTICS TO FURTHER DRIVE COMMUNITY INVESTMENT. TO INCREASE ECONOMIC GROWTH, JOB SECURITY, AND EDUCATIONAL OPPORTUNITIES, INITIALS CONTINUES TO COLLABORATE WITH MULTIPLE COLLEGES AND UNIVERSITIES TO PROVIDE FELLOWSHIPS, INTERNSHIPS AND PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS AND STUDENTS.
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.
HALIFAX REGIONAL HOSPITAL, INC.:	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.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	1 - SENTARA HALIFAX FAMILY MEDICINE 101 AUBREYS LOOP SOUTH BOSTON,VA24592	OTHER OUTPATIENT SITE
2	2 - SENTARA VOLENS FAMILY MEDICINE 15210 L P BAILEY MEMORIAL HIGHWAY NATHALIE,VA24577	OTHER OUTPATIENT SITE
3	3 - SENTARA CLARKSVILLE FAMILY MEDICINE 115 COLLEGE STREET CLARKSVILLE,VA23927	OTHER OUTPATIENT SITE
4	4 - SENTARA OBGYN-SOUTH BOSTON 2206 WILBORN AVENUE SOUTH BOSTON,VA24592	OTHER OUTPATIENT SITE
5	5 - CENTER FOR BEHAVIORAL HEALTH 504 WILBORN AVENUE SOUTH BOSTON,VA24592	REHABILITATION CENTER
6	6 - SENTARA HALIFAX PEDIATRICS 2100 WILBORN AVENUE SOUTH BOSTON,VA24592	OTHER OUTPATIENT SITE
7	7 - SENTARA CHASE CITY FAMILY MEDICINE 946 NORTH MAIN STREET CHASE CITY,VA23924	OTHER OUTPATIENT SITE
8	8 - SENTARA SOUTHSIDE HEMATOLOGY & ONC 2232 WILBORN AVENUE STE D SOUTH BOSTON,VA24592	OTHER OUTPATIENT SITE
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 HEALTH, EIN 52-1271901, THE ORGANIZATION'S 501(C)3 SOLE MEMBER.
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 PHYSICIAN CLINIC SUBSIDIZED HEALTH SERVICES REPORTED ON (7G). ALL OTHER SUBSIDIZED HEALTH SERVICES REPORTED ON 7(G) USED A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES.
PART I, LINE 7G:	$576,539 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.THE ORGANIZATION ALSO PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES:- COMMUNITY SUPPORT - THE HOSPITAL ALSO PARTNERED WITH ORGANIZATIONS TO IMPROVE COMMUNITY SUPPORT WHICH INCLUDED CHARLOTTE LEARNING CENTER, HALIFAX COUNTY HIGH SCHOOL, HEALTHY HARVEST COMMUNITY GARDEN, ORGANIZATION TO PROVIDE EQUAL ACCESS TO TECHNOLOGY, INC., PROJECT SEARCH, AND SOUTHERN VIRGINIA HIGHER EDUCATION FOUNDATION.- COMMUNITY HEALTH IMPROVEMENT ADVOCACY - 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: BRUNSWICK HEALTH AMBASSADORS, CLUSTER SPRINGS VOLUNTEER FIRE DEPARTMENT, HALIFAX COUNTY CANCER ASSOCIATION, HOUSE OF HOPE, TRIANGLE VOLUNTEER FIRE DEPARTMENT, AND TRUCKERS FOR A CAUSE.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 COLLECTIONS 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 15-19 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 4:	SEE FOOTNOTE 4 ON PAGES 15-19 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:	UNDER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY, A HOSPITAL FACILITY MUST TAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN COLLECTION EFFORTS AGAINST A PATIENT. SUCH EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS AND IN THE SENTARA BILL PAY (SBP) ONLINE PORTAL ACCESSED BY PATIENTS THROUGH THE SENTARA WEBSITE, SENTARA MYCHART, OR THE SENTARA APP; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE THE APPROPRIATE DISCOUNT AMOUNT IS APPLIED TO THE PATIENT'S HOSPITAL ACCOUNTS AND THEY ARE ADVISED OF THE DISCOUNT. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 300% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS DEEMED UNCOLLECTIBLE IN THE HOSPITAL'S COLLECTION SYSTEM AND ALL ATTEMPTS TO COLLECT ON THAT BALANCE STOP.
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 LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY. 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:	FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A LOCAL PHONE NUMBER IS GIVEN TO PATIENTS TO REACH CUSTOMER SERVICE REPRESENTATIVES DURING THE BUSINESS DAY FOR QUESTIONS OR CONCERNS. FINANCIAL ASSISTANCE PROGRAMS ARE ALSO PUBLISHED ON THE ORGANIZATION'S WEBSITE AND INCLUDED ON STATEMENTS AND OTHER NOTICES PROVIDED TO PATIENTS. THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE TO HELP PATIENTS COMPLETE APPLICATIONS FOR MEDICAID OR OTHER GOVERNMENT PAYMENT ASSISTANCE PROGRAMS, OR APPLY FOR CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF APPLICABLE. THE ORGANIZATION ALSO CONTRACTS WITH EXTERNAL MEDICAID ELIGIBILITY VENDORS (MEV'S) TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COST TO PATIENTS.
PART VI, LINE 4:	SENTARA HALIFAX REGIONAL HOSPITAL SERVES RESIDENTS OF HALIFAX, MECKLENBURG, AND CHARLOTTE COUNTIES.BASED ON THE US CENSUS JULY 2022 POPULATION ESTIMATES, THE 2024 POPULATION OF THE SERVICE AREA IS 75,627 AND IS EXPECTED TO DECLINE OVER THE NEXT TEN YEARS, DECREASING BY 9.7% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 5.7%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A HIGHER PERCENT OF THE POPULATION 65+ ( 25.4% VS. 17.3%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 19 YEARS ( 19.8% VS. 21.7%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 84.5% VS. 89.1% FOR THE US OVERALL, AND ONLY 18.6% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 34.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $ 45,969 VS. $ 75,149 FOR THE US, AND A HIGHER PERCENT OF HOUSEHOLDS, 16.2% VS. 11.5%, LIVE IN POVERTY. RACIALLY, THE SERVICE AREA IS HOME TO 63.3% WHITES (VS. 75.5% FOR THE US), 33.6% BLACK/AFRICAN AMERICANS (VS. 13.6% US), 0.5% ASIANS (VS. 6.3% US), WITH 2.0% REPORTING TWO OR MORE RACES VS. 3.0% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 2.6% HISPANICS VS. 19.1% NATIONALLY, AND 98.2% NON-HISPANICS, VS. 58.9% 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.") SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 34,000 EMPLOYEES (INCLUDING 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.1M MEMBERS IN VIRGINIA 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 HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK.

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
HALIFAX REGIONAL HOSPITAL INC

Employer identification number
54-0648699

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH,VA23464	52-1271901	501(C)(3)	1,576,120	0			CORPORATE ALLOCATION TO PARENT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTH, 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.

Schedule I (Form 990) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MEGAN R PERRY DIRECTOR/TREASURER	(i) (ii)	0 ------------- 868,905	0 ------------- 810,992	0 ------------- 221,280	0 ------------- 17,050	0 ------------- 32,870	0 ------------- 1,951,097	0 ------------- 0
2PAUL A GADEN DIRECTOR/VICE CHAIR	(i) (ii)	0 ------------- 602,947	0 ------------- 416,380	0 ------------- 81,506	0 ------------- 105,592	0 ------------- 35,479	0 ------------- 1,241,904	0 ------------- 7,933
3JOANNE M INMAN DIRECTOR	(i) (ii)	0 ------------- 379,698	0 ------------- 220,451	0 ------------- 64,765	0 ------------- 20,030	0 ------------- 41,271	0 ------------- 726,215	0 ------------- 20,284
4PABLO SOUZA MD PHYSICIAN	(i) (ii)	352,381 ------------- 0	0 ------------- 0	27,129 ------------- 0	13,195 ------------- 0	35,874 ------------- 0	428,579 ------------- 0	0 ------------- 0
5BRIAN K ZWOYER PRESIDENT	(i) (ii)	251,970 ------------- 0	80,810 ------------- 0	3,607 ------------- 0	36,211 ------------- 0	39,066 ------------- 0	411,664 ------------- 0	0 ------------- 0
6VICTOR MIHAL PHYSICIAN	(i) (ii)	289,805 ------------- 0	30,720 ------------- 0	63,073 ------------- 0	10,350 ------------- 0	13,479 ------------- 0	407,427 ------------- 0	0 ------------- 0
7SOWMYA SRIMANTHULA MD PHYSICIAN	(i) (ii)	288,812 ------------- 0	20,000 ------------- 0	32,696 ------------- 0	10,350 ------------- 0	31,726 ------------- 0	383,584 ------------- 0	0 ------------- 0
8JONI O ABBOTT PHYSICIAN	(i) (ii)	263,849 ------------- 0	15,385 ------------- 0	14,437 ------------- 0	9,165 ------------- 0	37,021 ------------- 0	339,857 ------------- 0	0 ------------- 0
9CANDACE CLOCKER PHYSICIAN	(i) (ii)	252,538 ------------- 0	12,000 ------------- 0	17,114 ------------- 0	2,326 ------------- 0	12,410 ------------- 0	296,388 ------------- 0	0 ------------- 0
10NICOLE L DOCKERY KE (VP, CNO)	(i) (ii)	176,048 ------------- 0	54,025 ------------- 0	552 ------------- 0	6,010 ------------- 0	14,104 ------------- 0	250,739 ------------- 0	0 ------------- 0
11SHERRI F BEE KE (DIR CARDIAC SVCS)	(i) (ii)	159,913 ------------- 0	22,343 ------------- 0	1,760 ------------- 0	6,187 ------------- 0	13,317 ------------- 0	203,520 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	SENTARA HEALTH, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION STUDY. THE MOST RECENT COMPENSATION ANALYSIS AND RECOMMENDATIONS WERE SUBMITTED TO THE COMPENSATION COMMITTEE IN 2024. 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.
PART I, LINE 4B	MEGAN PERRY, 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 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. EFFECTIVE JANUARY 1, 2023, VESTING OF CONTRIBUTIONS EXPANDED TO INCLUDE AGE 60 WITH 5 YEARS OF SERVICE FROM THE DATE OF HIRE, OR AGE 65 WITH 2 YEARS OF SERVICE FROM THE CAA PLAN ENTRY DATE. 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). FICA AND FUTA TAXATION OF PRE-2009 CONTRIBUTIONS MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DURING 2024, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: MEGAN PERRY ($129,496); JOANNE INMAN ($30,748); AND PAUL GADEN ($9,878). 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. 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 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. PHYSICIAN PERFORMANCE INCENTIVE - AN INCENTIVE DESIGNED TO ENCOURAGE AND RECOGNIZE THE CONTRIBUTIONS AND STEWARDSHIP OF PHYSICIANS IN SENTARA'S INTEGRATED DELIVERY SYSTEM. AWARDS ARE BASED ON THE ACHIEVEMENT OF CLINICAL QUALITY, PATIENT SATISFACTION, FISCAL RESPONSIBILITY AND SYSTEM ALIGNMENT GOALS.
PART I LINE 4	CERTAIN SENIOR EXECUTIVES OF THE SENTARA HEALTH SYSTEM ARE COVERED BY THE SENTARA HEALTH EXECUTIVE CHANGE IN CONTROL AND SEVERANCE BENEFIT PLAN. THE PLAN PROVIDES FOR SPECIFIED SEVERANCE PAY AND BENEFITS IN THE EVENT OF INVOLUNTARY TERMINATION OF EMPLOYMENT THAT OCCURS: (1) IN THE ORDINARY COURSE OF EMPLOYMENT OR (2) WITHIN TWO YEARS FOLLOWING A QUALIFYING CHANGE IN CONTROL TO ELIGIBLE INDIVIDUALS AS DEFINED IN THE PLAN. PLAN BENEFITS VARY BASED UPON AN ELIGIBLE INDIVIDUAL'S TIER LEVEL AND WHETHER THE TERMINATION IS OR IS NOT WITHIN TWO YEARS FOLLOWING A CHANGE IN CONTROL, BUT GENERALLY RANGE BETWEEN 12-18 MONTHS. THE PLAN IS UNFUNDED AND DESIGNED AS AN ERISA TOP HAT WELFARE BENEFIT PLAN. INDIVIDUALS THAT ARE NOT ELIGIBLE TO PARTICIPATE IN THE PLAN MAY BE COVERED UNDER INDIVIDUAL ARRANGEMENTS DEPENDING ON POSITION AND QUALIFYING CIRCUMSTANCES.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

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Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) HALIFAX HEART CENTER	SEE BELOW	4,664,559	SEE BELOW		No
(2) PULMONARY ASSOCIATES	SEE BELOW	1,910,833	SEE BELOW		No
(3) TAMARA SPENCE	FAMILY MEMBER OF NICOLE DOCKERY	35,564	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCH L, PART IV

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

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
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SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Return Reference	Explanation
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION	AS PART OF SENTARA HEALTH'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, PROGRAM SERVICE ACCOMPLISHMENTS	SENTARA HEALTH I. SENTARA HEALTH--OVERVIEW SENTARA HEALTH CELEBRATES MORE THAN 136 YEARS IN PURSUIT OF ITS MISSION--"WE IMPROVE HEALTH EVERY DAY." SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 34,000 EMPLOYEES (INCLUDING 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.1 MILLION MEMBERS IN VIRGINIA AND FLORIDA. SENTARA IS NATIONALLY RECOGNIZED FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK. SENTARA ALSO PARTICIPATES IN AN ACCOUNTABLE CARE ORGANIZATION (ACO), WHICH SUPPORTS COORDINATED CARE EFFORTS AND VALUE-BASED INITIATIVES TO IMPROVE PATIENT OUTCOMES AND REDUCE HEALTHCARE COSTS. IN 2024, SENTARA CONTINUED THE BRAND EVOLUTION FROM SENTARA HEALTHCARE TO SENTARA HEALTH. THE NEW NAME REFLECTS OUR ENHANCED FOCUS ON PROMOTING THE OVERALL HEALTH AND WELL-BEING OF OUR CONSUMERS--OUR PATIENTS, MEMBERS, AND COMMUNITIES--WHO ARE AT THE CENTER OF EVERYTHING WE DO. THIS CHANGE ALSO REPRESENTS THE DEEPENING ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND HEALTH PLANS. EFFORTS ARE CENTERED ON MAKING THE CONSUMER EXPERIENCE SIMPLE, SEAMLESS, PERSONAL, AND MORE AFFORDABLE, AND ADDING VALUE TO THE COMMUNITIES WE SERVE. SENTARA STRIVES 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 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 PROVIDES MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE VALUE OF COMMUNITY BENEFIT TOTALED $329 MILLION IN 2024. SENTARA PROVIDED $174 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $96 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $40 MILLION IN COMMUNITY GIVING; AND $19 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA AND ITS TEAM MEMBERS CONTRIBUTED NEARLY $2.4 MILLION TO THE UNITED WAY THROUGH DIRECT EMPLOYEE CONTRIBUTIONS AND THE EMPLOYEE MATCHING PROGRAM. A. PREVIOUSLY LAUNCHED IN 2022, SENTARA COMMUNITY CARE (SCC) IS AN INNOVATIVE MODEL OF CARE THAT INTEGRATES PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES AND FOCUSES ON ADDRESSING THE ROOT FACTORS THAT GREATLY INFLUENCE A PERSON'S HEALTH AND WELL-BEING BEYOND THE CARE THAT SENTARA DELIVERS INSIDE OF OUR MEDICAL FACILITIES. IN 2024: I. SCC LAUNCHED AN INNOVATIVE SCHOOL-BASED TELEHEALTH PROGRAM IN PARTNERSHIP WITH HAMPTON AND HARRISONBURG, VIRGINIA SCHOOL SYSTEMS, DELIVERING ACUTE PRIMARY CARE SERVICES DIRECTLY TO STUDENTS AND FACULTY IN THEIR OWN SCHOOLS. SENTARA PLANS TO EXPAND TO MORE THAN 25 TITLE I SCHOOLS ACROSS THE COMMONWEALTH OF VIRGINIA. II. SCC OPENED A NEW COMMUNITY CARE CENTER IN HENRICO COUNTY, VIRGINIA. THE NEW CENTER OFFERS COMPREHENSIVE PRIMARY CARE, PEDIATRIC CARE, PRENATAL CARE, BEHAVIORAL HEALTH, ADDICTION MEDICINE, AND SOCIAL CARE SERVICES; A COMMUNITY FOOD PANTRY; AND GREATER ACCESS TO ESSENTIAL COMMUNITY RESOURCES--ALL IN ONE LOCATION. III. A SIXTH SCC "SENTARA MOBILE CARE" VEHICLE WAS INTRODUCED IN SOUTHERN VIRGINIA TO EXPAND ACCESS TO HIGH-QUALITY MEDICAL CARE AND SOCIAL CARE SERVICES ACROSS THE SENTARA NETWORK. IV. SCC PARTNERED WITH THE FOODBANK OF SOUTHEASTERN VIRGINIA AND THE EASTERN SHORE TO OPEN A NEW FOODBANK LOCATION NEXT DOOR TO OUR SCC CENTER IN NORFOLK, VIRGINIA. B. SENTARA CONTINUES OUR EFFORTS THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES SENTARA SERVES IN THE MOST IMPACTFUL WAY. SENTARA IS COMMITTED TO SUPPORTING COMMUNITY-BASED HEALTH OPPORTUNITY PROGRAMS THAT FOCUS ON IMPROVING PUBLIC HEALTH, TACKLING HEALTH INEQUITIES, ADDRESSING SOCIAL DRIVERS OF HEALTH, AND PROMOTING EQUITABLE ACCESS TO CARE IN TRADITIONALLY UNDERSERVED COMMUNITIES. I. SENTARA AWARDED APPROXIMATELY $10 MILLION IN SENTARA CARES GRANTS AND MICROGRANTS TO 219 COMMUNITY ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS LIVING IN THE COMMUNITIES WE SERVE. II. SENTARA INVESTED $3 MILLION IN A BEHAVIORAL HEALTH INNOVATION FUND AIMED AT IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THIS FUND FOCUSES ON ENHANCING THE RESPONSE SYSTEM FOR BEHAVIORAL HEALTH NEEDS, IMPROVING ACCESS TO CARE, FOSTERING INNOVATION THAT CAN BE SCALABLE, AND STRENGTHENING PARTNERSHIPS WITH SAFETY NET PROVIDERS IN THIS SPACE. A. SENTARA PARTNERED WITH THE VIRGINIA STAGE COMPANY (VSC) TO BRING "EVERY BRILLIANT THING," AN INSPIRATIONAL PLAY ABOUT MENTAL HEALTH TO COMMUNITIES. IN 2024, VSC PRESENTED 42 PERFORMANCES OF "EVERY BRILLIANT THING" AT OVER 30 VENUES, REACHING 5,535 ATTENDEES. III. SENTARA FOUNDED THE HAMPTON ROADS LOCAL INITIATIVES SUPPORT CORPORATION (LISC) OFFICE IN 2019, WHICH IS A COMMUNITY DEVELOPMENT FINANCE INSTITUTION AND A NATIONALLY RECOGNIZED NONPROFIT THAT WORKS WITH LOCAL GOVERNMENT, COMMUNITY DEVELOPERS, AND OTHER NONPROFITS TO REVITALIZE NEIGHBORHOODS AND CATALYZE OPPORTUNITIES IN UNDERSERVED COMMUNITIES. AS PART OF THE PARTNERSHIP WITH LISC, SENTARA SUPPORTED THE PREDEVELOPMENT OF AN UPCOMING 50-UNIT MULTI-FAMILY RENTAL FACILITY CALLED NEWPORT GARDENS; CONSTRUCTION OF 40 ADDITIONAL STUDIO APARTMENTS; AND AWARDING FORKIDS A GRANT TO PROVIDE EMERGENCY SHELTER FOR FAMILIES AND CHILDREN. IV. IN RESPONSE TO MEDICAL STAFF SHORTAGES PLAGUING OUR U.S. HEALTHCARE SYSTEM, SENTARA CONTINUED SENTARA SCHOLARS, ITS PIPELINE DEVELOPMENT PROGRAM TO PROVIDE FINANCIAL SUPPORT TO STUDENTS PURSUING HEALTHCARE CAREERS. IN 2024, SENTARA SCHOLARS PROVIDED $1.18 MILLION IN FINANCIAL SUPPORT TO STUDENTS ACROSS 13 UNIVERSITIES AND EDUCATIONAL INSTITUTIONS. V. SENTARA PARTNERED WITH THE FIVE CITIES OF SOUTH HAMPTON ROADS TO SECURE A $833,800 GRANT FROM THE VIRGINIA OPIOID ABATEMENT AUTHORITY TO PROVIDE A MOBILE CARE VEHICLE DEDICATED TO TREATMENT AND SERVICES FOR INDIVIDUALS WITH OPIOID USE DISORDER IN THE CITIES OF CHESAPEAKE, NORFOLK, PORTSMOUTH, SUFFOLK, AND VIRGINIA BEACH. THE VEHICLE IS PLANNED TO LAUNCH IN 2025. C. SENTARA COMMITTED $350 MILLION OVER 10 YEARS IN SUPPORT OF THE MERGER OF EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND OLD DOMINION UNIVERSITY (ODU) TO FORM THE LARGEST ACADEMIC HEALTH SCIENCE CENTER IN VIRGINIA. THE MERGED UNIVERSITY--MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY--IS THE LARGEST HEALTH SCIENCES CENTER IN VIRGINIA WITH MORE THAN 50 DEGREES OFFERED, SEVERAL OF WHICH ARE NOT AVAILABLE ANYWHERE ELSE IN THE COMMONWEALTH. D. SENTARA HAS LONG BEEN COMMITTED TO SUPPORTING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE THROUGH A VARIETY OF PREVENTION AND WELLNESS PROGRAMS. THESE INCLUDE THE EATING FOR LIFE PROGRAM, WHICH PROMOTES BALANCED NUTRITION AND HEALTHY MEAL PLANNING, MOVEMENT RESOURCES THAT ENCOURAGE PHYSICAL ACTIVITY AND STRENGTH-BUILDING ROUTINES, AND YOGA AND MEDITATION TO SUPPORT MINDFULNESS AND STRESS MANAGEMENT. MONTHLY HEALTH AND WELLNESS WEBINARS ARE AVAILABLE ON TOPICS SUCH AS DIABETES MANAGEMENT, HEART HEALTH, NUTRITION, AND PREVENTIVE SCREENINGS. E. SENTARA ORGANIZES AND HOSTS NUMEROUS COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT CRUCIAL HEALTH ISSUES ALIGNED WITH KEY AWARENESS MONTHS. SENTARA CURRENTLY RECOGNIZES EIGHT KEY AREAS OF FOCUS: HEART AND VASCULAR HEALTH, STROKE AWARENESS, BEHAVIORAL HEALTH, COLON CANCER, PROSTATE CANCER, BREAST CANCER, LUNG CANCER, AND CANCER SURVIVORSHIP. THESE EFFORTS INCLUDE PROMOTING PREVENTIVE CARE AND EARLY DETECTION THROUGH HEALTH SCREENINGS, WEBINARS, AND WELLNESS RESOURCES.
FORM 990, PART III, LINE 4A	F. THROUGH OUR FORESIGHT VIOLENCE INTERVENTION PROGRAM, 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 PLAN. THE GOAL IS TO PROVIDE SKILLS AND KNOWLEDGE TO AID INDIVIDUAL SURVIVORS AND THEIR FAMILIES IN IMPROVING THE QUALITY OF THEIR LIVES AND TACKLING THE GUN VIOLENCE EPIDEMIC. G. SENTARA'S 3D MOBILE MAMMOGRAPHY VAN--ORIGINALLY UNVEILED IN 2023--IS BUILDING DOZENS OF PARTNERSHIPS TO INCREASE BREAST CANCER SCREENINGS IN UNDERSERVED COMMUNITIES. IN 2024, THE MOBILE VAN PARTICIPATED IN SEVERAL COMMUNITY EVENTS IN PORTSMOUTH, VA AS PART OF HEALTHY PORTSMOUTH'S "YEAR OF MAMMOGRAPHY PROJECT" TO COMBAT THE CITY'S HIGH RATE OF BREAST CANCER DEATHS. THE VAN CONTINUES TO INCREASE ITS OUTREACH, INCLUDING A NEW PARTNERSHIP WITH OLD DOMINION UNIVERSITY COMMUNITY CARE AND AN UPDATED AGREEMENT WITH VIRGINIA BEACH CITY PUBLIC SCHOOLS. H. SENTARA HIRED A DIRECTOR OF SUSTAINABILITY TO REDUCE ITS CARBON FOOTPRINT AND MAXIMIZE HEALTHY ENVIRONMENTS FOR PATIENTS AND EMPLOYEES. THE SYSTEM EFFORT BEGAN WITH EVALUATING THOUSANDS OF PRODUCTS PURCHASED THROUGH SENTARA SUPPLY CHAIN AND EXTENDS TO AIR CONDITIONING AND HEATING SCHEDULES, RECYCLING, COMPOSTING, GREEN SPACES, AND WATER AND ENERGY CONSUMPTION. I. PARTNERING TO IMPROVE HEALTH AND WELLNESS: I. SENTARA PARTNERED WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND COMMUNITY ORGANIZATIONS TO HOST A REGIONAL MATERNAL HEALTH CONVENING, BRINGING TOGETHER HEALTHCARE PROFESSIONALS, ACADEMIC INSTITUTIONS, PROVIDERS, INSURERS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS TO SHARE BEST PRACTICES AND RECOMMENDATIONS TO REDUCE DISPARITIES IN MATERNAL HEALTH. II. SENTARA IS PART OF A $2 MILLION REGIONAL PARTNERSHIP PROJECT AIMING TO REDUCE GUN VIOLENCE IN HAMPTON ROADS BY MERGING COMMUNITY-BASED PROGRAMS AND RESEARCH. UNDER THE INITIATIVE, GUN VIOLENCE VICTIMS AND AFFECTED PEOPLE WHO RECEIVE SUPPORT THROUGH HOSPITAL-BASED INTERVENTION PROGRAMS WILL BE CONNECTED WITH COMMUNITY PARTNERS AND SUPPORTED THROUGH THE SAFER TOGETHER PROGRAM. III. SENTARA PARTNERED WITH 10 BLACK CHURCHES IN HAMPTON ROADS TO STUDY THE BEST WAY TO CONTROL HIGH BLOOD PRESSURE, OR HYPERTENSION, WHICH DISPROPORTIONALLY IMPACTS BLACK COMMUNITIES. IV. AS PART OF NATIONAL MINORITY HEALTH MONTH, SENTARA PARTNERED WITH THE REGIONAL CANCER DISPARITIES COLLABORATIVE TO HOST THE THIRD ANNUAL HEALTH EQUITY PANEL: "LET'S GET TO THE BOTTOM OF CANCER." THE PURPOSE OF THE EVENT WAS TO EDUCATE COMMUNITY MEMBERS ABOUT COLORECTAL CANCER, ENCOURAGE SCREENINGS, AND PROVIDE RESOURCES TO THOSE IN NEED. V. SENTARA HOSTED A BLACK MEN IN WHITE COATS YOUTH SUMMIT, AN EVENT WHICH ENCOURAGES YOUNG PEOPLE OF COLOR, BOTH MALE AND FEMALE, TO PURSUE CAREERS IN THE MEDICAL FIELD. VI. SENTARA HEALTH PLANS AND VIRGINIA CHILDREN'S CARE NETWORK ANNOUNCED A NEW VALUE-BASED CARE PARTNERSHIP FOCUSING ON COMPREHENSIVE CARE COORDINATION FOR MEDICAID MEMBERS AND REDUCING AVOIDABLE HEALTHCARE EVENTS. THE PARTNERSHIP EXPECTS TO DRIVE BETTER CHILDHOOD HEALTH OUTCOMES, PARTICULARLY WITH CHILDHOOD IMMUNIZATIONS AND WELLNESS VISITS. VII. SENTARA HEALTH PLANS PARTNERED WITH HAMPTON ROADS PUBLIC SCHOOLS TO INTRODUCE A PIONEERING PROGRAM DESIGNED TO ADDRESS THE SOCIAL DRIVERS OF HEALTH AFFECTING STUDENTS, AND TO CONNECT THEM WITH VITAL COMMUNITY RESOURCES. THE PILOT PROGRAM ASSIGNS A DEDICATED LIAISON TO PUBLIC SCHOOLS IN THE VIRGINIA DEPARTMENT OF EDUCATION'S TIDEWATER REGION, WORKING CLOSELY WITH SCHOOL COUNSELORS, TEACHERS, AND ADMINISTRATORS TO CREATE A TAILORED APPROACH THAT MEETS THE UNIQUE NEEDS OF EACH SCHOOL AND REGION. III. COMMITMENT TO OUR TEAM MEMBERS A. DIRECTLY INVESTING IN OUR COLLEAGUES REMAINS A TOP PRIORITY. I. NEARLY ALL OF OUR EMPLOYEES RECEIVED PAY INCREASES THROUGH A MERIT AND/OR MARKET ADJUSTMENT. II. SENTARA CONTRIBUTED $75 MILLION IN RETIREMENT SAVINGS MATCHES AND WAS ABLE TO PROVIDE OUR TEAM MEMBERS WITH A YEAR-END BONUS TOTALING $17 MILLION. III. SENTARA CONTINUES TO INVEST IN EDUCATION AND LEARNING BENEFITS WITH $37.7 MILLION PAID TOWARDS EDUCATIONAL ASSISTANCE AND STUDENT LOAN REPAYMENTS. B. SENTARA ADDED MORE THAN 7,800 NEW PEOPLE TO OUR TEAM AND IS SEEING GREAT IMPROVEMENTS IN OUR RETENTION EFFORTS. TOTAL TURNOVER IN 2024 WAS 14.4% COMPARED TO THE INDUSTRY AVERAGE OF 20.7%. NURSING TURNOVER WAS 13.2%, VERSUS THE INDUSTRY AVERAGE OF 18.4%. C. SENTARA IMPLEMENTED AND EXPANDED SEVERAL WORKPLACE VIOLENCE PREVENTION PROGRAMS, INCLUDING THE FOLLOWING: I. IN 2024, SENTARA CONTINUED THE EXPANSION OF A TWO-YEAR PILOT WITH A CONCEALED WEAPON DETECTION SYSTEM IN OUR HOSPITALS. THE SYSTEM DETECTS FIREARMS, KNIVES, CHEMICAL MACE, AND OTHER WEAPONS AS VISITORS WALK THROUGH, SO ARMED SECURITY PERSONNEL CAN INTERCEPT. II. MORE THAN 100 SENTARA SECURITY OFFICERS HAVE UNDERGONE A VIRGINIA DEPARTMENT OF CRIMINAL JUSTICE SERVICES TRAINING PROGRAM, WHICH WILL PERMIT OFFICERS TO STAFF AND CARRY FIREARMS AT THE WEAPON DETECTION SYSTEMS. OFFICERS ARE ALSO TRAINED ON 'STOP THE BLEED' PROTOCOLS. III. SENTARA EXPANDED COMPUTER-BASED DE-ESCALATION TRAINING TO ALL COLLEAGUES, BEYOND THE REQUIRED TRAINING FOR WORKERS IN EDS, ICUS, AND FAMILY MATERNITY UNITS. IV. SENTARA STREAMLINED THE PROCESS FOR TEAM MEMBERS TO REPORT WORKPLACE VIOLENCE INCIDENTS. MOST HOSPITALS ARE INSTALLING TELEMAGISTRATE SYSTEMS THAT ENABLE TEAM MEMBERS TO TALK TO A MAGISTRATE AND FILE CHARGES FROM THE HOSPITAL, MAKING IT EASIER TO REQUEST A WARRANT AT ALL HOURS. V. OVERHEAD SECURITY ALERTS ARE NOW ANNOUNCED THROUGH A TIERED PROCESS OF THREE CATEGORIES TO ENSURE APPROPRIATE LEVELS OF RESPONSE BY SECURITY OFFICERS. D. SINCE 2003, SENTARA HAS ALLOCATED OVER $6.65 MILLION TO OUR EMPLOYEES THROUGH THE H.O.P.E.(HELPING OVERCOME PERSONAL EMERGENCY) FUND. SENTARA'S COMPASSION HAS PROVIDED FINANCIAL RESOURCES FOR FELLOW SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE H.O.P.E. FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2024, MORE THAN $865,000 WENT TO APPROXIMATELY 500 EMPLOYEES IN CRISIS. E. SENTARA OBICI HOSPITAL IS THE FIRST HOSPITAL IN VIRGINIA AND NORTH CAROLINA--AND ONE OF ONLY 101 IN THE COUNTRY--TO PARTICIPATE IN THE FEDERALLY FUNDED COMMUNITIES AND HOSPITALS ADVANCING MATERNITY PRACTICES OR CHAMPS. THE PROGRAM OFFERS TRAINING FOR STAFF ON BEST PRACTICES TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES THROUGH BREASTFEEDING SUPPORT. F. TO ADDRESS THE NATIONWIDE SHORTAGE OF RESPIRATORY THERAPISTS, SENTARA AND TIDEWATER COMMUNITY COLLEGE (TCC) ESTABLISHED THE RESPIRATORY THERAPY APPRENTICESHIP PROGRAM, WHICH ALLOWS STUDENTS ENROLLED IN THE TWO-YEAR PROGRAM AT TCC TO BECOME FULL-TIME EMPLOYEES OF SENTARA, AND COVERS NEARLY $18,000 WORTH OF TUITION, BOOKS, SCRUBS, AND CERTIFICATION. G. SENTARA LAUNCHED A TRANSITION TO PRACTICE PROGRAM, WHICH AIMS TO SUPPORT 750 NEW NURSES A YEAR, PROVIDING SPECIALIZED SKILL TRAINING, MENTORING FROM VETERAN NURSES, AND CONFIDENCE-BUILDING EXERCISES. THE GOAL IS TO HELP NEW NURSES TRANSITION SEAMLESSLY INTO A RANGE OF POSITIONS ACROSS SENTARA'S ACUTE, POST-ACUTE AND AMBULATORY SYSTEM. IV. GROWTH IN SENTARA HEALTH A. OUR TRANSFORMATION OFFICE MANAGED 1,199 INITIATIVES LED BY 850 INITIATIVE OWNERS IN SUPPORT OF OUR STRATEGIC PLAN. B. SENTARA CONTINUED THE INTEGRATION OF FLORIDA-BASED AVMED INTO OUR SENTARA HEALTH PLANS OPERATIONS. C. SENTARA ANNOUNCED A $37 MILLION INCREASE ON ITS ORIGINAL INVESTMENT TO CONSTRUCT A NEW ACUTE CARE REPLACEMENT HOSPITAL FOR THE CURRENT SENTARA HALIFAX REGIONAL HOSPITAL, FROM $70 MILLION TO $107 MILLION. THE NEW HOSPITAL, SCHEDULED FOR COMPLETION IN 2025-2026, WILL HAVE A HIGH-EFFICIENCY, PATIENT-CENTRIC LAYOUT REPRESENTING THE TREND TOWARD PREVENTIVE CARE, OUTPATIENT SERVICES AND SHORTER HOSPITAL STAYS. D. SENTARA MEDICAL GROUP OPENED OR EXPANDED THE FOLLOWING NEW PRACTICES: I. SENTARA FAMILY MEDICINE PHYSICIANS (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA II. SENTARA FAMILY MEDICINE & PEDIATRICS IN HAMPTON, VIRGINIA III. SENTARA BEHAVIORAL HEALTH SPECIALISTS IN HAMPTON, VIRGINIA IV. SENTARA OBSTETRICS, GYNECOLOGY & MIDWIFERY SPECIALISTS IN HARRISONBURG, VIRGINIA (ACQUISITION) V. VELOCITY URGENT CARE (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA VI. SENTARA OBSTETRICS, GYNECOLOGY & MIDWIFERY SPECIALISTS IN ELIZABETH CITY, NORTH CAROLINA (ADDED MIDWIFERY) VII. THE CENTER FOR PLASTIC SURGERY AT SENTARA PRINCESS ANNE IN VIRGINIA BEACH, VIRGINIA (ADDED PROCEDURAL SUITE)
FORM 990, PART III, LINE 4A	E. SENTARA THERAPY SERVICES OPENED OR EXPANDED THE FOLLOWING PRACTICES: I. SENTARA THERAPY CENTER (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA II. SENTARA THERAPY CENTER (TANGLEWOOD PEDIATRICS) IN ELIZABETH CITY, NORTH CAROLINA (RELOCATION) F. SENTARA NORFOLK GENERAL HOSPITAL UNVEILED A NEWLY RENOVATED ANTEPARTUM UNIT FOR HIGH-RISK PREGNANT WOMEN, EXPANDING FROM 15 TO 21 BEDS TO INCREASE ACCESS TO CARE FOR WOMEN ACROSS HAMPTON ROADS. G. SENTARA OBSTETRICS, GYNECOLOGY, AND MIDWIFERY SPECIALISTS PARTNERED WITH HARRISONBURG OBGYN TO EXPAND AND ENHANCE WOMEN'S HEALTH SERVICES IN HARRISONBURG, VIRGINIA. H. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VIRGINIA, INVESTED $1 MILLION IN IMPROVEMENTS TO ITS EMERGENCY DEPARTMENT TO INCREASE FUNCTIONALITY, ENHANCE THE PATIENT EXPERIENCE, AND STRENGTHEN SECURITY MEASURES FOR VISITORS AND STAFF. I. SENTARA ANNOUNCED PLANS TO ROUGHLY DOUBLE RESIDENCY POSITIONS IN THE NEXT SIX YEARS, SIGNIFICANTLY INCREASING THE PIPELINE OF FUTURE PHYSICIANS. SENTARA WILL ADD RESIDENCIES AND FELLOWSHIPS AT SENTARA NORFOLK GENERAL HOSPITAL IN NORFOLK, VIRGINIA, AND ESTABLISH NEW RESIDENCY PROGRAMS IN NORTHERN VIRGINIA, THE VIRGINIA PENINSULA, AND NORTHEASTERN NORTH CAROLINA. I. SENTARA ALSO IS PARTNERING WITH THE NEWLY FORMED MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY TO BOOST TRAINING OPPORTUNITIES AND GROW THE HEALTHCARE WORKFORCE IN HAMPTON ROADS. J. ALL 12 SENTARA HOSPITALS IN VIRGINIA AND NORTH CAROLINA ARE ADDING THE PRITIKIN INTENSIVE CARDIAC REHAB PROGRAM TO HELP ENSURE THAT PATIENTS MAKE FULL AND LASTING RECOVERIES FROM CARDIAC EVENTS. THE PRITIKIN PROGRAM EMBRACES THREE PILLARS: EXERCISE, NUTRITION, AND A HEALTHY MINDSET TO EMPOWER PATIENTS TO MAKE GOOD, HEALTHY CHOICES. K. SENTARA HEALTH AND MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY JOINED FORCES TO LAUNCH THE SENTARA-EVMS COMPREHENSIVE SICKLE CELL PROGRAM, THE FIRST ADULT SICKLE CELL CLINIC IN HAMPTON ROADS. L. SENTARA NORFOLK GENERAL HOSPITAL BEGAN OFFERING HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) TO TREAT OVARIAN CANCER. M. SENTARA OPENED A NEW CLINIC FOR BEHAVIORAL HEALTH CARE IN HAMPTON, VIRGINIA. THE NEW OUTPATIENT CENTER IS SENTARA'S FIRST DEDICATED BEHAVIORAL HEALTHCARE CLINIC ON THE VIRGINIA PENINSULA, HELPING TO EXPAND ACCESS IN THE REGION. V. BY THE NUMBERS 1.1 MILLION PATIENTS AND 1.1 MILLION HEALTH PLAN MEMBERS SERVED; 7,800 NEW COLLEAGUES; 135,000 ADULT HOSPITAL ADMISSIONS; 859,206 EMERGENCY DEPARTMENT VISITS; 15,404 BABIES DELIVERED; 746 LIFE-SAVING TRIPS FROM THE NIGHTINGALE REGIONAL AIR AMBULANCE; AND 117,776 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VI. DIGITAL & TECHNOLOGY INITIATIVES AND INVESTMENTS A. SENTARA LAUNCHED A MULTI-YEAR IT INVESTMENT PLAN (2023-2026) IN SUPPORT OF IT FOUNDATIONAL NEEDS. I. SENTARA ESTABLISHED CORE IT FOUNDATIONAL AND INNOVATION INVESTMENTS AROUND CLINICAL ACCESS AND CARE IMPROVEMENTS, CONSUMER RELATIONSHIP MANAGEMENT, WORKFORCE EFFICIENCIES, AND GENAI. II. SENTARA ESTABLISHED THREE ADDITIONAL CENTERS OF EXCELLENCE: TESTING, AUTOMATION, AND AGILE TRANSFORMATION. III. AS PART OF ITS COMMITMENT TO EXPAND ACCESS TO CARE, SENTARA LAUNCHED VIRTUAL EXPRESS CARE, A NEW, ON-DEMAND SERVICE THAT OFFERS VIDEO VISITS TO ADDRESS SIMPLE CONCERNS BY A TEAM OF VIRTUAL CARE PROVIDERS. WITH LESS THAN A 30-MINUTE AVERAGE WAIT, PATIENTS HAVE ACCESS TO THIS PROGRAM FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY. IV. SENTARA CREATED AN AI OVERSIGHT PROGRAM STAFFED BY SENIOR LEADERS TO OVERSEE USE CASES AND DEVELOPMENT OF AI TOOLS ACROSS SENTARA. THE COMMITTEE DEVISED EIGHT AI PRINCIPLES TO ENSURE THAT SENTARA DEVELOPS AND USES AI SOLUTIONS SAFELY, RESPONSIBLY, AND IN A TRUSTWORTHY FRAMEWORK. V. SENTARA LAUNCHED A CLINICAL ACCESS CENTER THAT IS NOW SERVING 188 MEDICAL PRACTICES AND IMAGING/DIAGNOSTIC TESTING FOR 12 HOSPITALS. VI. SENTARA MEDICAL GROUP BEGAN USING AN ARTIFICIAL INTELLIGENCE TOOL CALLED DAX COPILOT TO AUTOMATE CLINICAL NOTES, PART OF AN INITIATIVE TO REDUCE PROVIDER WORKLOAD WHILE IMPROVING PATIENT CARE. VII. AS THE HEALTHCARE INDUSTRY FACES ONGOING WORKFORCE CHALLENGES, SENTARA IMPLEMENTED A VIRTUAL NURSING SYSTEM TO REDUCE ADMINISTRATIVE WORKLOAD AND ASSIST WITH TASKS SUCH AS PATIENT ADMISSIONS, DISCHARGES, AND PATIENT EDUCATION. NEW TECHNOLOGY IS DEPLOYING ACROSS ALL 12 SENTARA HOSPITALS TO IMPROVE NURSING RETENTION/RECRUITING AND PATIENT EXPERIENCE. B. SENTARA CARDIOLOGY SPECIALISTS ADOPTED A NEW TECHNOLOGY FOR CONTROLLING ATRIAL FIBRILLATION, OR IRREGULAR HEARTBEAT. THE FARAPULSE PULSED FIELD ABLATION SYSTEM USES ELECTRICAL PULSES, RATHER THAN HEAT OR COLD, TO ABLATE THE HEART TISSUES CAUSING IRREGULAR HEART RHYTHMS. C. THE SURGERY TEAM AT SENTARA ALBEMARLE MEDICAL CENTER WELCOMED A DA VINCI ROBOTIC SURGERY SYSTEM TO PERFORM GYNECOLOGICAL AND GENERAL SURGERY CASES. D. AFTER BECOMING THE SOLE OWNER OF VELOCITY URGENT CARE IN DECEMBER 2023, SENTARA MOVED ITS 17 VELOCITY URGENT CARE CENTERS ONTO ITS EPIC ELECTRONIC MEDICAL RECORD. E. SENTARA EQUIPPED CLINICIANS AT ALL 12 HOSPITALS WITH NEARLY 6,000 SPECIALIZED SMARTPHONES THAT STREAMLINE COMMUNICATION AND IMPROVE PATIENT CARE. SMARTPHONES ARE EXPECTED TO FACILITATE FASTER ADMISSIONS TO THE EMERGENCY DEPARTMENT, REDUCE HOSPITAL LENGTH OF STAY, AND ACCELERATE THE AVERAGE NURSE RESPONSE TIME. VII. EXPANDING RESEARCH OPPORTUNITIES A. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA AND IN OUR COMMUNITIES. LOCATED IN ONE OF THE MOST CULTURALLY DIVERSE REGIONS OF THE UNITED STATES, SENTARA HEALTH RESEARCH CENTER SERVES AS A PREMIER RESEARCH PARTNER. SENTARA IS UTILIZING THE RESEARCH CAPABILITY AND SCOPE OF OUR HEALTHCARE SYSTEM TO ADVANCE HEALTH THROUGHOUT THE COMMUNITIES SENTARA SERVES. B. SENTARA IS ONE OF THREE VIRGINIA HEALTH SYSTEMS THAT TOGETHER WILL SERVE AS ONE OF EIGHT GROUPS IN THE U.S. TO CONDUCT GROUNDBREAKING RESEARCH FOR THE CANCER SCREENING RESEARCH NETWORK (CSRN), LAUNCHED BY THE NATIONAL CANCER INSTITUTE, PART OF THE NATIONAL INSTITUTES OF HEALTH. THE NEW CLINICAL TRIALS NETWORK CREATES A NATIONAL INFRASTRUCTURE TO STUDY EMERGING CANCER SCREENING AND PREVENTION TECHNOLOGIES, WITH THE GOAL OF REDUCING CANCER-RELATED ILLNESSES AND DEATHS. THE CSRN WILL AMPLIFY EFFORTS TO EVALUATE THE BENEFITS AND HARMS OF PROMISING NEW TECHNOLOGIES FOR CANCER SCREENING AND TO IDENTIFY EFFECTIVE STRATEGIES TO INCORPORATE THESE TECHNOLOGIES INTO THE STANDARD OF CARE. C. A NEW STUDY BY SENTARA RESEARCHERS OFFERS AN IN-DEPTH ANALYSIS OF HIGH BLOOD PRESSURE TRENDS IN SENTARA'S PATIENT POPULATION, WHICH SPANS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE RESEARCH, WHICH ANALYZES DATA FROM THE REGION, WILL HELP SENTARA CREATE TARGETED LOCAL HEALTHCARE INITIATIVES. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. 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 2024 ACCOMPLISHMENTS, AWARDS, AND RECOGNITIONS: I. APPROACHING TOP QUARTILE FOR PATIENT EXPERIENCE AND LENGTH OF STAY AGAINST PEER ORGANIZATIONS. II. APPROACHING TOP QUARTILE FOR SEPSIS SEP-1 BUNDLE COMPLIANCE AGAINST PEER ORGANIZATIONS. INCREASED COMPLIANCE BY 83% SINCE 2022. III. ACHIEVED 62% REDUCTION IN HOSPITAL ACQUIRED INFECTIONS SINCE 2016 (565 IN 2016 VERSUS 216 IN 2024). IV. APPROACHING TOP DECILE PERFORMANCE FOR RATE YOUR PROVIDER AMBULATORY CUSTOMER SATISFACTION SCORE. V. 13 OF 17 SENTARA EMERGENCY DEPARTMENTS (ED) ARE IN THE 61ST PERCENTILE OR ABOVE FOR ED TURNAROUND TIME, WITH THE MAJORITY BEING ABOVE THE 80TH PERCENTILE. VI. SENTARA WAS RECOGNIZED AS ONE OF "AMERICA'S BEST-IN-STATE EMPLOYERS" BY FORBES IN 2024. SENTARA RANKED 32 OUT OF 90 VIRGINIA EMPLOYERS ON THE LIST AND IS THE SECOND-RANKED HEALTHCARE EMPLOYER. VII. THREE SENTARA HOSPITALS EARNED RECOGNITION IN NEWSWEEK'S BEST-IN-STATE HOSPITALS 2024 RANKINGS, HIGHLIGHTING THE LEADING HOSPITALS IN EVERY STATE. THE RANKINGS ARE COMPILED USING PATIENT SAFETY AND QUALITY METRICS DATA FROM MORE THAN 700 OF THE NATION'S HOSPITALS, RESULTS FROM PATIENT EXPERIENCE SURVEYS, AND RESULTS FROM MEDICAL PROFESSIONAL SURVEYS. A. SENTARA MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE, VIRGINIA B. SENTARA LEIGH HOSPITAL NORFOLK, VIRGINIA C. SENTARA NORFOLK GENERAL HOSPITAL NORFOLK, VIRGINIA
FORM 990, PART III, LINE 4A	VIII. FOUR SENTARA HOSPITALS WERE RECOGNIZED BY U.S. NEWS & WORLD REPORT AS AMONG THE BEST HOSPITALS IN VIRGINIA FOR MATERNITY CARE: A. SENTARA LEIGH HOSPITAL--NORFOLK, VIRGINIA B. SENTARA MARTHA JEFFERSON HOSPITAL--CHARLOTTESVILLE, VIRGINIA C. SENTARA RMH MEDICAL CENTER--HARRISONBURG, VIRGINIA D. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER--WILLIAMSBURG, VIRGINIA IX. TWO SENTARA PROGRAMS AND TWO SENTARA TEAM MEMBERS WERE HONORED WITH 2024 "HEALTH CARE HEROES" AWARDS BY INSIDE BUSINESS IN THE FOLLOWING CATEGORIES: COMMUNITY SERVICE, CORPORATE ACHIEVEMENT IN HEALTH CARE, PHYSICIAN, AND HEALTH CARE STAFF. X. SENTARA WAS ONCE AGAIN ACKNOWLEDGED AS THE LEADING COMPANY IN THE ANNUAL "GENEROUS VIRGINIANS" REPORT PUBLISHED BY VIRGINIA BUSINESS MAGAZINE FOR THE 5TH YEAR IN A ROW. XI. SENTARA COLLEGE OF HEALTH SCIENCES WON THE "BEST OF COASTAL VIRGINIA" MAGAZINE'S READERS' POLL FOR THE EIGHTH CONSECUTIVE YEAR, EARNING SOUTHSIDE GOLD FOR BEST TECHNICAL SCHOOL AND SOUTHSIDE SILVER FOR BEST PRIVATE COLLEGE/UNIVERSITY. XII. SENTARA'S CHIEF QUALITY & SAFETY OFFICER AND CHIEF NURSING OFFICER WERE JOINTLY AWARDED THE 2024 SENIOR LEADER QUALITY AND PATIENT SAFETY AWARD BY THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) TO RECOGNIZE THEIR POWERFUL PARTNERSHIP AND COMMITMENT TO PATIENT SAFETY. XIII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER BECAME THE FIRST MEDICAL FACILITY IN VIRGINIA TO BE CERTIFIED AS SENSORY INCLUSIVE. THE INITIATIVE HELPS THE HOSPITAL WELCOME AND CARE FOR THOSE WITH SENSORY NEEDS, A GROUP THAT INCLUDES PEOPLE WITH AUTISM, PTSD, EARLY ONSET DEMENTIA, ANXIETY, STROKE, AND MORE. XIV. TWO SENTARA LEADERS RECEIVED THE VIRGINIA CENTER FOR INCLUSIVE COMMUNITIES HUMANITARIAN AWARD. THE ANNUAL AWARD RECOGNIZES INDIVIDUALS WHO HAVE DEMONSTRATED A PERSONAL COMMITMENT TO THE PROMOTION OF RESPECT AND UNDERSTANDING AMONG PEOPLE OF DIVERSE RACIAL, ETHNIC, AND RELIGIOUS BACKGROUNDS. XV. ALL 12 SENTARA HOSPITALS HAVE EARNED THE HIGH PERFORMER DESIGNATION FOR 2024 FROM THE HUMAN RIGHTS CAMPAIGN, A NATIONWIDE ORGANIZATION WORKING TO ACHIEVE EQUALITY AND INCLUSION FOR LGBTQ+ PERSONS. XVI. THE SENTARA EPILEPSY CENTER AT SENTARA NORFOLK GENERAL HOSPITAL BECAME A LEVEL IV EPILEPSY CENTER, THE HIGHEST LEVEL POSSIBLE. THE ACCREDITATION RECOGNIZES THE ADVANCED CARE OFFERED TO EPILEPSY PATIENTS. AS PART OF THE THREE-YEAR PROCESS TO BECOME A LEVEL IV CENTER, THE SENTARA EPILEPSY CENTER DEMONSTRATED THE CAPACITY TO PROVIDE THE MOST COMPLEX FORMS OF MONITORING AND TREATMENT, INCLUDING A RANGE OF SURGICAL PROCEDURES. XVII. SENTARA NORTHERN VIRGINIA MEDICAL CENTER EARNED MAGNET WITH DISTINCTION RECOGNITION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK, AND SUPERIORITY IN PATIENT CARE. THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM IS THE HIGHEST NATIONAL HONOR FOR NURSING EXCELLENCE AND IDENTIFIES SUPERIOR QUALITY IN NURSING CARE. XVIII. ELEVEN SENTARA HOSPITALS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S JOINT 'GET WITH THE GUIDELINES' AWARDS FOR PROVIDING EXCELLENT STROKE CARE AND FOLLOWING GUIDELINES THAT LEAD TO MORE LIVES SAVED AND SHORTER RECOVERY TIMES. XIX. EIGHT SENTARA HOSPITALS WERE AWARDED AMERICAN COLLEGE OF CARDIOLOGY CHEST PAIN CENTER ACCREDITATION BASED ON RIGOROUS ONSITE EVALUATION OF THE STAFF'S ABILITY TO EVALUATE, DIAGNOSE, AND TREAT PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK. XX. SENTARA NORTHERN VIRGINIA MEDICAL CENTER ACHIEVED ACCREDITATION FROM SURGICAL REVIEW CORPORATION AS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY AND ROBOTIC SURGERY. THIS ACCREDITATION RECOGNIZES THE HOSPITAL'S COMMITMENT AND HIGH STANDARD OF DELIVERY OF QUALITY PATIENT CARE AND SAFETY. CONCLUSION: SENTARA HEALTH REMAINS COMMITTED TO OUR MISSION--WE IMPROVE HEALTH EVERY DAY. SENTARA PROVIDES QUALITY CARE AND SERVICE USING DEDICATED CLINICIANS, CUTTING-EDGE TECHNOLOGY, AND EXCELLENT CUSTOMER SERVICE--ALL WITH A CONSTANT FOCUS ON INNOVATION. SENTARA IS COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE, CREATING A VIBRANT PLACE OF EMPLOYMENT, AND PROVIDING SOLUTIONS TO HEALTH INEQUITIES THROUGH VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND PARTNERSHIPS.
FORM 990, PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096:	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.
FORM 990, PART VI, SECTION A, LINE 2	DRS. HABIB BASSIL, SAID B. ISKANDAR AND TERRANCE J. TRUITT HAVE A BUSINESS RELATIONSHIP. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS IN WHICH SENTARA HEALTH OR ITS SUBSIDIARIES HAVE 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 HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY.
FORM 990, PART VI, SECTION A, LINE 7A	THE 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 HEALTH, 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 HEALTH.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT HAS THE FOLLOWING RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION AND ANY OF ITS SUBSIDIARIES: 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, 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.
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 HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY.
FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS, BOARD OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. 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 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 29 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 38 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. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, TREASURER, AND VICE CHAIRMAN. THE PRESIDENT 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 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.
FORM 990, PART VI, LINE 1B, BOARD MEMBER INDEPENDENCE:	SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS AS DESCRIBED IN CORE PART VI LINE 7. THE GOVERNING BOARD OF SENTARA HEALTH IS A COMMUNITY-BASED BOARD COMPRISED OF 15 VOTING MEMBERS, 14 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.
FORM 990, PART IX, LINE 11G	NON-EMPLOYEE HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 14,740,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,740,331.
FORM 990, PART XI, LINE 9:	BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY 9,691,849.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

HALIFAX REGIONAL HOSPITAL INC

Employer identification number

54-0648699

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SENTARA HALIFAX REGIONAL PROFESSIONAL SERVICES LLC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 20-8386107	PHYSICIAN SUBSIDY	VA	0	0	HALIFAX REGIONAL HOSPITAL INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH,VA23464 52-1271901	HEALTHCARE	VA	501(C)(3)	LINE 7	N/A		No
(2)CLARKSVILLE SENIOR CARE LLC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1957066	SENIOR CARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes
(3)HALIFAX REGIONAL DEVELOPMENT FOUNDATION INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1801459	HLTH/WELFARE	VA	501(C)(3)	LINE 7	HALIFAX REGIONAL HOSPITAL	Yes
(4)HALIFAX REGIONAL LONG TERM CARE INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-6074529	SENIOR CARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes
(5)SENTARA HALIFAX REGIONAL PROPERTIES INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1801463	HLTH/WELFARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes
(6)SENTARA PRINCESS ANNE HOSPITAL 1300 SENTARA PARK VIRGINIA BEACH,VA23464 27-3208969	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HOSPITALS	Yes
(7)SENTARA HOSPITALS 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1547408	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HEALTH	Yes
(8)SENTARA MEDICAL GROUP 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1217184	HEALTHCARE	VA	501(C)(3)	LINE 10	SENTARA HEALTH	Yes
(9)SENTARA ENTERPRISES 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1917649	HEALTHCARE	VA	501(C)(3)	LINE 10	SENTARA HEALTH	Yes
(10)SENTARA LIFE CARE CORPORATION 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1217183	HEALTHCARE	VA	501(C)(3)	LINE 10	SENTARA HEALTH	Yes
(11)MPB INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	Yes
(12)SENTARA HEALTH PLANS 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1283337	HMO	VA	501(C)(3)	LINE 12A, I	SENTARA HEALTH	Yes
(13)POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-0853898	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HEALTH	Yes
(14)SENTARA RMH MEDICAL CENTER 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-0506331	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HOSPITALS	Yes
(15)VALLEY WELLNESS CENTER 1300 SENTARA PARK VIRGINIA BEACH,VA23464 52-1309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LINE 10	SENTARA RMH MEDICAL CENTER	Yes
(16)MJH FOUNDATION 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1401357	INVEST/MGT SVCS FOR SUPPORTED ORG	VA	501(C)(3)	LINE 12A, I	MARTHA JEFFERSON HOSPITAL	Yes
(17)MARTHA JEFFERSON HOSPITAL FOUNDATION 1300 SENTARA PARK VIRGINIA BEACH,VA23464 30-0041113	FUNDRAISING FOR SUPPORTED ORG	VA	501(C)(3)	LINE 12A, I	MARTHA JEFFERSON HOSPITAL	Yes
(18)MARTHA JEFFERSON HOSPITAL 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-0261840	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HOSPITALS	Yes
(19)OPTIMA FAMILY CARE OF NORTH CAROLINA INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 82-3610648	MEDICAID HMO	NC	501(C)(3)	LINE 10	OPTIMA HEALTH OF NORTH CAROLINA LLC	Yes
(20)OPTIMA HEALTH OF NORTH CAROLINA LLC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 82-3623430	SUPPORTS MCAID HMO	NC	501(C)(3)	LINE 12A, I	SENTARA HEALTH	Yes
(21)SENTARA MEDICARE ADVANTAGE OF NORTH CAROLINA INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 84-2066617	MEDICAID HMO	NC	501(C)(4)	LINE 12A, I	SENTARA HEALTH	Yes
(22)SENTARA COMMERCIAL HEALTH PLANS OF NORTH CAROLINA INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 85-1043564	SOCIAL WELFARE	NC	501(C)(4)		SENTARA HEALTH	Yes
(23)AVMED INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 59-2742907	MEDICARE HMO	FL	501(C)(4)		SENTARA HOLDINGS FLORIDA LLC	Yes
(24)SENTARA HEALTH INSURANCE PLANS CORP 1300 SENTARA PARK VIRGINIA BEACH,VA23464 93-4649120	MEDICAID HMO	GA	501(C)(3)	LINE 10	SENTARA HEALTH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) MANAGEMENT SERVICES LLC 814 GREENBRIER CIRCLE STE H CHESAPEAKE,VA23320 54-1365012	HLTH MGT SV	VA	N/A				No			No
(2) PRINCESS ANNE AMB SURG MGT LLC 1975 GLENN MITCHELL STE 300 VA BEACH,VA23456 20-4920880	HEALTHCARE	VA	N/A				No			No
(3) VA BEACH AMBULATORY SURGERY CENTER 1700 WILL O WISP DRIVE VA BEACH,VA23454 54-1448218	HEALTHCARE	VA	N/A				No			No
(4) CANCER CENTERS OF VA LLC 6350 CENTER DRIVE SUITE 200 NORFOLK,VA23502 20-1338518	HEALTHCARE	VA	N/A				No			No
(5) HAMPTON ROADS LITHOTRIPSY LLC 225 CLEARFIELD AVE VIRGINIA BEACH,VA23462 20-0942600	HEALTHCARE	VA	N/A				No			No
(6) SENTARA OBICI AMBULATORY SURGERY LLC 2750 GODWIN BLVD SUFFOLK,VA23434 26-0144898	HEALTHCARE	VA	N/A				No			No
(7) POTOMAC INOVA HEALTHCARE ALLIANCE LLC 8095 INNOVATION PARK DRIVE FAIRFAX,VA22031 54-1802733	HEALTHCARE	VA	N/A				No			No
(8) CAREPLEX ORTHOPAEDIC ASC LLC 3000 COLISEUM DRIVE HAMPTON,VA23666 27-1867311	HEALTHCARE	VA	N/A				No		Yes
(9) PHYSICAL THERAPY ACACLLC 501 ALBEMARLE SQUARE CHARLOTTESVILLE,VA22901 26-0080717	HEALTHCARE	VA	N/A				No			No
(10) MNS SUPPLY CHAIN NETWORK LLC 290 E JOHN CARPENTER FREEWAY IRVING,TX75062 45-4235238	GPO	DE	N/A				No		Yes
(11) LAKE RIDGE AMBULATORY SURGERY CENTER LLC 12825 MINNIEVILLE RD STE 204 WOODBRIDGE,VA22192 45-5347932	HEALTHCARE	VA	N/A				No			No
(12) CAHABA PARTNERS CORE FIXED INCOME FUND C/O GTC 12 GILL ST SUITE 2600 WOBURN,MA01801 47-4618533	POOLED INV FD	DE	N/A			Yes				No
(13) CAHABA PARTNERS PUBLIC INFLATION HEDGES FD C/O GTC 12 GILL ST SUITE 2600 WOBURN,MA01801 47-4601867	POOLED INV FD	DE	N/A			Yes				No
(14) LEIGH ORTHOPEDIC SURGERY CENTER LLC 6201 E VIRGINIA BEACH BLVD STE 200 NORFOLK,VA23502 83-2402528	HEALTHCARE	VA	N/A				No			No
(15) SURGICAL SUITES OF COASTAL VIRGINIA LLC 400 SENTARA CIRCLE SUITE 200 WILLIAMSBURG,VA23188 83-3205375	HEALTH CARE	VA	N/A				No			No
(16) PORT WARWICK SURGERY CENTER LLC 1031 LOFTIS BOULEVARD NEWPORT NEWS,VA23606 83-2749039	HEALTH CARE	VA	N/A				No		Yes
(17) CAHABA PARTNERS EQUITY PLUS FUND C/O GTC 12 GILL ST SUITE 2600 WOBURN,MA01801 61-1865746	POOLED INV FD	DE	N/A			Yes				No
(18) CAHABA PARTNERS TACTICAL EQUITY FUND C/O GTC 12 GILL ST SUITE 2600 WOBURN,MA01801 37-1939267	POOLED INV FD	DE	N/A			Yes				No
(19) HA INTL EQUITY CEF FD CL-A C/O BNY MELLON TRUST 4005 KENNET PI GREENVILLE,DE19807 84-5176311	POOLED INV FD	DE	N/A			Yes				No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) SENTARA HOLDINGS INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1555638	HOLDING COMPANY	VA	N/A	C				Yes
(2) SENTARA HEALTH ADMINISTRATION INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 52-2368125	TPA	VA	N/A	C				Yes
(3) OPTIMA HEALTH GROUP INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1473382	HMO	VA	N/A	C				Yes
(4) SENTARA HEALTH INSURANCE COMPANY 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1642752	HEALTH INSURANCE	VA	N/A	C				Yes
(5) SENTARA BEHAVIORAL HEALTH SERVICES 1300 SENTARA PARK VIRGINIA BEACH,VA23464 62-1382666	MENTAL HEALTH SVCS	VA	N/A	C				Yes
(6) SENTARA VENTURES INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1688615	HOLDING COMPANY	VA	N/A	C				Yes
(7) SENTARA HEALTH INSURANCE CO OF NC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 47-1888140	HEALTH INSURANCE	NC	N/A	C				Yes
(8) SENTARA HEALTH PLANS OF NC INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 46-5510421	TPA	NC	N/A	C				Yes
(9) MANAGED CARE SERVICES INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 81-5421060	ALT HEALTH DELIVERY	VA	N/A	C				Yes
(10) SENTARA SOUTHSIDE HEALTH SERVICES INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1417772	HEALTH SERVICES	VA	HALIFAX REGIONAL HOSPITAL INC	C	65,185	3,020,432	100.000 %	Yes
(11) DOMINION HEALTH MEDICAL ASSOCIATES LTD 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1060357	PHYS PRACTICE	VA	HALIFAX REGIONAL PROFESSIONAL SERVICES LLC	C	3,656,463	5,442,992	100.000 %	Yes
(12) SMG INNOVATIONS INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 20-3730331	HEALTHCARE	VA	N/A	C				Yes
(13) POTOMAC VENTURES CORPORATION 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1441420	HOLDING COMPANY	VA	N/A	C				Yes
(14) ROCKINGHAM HEALTH SERVICES INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1721387	CONTRACTING SVCS	VA	N/A	C				Yes
(15) MARTHA JEFFERSON MEDICAL ENTERPRISES INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 54-1841528	MEDICAL BILLING SVCS	VA	N/A	C				Yes
(16) BAY PRIMEX INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN KY1-1102 CJ 98-0704114	OTHER INSURANCE FUNDS	CJ	N/A	C				Yes
(17) ALBEMARLE PHYSICIAN SERVICES-SENTARA INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 26-4592192	PHYS PRACTICE	NC	N/A	C				Yes
(18) THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION 1300 SENTARA PARK VIRGINIA BEACH,VA23464 56-2295574	BUILDING ASSOCIATION	VA	N/A	C				Yes
(19) MEDSTREAMING EGYPT SOFTWARE 5A-ELNASRROADDELTA BUILDING8TH FL CAIRO EG	CONSULTING	EG	N/A	C				Yes
(20) CAHABA PARTNERS TOTAL RETURN FUND LTD 27 HOSPITAL ROAD GEORGE TOWN KY1-9008 CJ	POOLED INV FD	CJ	N/A	C					No
(21) FIVOS INC 8 COMMERCE AVE WEST LEBANON,NH03784 45-1573625	HEALTHCARE IT	DE	N/A	C				Yes
(22) MEDICAL METRX HOLDING INC 8 COMMERCE AVE WEST LEBANON,NH03784 20-4195631	HOLDING COMPANY	DE	N/A	C				Yes
(23) M2S INC 8 COMMERCE AVE WEST LEBANON,NH03784 13-3978513	DATA COLLECTION/AGGREGATION	DE	N/A	C				Yes
(24) AVMED ADMINISTRATORS INC 1300 SENTARA PARK VIRGINIA BEACH,VA23464 84-2931956	TPA SERVICES	FL	N/A	C				Yes
(25) SOLUS SPC OFFSHORE FUND LTD 190 ELGIN AVENUE GEORGE TOWN KY1-9007 CJ 98-1554265	INVESTMENTS	CJ	N/A	C					No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) DOMINION HEALTH MEDICAL ASSOCIATES LTD	L	428,288	CORP BOOK/REC
(2) DOMINION HEALTH MEDICAL ASSOCIATES LTD	M	5,923,683	CORP BOOK/REC
(3) DOMINION HEALTH MEDICAL ASSOCIATES LTD	P	148,773	CORP BOOK/REC
(4) DOMINION HEALTH MEDICAL ASSOCIATES LTD	Q	93,232	CORP BOOK/REC
(5) DOMINION HEALTH MEDICAL ASSOCIATES LTD	S	1,016,636	CORP BOOK/REC
(6) MARTHA JEFFERSON HOSPITAL	C	53,705	CORP BOOK/REC
(7) POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM	C	52,385	CORP BOOK/REC
(8) SENTARA HALIFAX REGIONAL PROPERTIES INC	K	1,174,861	CORP BOOK/REC
(9) SENTARA HEALTH ADMINISTRATION INC	L	207,041	CORP BOOK/REC
(10) SENTARA HEALTH PLANS	L	9,406,632	CORP BOOK/REC
(11) SENTARA HOSPITALS	B	126,325,232	CORP BOOK/REC
(12) SENTARA HOSPITALS	C	16,661,753	CORP BOOK/REC
(13) SENTARA HOSPITALS	L	204,199	CORP BOOK/REC
(14) SENTARA HOSPITALS	M	17,013,742	CORP BOOK/REC
(15) SENTARA MEDICAL GROUP	B	213,449	CORP BOOK/REC
(16) SENTARA MEDICAL GROUP	C	936,422	CORP BOOK/REC
(17) SENTARA MEDICAL GROUP	M	261,385	CORP BOOK/REC
(18) SENTARA RMH MEDICAL CENTER	C	424,907	CORP BOOK/REC
(19) SENTARA RMH MEDICAL CENTER	M	362,529	CORP BOOK/REC

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	73,617	78,561
9	Program service revenue (Part VIII, line 2g) .........	102,945,254	97,980,575
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-3,803,017	62,660
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	40,660	53,110
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	99,256,514	98,174,906
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,116,024	1,609,020
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	46,258,992	45,366,947
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	80,466,702	77,223,305
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	128,841,718	124,199,272
19	Revenue less expenses. Subtract line 18 from line 12.......	-29,585,204	-26,024,366
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	51,020,502	52,977,021
21	Total liabilities (Part X, line 26).............	12,358,321	26,376,655
22	Net assets or fund balances. Subtract line 21 from line 20.....	38,662,181	26,600,366

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 93,088,342 including grants of $ 1,609,020 ) (Revenue $ 97,980,575 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses93,088,342

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) PABLO SOUZA MD........................................................................ PHYSICIAN	40.00 .......................0.00	X	379,510	0	49,069
(19) SOWMYA SRIMANTHULA MD........................................................................ PHYSICIAN	40.00 .......................0.00	X	341,508	0	42,076
(20) JONI O ABBOTT........................................................................ PHYSICIAN	40.00 .......................0.00	X	293,671	0	46,186
(21) CANDACE CLOCKER........................................................................ PHYSICIAN	40.00 .......................0.00	X	281,652	0	14,736

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,518,480	3,706,924	543,083

1	Briefly describe the organization’s mission or most significant activities: AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	466
6	Total number of volunteers (estimate if necessary) .............	6	45
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,000
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	76,561

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		78,561

		Business Code
2a	NET PATIENT SERVICE REVENUE	541900	97,763,076	97,763,076
b	OTHER PROGRAM SERVICE REVENUE	990009	180,389	180,389
c	PREMIUM & CAPITATION REVENUE	621300	37,110	37,110
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		97,980,575

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,079			6,079
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	12,107
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	12,107
d	Net rental income or (loss).......			12,107			12,107
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		86,679
b	Less: cost or other basis and sales expenses	7b		30,098
c	Gain or (loss)	7c		56,581
d	Net gain or (loss).........			56,581			56,581
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	51,549
b	Less: cost of goods sold ..		10b	19,661
c	Net income or (loss) from sales of inventory..			31,888			31,888

Business Code
11a	CAFE/VENDING		721000	5,327			5,327
b	MISCELLANEOUS		900099	3,788			3,788
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			9,115
12	Total revenue. See instructions.....			98,174,906	97,980,575	0	115,770

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,609,020	1,609,020
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	953,436	786,108	167,328
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	33,928,369	27,973,940	5,954,429
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,459,548	2,027,897	431,651
9	Other employee benefits .......	5,576,654	4,597,951	978,703
10	Payroll taxes ...........	2,448,940	2,019,151	429,789
11	Fees for services (non-employees):
a	Management ......	1,154,688	952,040	202,648
b	Legal .........	1,750	1,443	307
c	Accounting ...........	1,176	970	206
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	14,740,331	14,740,331
12	Advertising and promotion ....	2,143	1,767	376
13	Office expenses .......	3,725,261	3,071,478	653,783
14	Information technology ......	179,444	147,952	31,492
15	Royalties ..
16	Occupancy ...........	2,875,625	2,370,953	504,672
17	Travel ............	81,548	67,236	14,312
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	13,825	11,399	2,426
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,166,620	3,435,378	731,242
23	Insurance ...	775,440	639,350	136,090
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SENTARA SERVICE EXPENSE	20,464,604		20,464,604
b	MEDICAL SUPPLIES	19,196,816	19,196,816
c	TAXES & LICENSES	7,557,951	7,552,287	5,664
d	PURCHASED SERVICES	2,651,297	2,185,994	465,303
e	All other expenses	-365,214	-301,119	-64,095
25	Total functional expenses. Add lines 1 through 24e	124,199,272	93,088,342	31,110,930	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			102,498	1	86,504
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			15,079,522	4	15,104,870
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			12,376	7	381,375
8	Inventories for sale or use ............			2,103,729	8	2,012,119
9	Prepaid expenses and deferred charges ......			691,977	9	740,346
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	75,901,403
b	Less: accumulated depreciation	10b	44,480,144	29,356,871	10c	31,421,259
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			2,444,670	14	2,432,209
15	Other assets. See Part IV, line 11 ...........			1,228,859	15	798,339
16	Total assets. Add lines 1 through 15 (must equal line 33)...			51,020,502	16	52,977,021

17	Accounts payable and accrued expenses .....	6,445,400	17	7,401,285
18	Grants payable ...		18
19	Deferred revenue .........	41,227	19	32,982
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	5,871,694	25	18,942,388
26	Total liabilities. Add lines 17 through 25..	12,358,321	26	26,376,655

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	37,412,751	27	26,312,197
28	Net assets with donor restrictions ...........	1,249,430	28	288,169
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	38,662,181	32	26,600,366
33	Total liabilities and net assets/fund balances ........	51,020,502	33	52,977,021