SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
SENTARA HOSPITALS
 
Employer identification number

54-1547408
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    67,170,608   67,170,608 2.400 %
b Medicaid (from Worksheet 3, column a) . . . . .     535,954,397 613,633,317 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     603,125,005 613,633,317 67,170,608 2.400 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     19,518,781   19,518,781 0.700 %
f Health professions education (from Worksheet 5) . . .     44,172,139 15,173,023 28,999,116 1.040 %
g Subsidized health services (from Worksheet 6) . . . .     104,712,757 60,807,167 43,905,590 1.570 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     20,140,832   20,140,832 0.720 %
j Total. Other Benefits . .     188,544,509 75,980,190 112,564,319 4.030 %
k Total. Add lines 7d and 7j .     791,669,514 689,613,507 179,734,927 6.430 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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            
2 Economic development     1,341,010   1,341,010 0.050 %
3 Community support     11,329   11,329 0 %
4 Environmental improvements     5,961   5,961 0 %
5 Leadership development and
training for community members		            
6 Coalition building     1,830,340   1,830,340 0.070 %
7 Community health improvement advocacy     2,200,443   2,200,443 0.080 %
8 Workforce development     271,017   271,017 0.010 %
9 Other     1,108,720   1,108,720 0.040 %
10 Total     6,768,820   6,768,820 0.250 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
145,251,337
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
664,632,844
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
700,006,854
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-35,374,010
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 PRINCESS ANNE AMB SURG MGT
  		OUTPATIENT SURGERY CENTER 52.590 %   47.410 %
22 SENTARA OBICI AMB SURG CTR
  		OUTPATIENT SURGERY CENTER 63.500 %   36.500 %
33 VA BEACH AMB SURG CTR
  		OUTPATIENT SURGERY CENTER 50.000 %   50.000 %
44 CANCER CENTERS OF VA LLC
  		EQUIPMENT LEASING 50.000 %   50.000 %
55 OBICI REAL EST HOLDINGS LLC
  		REAL ESTATE RENTAL 76.710 %   23.290 %
66 CAREPLEX ORTHO AMBULATORY SURG CTR
  		OUTPATIENT SURGERY CENTER 50.000 %   50.000 %
77 SURGICAL SUITES OF COASTAL VIRGINIA LLC
  		OUTPATIENT SURGERY CENTER 51.000 %   49.000 %
88 LEIGH ORTHOPEDIC SURGERY CENTER LLC
  		OUTPATIENT SURGERY CENTER 51.000 %   49.000 %
99 PORT WARWICK SURGERY CENTER LLC
  		OUTPATIENT SURGERY CENTER 53.410 %   46.590 %
10
11
12
13
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?14Name, 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) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SENTARA NORFOLK GENERAL HOSP
600 GRESHAM DRIVE
NORFOLK,VA23507
WWW.SENTARA.COM
H 1896 		X X   X   X X     A
2 SENTARA LEIGH HOSPITAL
830 KEMPSVILLE ROAD
NORFOLK,VA23502
WWW.SENTARA.COM
H 1895 		X X   X     X     A
3 SENTARA VA BEACH GEN HOSP
1060 FIRST COLONIAL ROAD
VA BEACH,VA23454
WWW.SENTARA.COM
H 1897 		X X   X     X     A
4 SENTARA CAREPLEX HOSPITAL
3000 COLISEUM DRIVE
HAMPTON,VA23666
WWW.SENTARA.COM
H 1894 		X X         X     A
5 SENTARA OBICI HOSPITAL
2800 GODWIN BLVD
SUFFOLK,VA23434
WWW.SENTARA.COM
H 1869 		X X   X     X     A
6 SENTARA WMSBG REG MED CTR
100 SENTARA CIRCLE
WILLIAMSBURG,VA23188
WWW.SENTARA.COM
H 1898 		X X         X     A
7 SENTARA ALBEMARLE MEDICAL CTR
1144 N ROAD STREET
ELIZABETH CITY,NC27909
WWW.SENTARA.COM
H0054 		X X         X      
8 LEIGH ORTHOPEDIC SURGERY CENTER LLC
830 KEMPSVILLE ROAD
NORFOLK,VA23502
WWW.SENTARA.COM
OH 669 		X               AMBULATORY SURGERY CENTER  
9 SENTARA PORT WARWICK AMB SRG CTR
1031 LOFTIS BLVD
NEWPORT NEWS,VA23606
WWW.SENTARA.COM
OH 704 		X           X   AMBULATORY SURGERY CENTER A
10 PRINCESS ANNE AMB SURG CTR
1975 GLENN MITCHELL DRIVE
VA BEACH,VA23456
WWW.SENTARA.COM
OH 706 		X               AMBULATORY SURGERY CENTER  
11 CAREPLEX ORTHO AMBULATORY SURG CTR
3000 COLISEUM DRIVE
HAMPTON,VA23666
CAREPLEXORTHO.COM
OH 718 		X               AMBULATORY SURGERY CENTER  
12 SENTARA OBICI AMB SURG CTR
2750 GODWIN BLVD
SUFFOLK,VA23434
WWW.SENTARA.COM
OH 710 		X               AMBULATORY SURGERY CENTER  
13 SURGICAL SUITES OF COASTAL VA LLC
400 SENTARA CIRCLE
WILLIAMSBURG,VA23188
WWW.SENTARA.COM
OH 670 		X               AMBULATORY SURGERY CENTER  
14 VA BEACH AMB SURG CTR
1700 WILL-O-WISP DRIVE
VA BEACH,VA23454
WWW.VBASC.COM
OH 681 		X               AMBULATORY SURGERY CENTER  
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
VA BEACH AMB SURG CTR
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): 		14
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
VA BEACH AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/
b
WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
VA BEACH AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
VA BEACH AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
SENTARA OBICI AMB SURG CTR
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): 		13
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SENTARA OBICI AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SENTARA.COM/FINANCIALASSISTANCE
b
WWW.SENTARA.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
SENTARA OBICI AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SENTARA OBICI AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
PRINCESS ANNE AMB SURG CTR
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): 		11
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PRINCESS ANNE AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SENTARA.COM/FINANCIALASSISTANCE
b
WWW.SENTARA.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
PRINCESS ANNE AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PRINCESS ANNE AMB SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
CAREPLEX ORTHO AMBULATORY SURG CTR
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): 		10
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CAREPLEX ORTHO AMBULATORY SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/
b
CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
CAREPLEX ORTHO AMBULATORY SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CAREPLEX ORTHO AMBULATORY SURG CTR
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
LEIGH ORTHOPEDIC SURGERY CENTER
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): 		8
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
LEIGH ORTHOPEDIC SURGERY CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SENTARA.COM/FINANCIALASSISTANCE
b
WWW.SENTARA.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
LEIGH ORTHOPEDIC SURGERY CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
LEIGH ORTHOPEDIC SURGERY CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
SURGICAL SUITES OF COASTAL VA LLC
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): 		12
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SURGICAL SUITES OF COASTAL VA LLC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SSCOVA.COM/FULL-FIN-POLICY-APPLICATION
b
WWW.SSCOVA.COM/FULL-FIN-POLICY-APPLICATION
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
SURGICAL SUITES OF COASTAL VA LLC
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SURGICAL SUITES OF COASTAL VA LLC
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP A
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SENTARA.COM/FINANCIALASSISTANCE
b
WWW.SENTARA.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
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): 		7
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SENTARA.COM/FINANCIALASSISTANCE
b
WWW.SENTARA.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SURGICAL SUITES OF COASTAL VA, LLC PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF VIRGINIA BEACH AMBULATORY SURGERY CENTER WAS CONDUCTED WITH PRINCESS ANNE AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; LEIGH ORTHOPEDIC SURGERY CENTER (FORMERLY SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER); AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF OBICI AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA OBICI HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF PRINCESS ANNE AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VIRGINIA BEACH AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; LEIGH ORTHOPEDIC SURGERY CENTER (FORMERLY SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER); AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW) AND SURGICAL SUITES OF COASTAL VIRGINIA AMBULATORY SURGERY CENTER.
LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 6A: THE CHNA OF LEIGH ORTHOPEDIC SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW) AS WELL AS SENTARA PRINCESS ANNE HOSPITAL; PRINCESS ANNE AMBULATORY SURGERY CENTER; AND VIRGINIA BEACH AMBULATORY SURGERY CENTER.
SURGICAL SUITES OF COASTAL VA, LLC PART V, SECTION B, LINE 6A: THE CHNA OF SURGICAL SUITES OF COASTAL VIRGINIA AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW) AND CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER.
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-VB-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.PDF
SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-OBICI-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-PA-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-CO-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SL-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
SURGICAL SUITES OF COASTAL VA, LLC PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESSES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SURGICAL-SUITES-COASTAL-VIRGINIA-2019-CHNA.PDF
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SAMC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SURGICAL SUITES OF COASTAL VA, LLC PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, UNINSURED INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SURGICAL SUITES OF COASTAL VA, LLC PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 20E: REFER TO RESPONSE FOR FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SURGICAL SUITES OF COASTAL VA, LLC PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PART V, SECTION B, LINE 3E - FACILITY REPORTING GROUP A 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.
PART V, SECTION B, LINE 3E - VIRGINIA BEACH AMBULATORY SURGERY CENTER SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - SENTARA OBICI AMBULATORY SURGERY CENTER SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - PRINCESS ANNE AMBULATORY SURGERY CENTER SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - CAREPLEX ORTHOPEDIC AMBULATORY SURGERY CENTER SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - SURGICAL SUITES OF COASTAL VA SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - LEIGH ORTHOPEDIC SURGERY CENTER SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SENTARA NORFOLK GENERAL HOSP, - FACILITY 2: SENTARA LEIGH HOSPITAL, - FACILITY 3: SENTARA VA BEACH GEN HOSP, - FACILITY 4: SENTARA CAREPLEX HOSPITAL, - FACILITY 5: SENTARA OBICI HOSPITAL, - FACILITY 6: SENTARA WMSBG REG MED CTR, - FACILITY 9: SENTARA PORT WARWICK AMB SRG CTR
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: 1) IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), EACH HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH METHODS INCLUDING: 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. EACH HOSPITAL FACILITY PARTICIPATED IN A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT. THE COMMITTEES WERE RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. SEVERAL OF THE LOCAL HEALTH DEPARTMENTS HAD GONE THROUGH THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS AND REPORTS WERE AVAILABLE FOR THE STEERING COMMITTEE. THE FINDINGS OF THESE REPORTS 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. EACH OF THE HOSPITAL FACILITIES CONDUCTED EITHER TARGETED FOCUS GROUPS OR INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. MEMBERS OF THE STEERING COMMITTEES OF THE HOSPITAL FACILITIES PARTICIPATED IN LOCAL COALITIONS SUCH AS THE SUFFOLK PARTNERSHIP FOR A HEALTHY COMMUNITY AND ACCESS PARTNERSHIP AND PROVIDED ADDITIONAL INPUT.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: THE CHNAS OF SENTARA NORFOLK GENERAL HOSPITAL; SENTARA LEIGH HOSPITAL; SENTARA VIRGINIA BEACH GENERAL HOSPITAL; AND LEIGH ORTHOPEDIC SURGERY CENTER (FORMERLY SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER), WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH SENTARA PRINCESS ANNE HOSPITAL; PRINCESS ANNE AMBULATORY SURGERY CENTER; AND VIRGINIA BEACH AMBULATORY SURGERY CENTER.THE CHNAS OF SENTARA CAREPLEX HOSPITAL; SENTARA PORT WARWICK; AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER AND SURGICAL SUITES OF COASTAL VIRGINIA AMBULATORY SURGERY CENTER (FORMALLY GEDDY OUTPATIENT CENTER AT SWRMC). ADDITIONALLY, THE COMMUNITY INPUT COMPONENT OF THESE CHNAS WAS CONDUCTED WITH RIVERSIDE HEALTH SYSTEM. THE CHNA OF SENTARA OBICI HOSPITAL WAS CONDUCTED WITH OBICI AMBULATORY SURGERY CENTER.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESSES FOR THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS ARE AS FOLLOWS:SENTARA NORFOLK GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SNGH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA LEIGH HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SLH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA VIRGINIA BEACH GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SVBGH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA CAREPLEX HOSPITAL HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SCH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA OBICI HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SOH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA WILLIAMSBURG REGIONAL MEDICAL CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SWRMC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA PORT WARWICK AMBULATORY SURGERY CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SENTARA-PORT-WARWICK-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.PDF
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: EACH OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL FACILITIES 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 FACILITIES ARE PARTICIPATING IN BOTH REGIONAL AND CITY LEVEL COLLABORATIVE EFFORTS. AN EXAMPLE IS THE MENTAL HEALTH/OPIOID EPIDEMIC IN OUR REGION. SEVERAL OF OUR FACILITIES ARE COLLABORATING TO CREATE AWARENESS AND EDUCATION FOR THE COMMUNITY AND THOSE IMPACTED. SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. IN ADDITION, SOME COMMUNITY NEEDS ARE BEING ADDRESSED AT THE HEALTH SYSTEM LEVEL RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES, EVEN IF THEY ARE INELIGIBLE FOR FINANCIAL ASSISTANCE BY MODEL.
PART V, SECTION B, LINE 20D - VB ASC THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINE 20D - OBICI ASC THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINE 20D - PA ASC THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?128
Name and address Type of Facility (describe)
1 1 - BROCK CANCER CENTER
6251 E VIRGINIA BEACH BLVD
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
2 2 - ADVANCED IMAGING CENTER-GREENBRIER
713 VOLVO PARKWAY STE 105
CHESAPEAKE,VA23320 		OTHER OUTPATIENT SITE
3 3 - ADVANCED IMAGING CENTER-1ST COLONIAL
1080 FIRST COLONIAL ROAD
VIRGINIA BEACH,VA23454 		IMAGING CENTER
4 4 - SENTARA BELLEHARBOUR
3920A BRIDGE ROAD STE 100
SUFFOLK,VA23435 		DIAGNOSTIC CENTER
5 5 - SENTARA INDEPENDENCE
800 INDEPENDENCE BLVD
VIRGINIA BEACH,VA23455 		OTHER OUTPATIENT SITE
6 6 - SENTARA LEIGH COMP BREAST CT
880 KEMPSVILLE ROAD STE 1200
NORFOLK,VA23502 		BREAST DIAGNOSTIC CENTER
7 7 - PORT WARWICK MEDICAL ARTS
11803 JEFFERSON AVE
NEWPORT NEWS,VA23606 		OTHER OUTPATIENT SITE
8 8 - PORT WARWICK COMPREHENSIVE BREAST CTR
1051 LOFTIS BLVD STE 200
NEWPORT NEWS,VA23606 		DIAGNOSTIC CENTER
9 9 - SENTARA THERAPY CENTER-OBICI YMCA
ROUTE 10/GODWIN BLVD
SUFFOLK,VA23434 		REHABILITATION CENTER
10 10 - SENTARA PORT WAR PHYS THER & WOUND CARE
11803 JEFFERSON AVE STE 125
NEWPORT NEWS,VA23606 		REHABILITATION CENTER
11 11 - ADVANCED IMAG CTR-WAINWRIGHT
229 WEST BUTE ST STE 900 9TH FL
NORFOLK,VA23510 		IMAGING CENTER
12 12 - SENTARA THERAPY CENTER-GREENBRIER
713 VOLVO PARKWAY STE 101
CHESAPEAKE,VA23320 		REHABILITATION CENTER
13 13 - SVBGH PAIN MANAGEMENT UNIT
1080 FIRST COLONIAL ROAD STE 201
VIRGINIA BEACH,VA23454 		PAIN MGT. CENTER
14 14 - SENTARA THER CTR-ORTHO & SPORTS PERFORM
6201 E VIRGINIA BEACH BLVD SUITE
110
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
15 15 - SWRMC OUTPATIENT REHABILITATION SERVICES
YMCA BUILDING 301 SENTARA CIR
WILLIAMSBURG,VA23188 		REHABILITATION CENTER
16 16 - SENTARA PHYSICAL THERAPY-TREYBURN
3901 TREYBURN DRIVE
WILLIAMSBURG,VA23185 		REHABILITATION CENTER
17 17 - SENTARA THERAPY CENTER-LYNNHAVEN
2728-2732 VIRGINIA BEACH BLVD
VIRGINIA BEACH,VA23452 		REHABILITATION CENTER
18 18 - SENTARA THERAPY CENTER-COLISEUM
4001 COLISEUM DR STE 200
HAMPTON,VA23666 		REHABILITATION CENTER
19 19 - SENTARA THERAPY CENTER-GREAT BRIDGE
633 BATTLEFIELD BLVD S
CHESAPEAKE,VA23322 		REHABILITATION CENTER
20 20 - SENTARA THERAPY CENTER-GRANBY YMCA
2901 GRANBY ST STE 200
NORFOLK,VA23504 		REHABILITATION CENTER
21 21 - SENTARA THERAPY CTR-PEDS NEWTOWN
818 NEWTOWN ROAD
VIRGINIA BEACH,VA23462 		REHABILITATION CENTER
22 22 - SENTARA THER CTR-ST LUKESSMITHFIELD
20209 SENTARA WAY STE 102
CARROLLTON,VA23314 		REHABILITATION CENTER
23 23 - SENTARA THERAPY CTR-WARD'S CORNER
7419 GRANBY STREET
NORFOLK,VA23505 		REHABILITATION CENTER
24 24 - SENTARA HAND THERAPY CENTER
844 KEMPSVILLE ROAD STE 104
NORFOLK,VA23052 		OTHER OUTPATIENT SITE
25 25 - SENTARA HAND THERAPY CENTER
6201 E VIRGINIA BEACH BLVD SUITE
110
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
26 26 - SENTARA THERAPY CENTER-BLOCKER YMCA
312 WEST BUTE ST
NORFOLK,VA23510 		REHABILITATION CENTER
27 27 - SENTARA THERAPY CTR-ALBEMARLE YMCA
1240 N ROAD STREET
ELIZABETH CITY,NC27909 		REHABILITATION CENTER
28 28 - SENTARA INDEPENDENCE THERAPY CENTER
816 INDEPENDENCE BLVD STE 3F
VIRGINIA BEACH,VA23455 		REHABILITATION CENTER
29 29 - OUTPATIENT INFUSION CENTER III
850 KEMPSVILLE ROAD
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
30 30 - SENTARA THERAPY CTR-FORT NORFOLK
301 RIVERVIEW AVE STE 202
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
31 31 - SENTARA THER CTR HAMPTON YMCA
1 YMCA WAY
HAMPTON,VA23669 		REHABILITATION CENTER
32 32 - SENTARA THERAPY CENTER-MARINA SHORES
2865 LYNNHAVEN DRIVE
VIRGINIA BEACH,VA23451 		REHABILITATION CENTER
33 33 - SENTARA THERAPY CENTER-GRASSFIELD
1001 SCENIC PARKWAY STE 101
CHESAPEAKE,VA23323 		REHABILITATION CENTER
34 34 - SENTARA THERAPY CENTER-INDIAN RIVER
5660 INDIAN RIVER ROAD STE 121
VIRGINIA BEACH,VA23464 		REHABILITATION CENTER
35 35 - CAREPLEX MEDICAL ARTS SLEEP LAB
4000 COLISEUM DR STE 350
HAMPTON,VA23666 		SLEEP DISORDER CLINIC
36 36 - SENTARA THERAPY CENTER-QUINTON
2500 NEW KENT HWY PO BOX 339
QUINTON,VA23141 		REHABILITATION CENTER
37 37 - SVBGH-SENTARA HEALTH AND WELLNESS CTR
1708 OLD DONATION PARKWAY
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
38 38 - AMBULATORY CARE CLINIC
130 COLLEY AVE
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
39 39 - SENTARA THERAPY CENTER-MATTHEWS
33 CRICKET HILL RD STE 100
HUDGINS,VA23076 		REHABILITATION CENTER
40 40 - CARDIOLOGY SPEC-KEMPSVILLE RD
844 KEMPSVILLE ROAD STE 202
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
41 41 - SENTARA THERAPY CENTER-WAKEFIELD
103 RAILROAD AVE
WAKEFIELD,VA23888 		REHABILITATION CENTER
42 42 - SENTARA OBICI MAMMOGRAPHYDIAGNOSTIC CTR
20209 SENTARA WAY
CARROLLTON,VA23314 		BREAST DIAGNOSTIC CENTER
43 43 - ADVANCED IMAGING CENTER-ST LUKE'S
20209 SENTARA WAY STE 108
CARROLLTON,VA23314 		OTHER OUTPATIENT SITE
44 44 - SENTARA THERAPY CENTER-YORK
100 ENTERPRISE DRIVE
YORKTOWN,VA23692 		REHABILITATION CENTER
45 45 - NORFOLK DIAGNOSTIC CENTER
850 KEMPSVILLE ROAD
NORFOLK,VA23502 		DIAGNOSTIC CENTER
46 46 - SENTARA THERAPY CENTER-TANGLEWOOD
105 COMMERCIAL BLVD STE E
ELIZABETH CITY,NC27909 		OTHER OUTPATIENT SITE
47 47 - SENTARA THERAPY CTR CANCER REHAB
6251 E VIRGINIA BEACH BLVD SUITE
400
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
48 48 - SENTARA THERAPY CTR COMP NEURO REHAB
6251 E VIRGINIA BEACH BLVD SUITE
400
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
49 49 - SENTARA KITTY HAWK
5200 N CROATAN HWY
KITTY HAWK,NC27949 		SURGERY AND DIAGNOSTIC CENTER
50 50 - SENTARA THERAPY CENTER-CAREPLEX
4000 COLISEUM DR STE 120
HAMPTON,VA23666 		REHABILITATION CENTER
51 51 - CARDIOLOGY SPEC CHESAPEAKE
713 VOLVO PKWY
CHESAPEAKE,VA23320 		OTHER OUTPATIENT SITE
52 52 - SENTARA THERAPY CENTER-NN YMCA
7827 WARWICK BLVD
NEWPORT NEWS,VA23607 		REHABILITATION CENTER
53 53 - SENTARA FORT NK COMP BREAST CTR
301 RIVERVIEW AVE STE 830
NORFOLK,VA23510 		BREAST DIAGNOSTIC CENTER
54 54 - SENTARA HAND SURGERY SPECIALISTS-VAB
5716 CLEVELAND ST STE 210
VIRGINIA BEACH,VA23462 		REHABILITATION CENTER
55 55 - SENTARA THERAPY CENTER & CHIRO SVCS
1809 COLONIAL MEDICAL COURT
VIRGINIA BEACH,VA23454 		REHABILITATION CENTER
56 56 - SENTARA MOBILE MAMMOGRAPHY
880 KEMPSVILLE ROAD
NORFOLK,VA23502 		MOBILE MAMMOGRAPHY
57 57 - CARDIOLOGY SPEC-FORT NORFOLK
301 RIVERVIEW AVE STE 700
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
58 58 - GLOUCESTER IMAGING CENTER
5659 PARKWAY DR STE 130
GLOUCESTER,VA23061 		IMAGING CENTER
59 59 - SENTARA THERAPY CENTER-CURRITUCK YMCA
130 COMMUNITY WAY
BARCO,NC27917 		OTHER OUTPATIENT SITE
60 60 - SENTARA CARDIO SPEC-VB
1101 FIRST COL RD
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
61 61 - SENTARA PODIATRY SPECIALISTS
5253 PROVIDENCE ROAD STE 100
VIRGINIA BEACH,VA23464 		OTHER OUTPATIENT SITE
62 62 - NEW TOWN FAMILY PRACTICE
4374 NEW TOWN AVE STE 200
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
63 63 - SENTARA CARDIOLOGY SPEC-OBICI
2790 GODWIN BLVD STE 100
SUFFOLK,VA23434 		OTHER OUTPATIENT SITE
64 64 - SENTARA FAM MED PHYS-SUFFOLK
2760 GODWIN BLVD STE 100
SUFFOLK,VA23434 		OTHER OUTPATIENT SITE
65 65 - SENTARA FAM MED PHYS-1ST COLONIAL
1024 FIRST COLONIAL ROAD STE 102
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
66 66 - SENTARA NEUR SPEC-PRINCESS ANNE
1950 GLENN MITCHELL DR STE 200
VIRGINIA BEACH,VA23456 		OTHER OUTPATIENT SITE
67 67 - SENTARA RHEUMATOLOGY SPEC-KEMPS
844 KEMPSVILLE RD STE 1038
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
68 68 - SENTARA FAM MED & UC PHYS-VBTC INDEP
816 INDEPENDENCE BLVD STE 100
VIRGINIA BEACH,VA23455 		OTHER OUTPATIENT SITE
69 69 - NEW TOWN INTERNAL MEDICINE
4374 NEW TOWN AVE STE 102
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
70 70 - SENTARA DERM SPEC-KEMPS
850 KEMPSVILLE RD STE 100D
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
71 71 - SENTARA INT MED PHYS-PORT WARWICK 1
11803 JEFFERSON AVE STE 140
NEWPORT NEWS,VA23606 		OTHER OUTPATIENT SITE
72 72 - SENTARA ST LUKE'S LAB SERVICES
20209 SENTARA WAY
CARROLLTON,VA23314 		LAB SERVICES
73 73 - FAMILY MED WILLIAMSBURG
400 SENTARA CIR STE 450
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
74 74 - VASCULAR & TRANSPLANT SPEC-VAB
397 LITTLE NECK ROAD STE 120
VIRGINIA BEACH,VA23452 		OTHER OUTPATIENT SITE
75 75 - SENTARA NEUROLOGY SPEC-KEMPSVILLE
844 KEMPSVILLE RD STE 104
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
76 76 - SENTARA SURGERY SPEC-LEIGH
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
77 77 - VASCULAR & TRANSPLANT SPEC-PORT WARWICK
1051 LOFTIS BLVD STE 205
NEWPORT NEWS,VA23606 		OTHER OUTPATIENT SITE
78 78 - VASCULAR & TRANSPLANT SPECIALISTS-NK
600 GRESHAM DR STE 8620
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
79 79 - FAMILY MED-THOROUGHGOOD
2017 PLEASURE HOUSE ROAD
VIRGINIA BEACH,VA23455 		OTHER OUTPATIENT SITE
80 80 - SENTARA FAM & INT MED PHYS CLPX W
4001 COLISEUM DR STE 300
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
81 81 - SENTARA RADIOLOGY SPECIALISTS-KEMPS
850 KEMPSVILLE ROAD
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
82 82 - FORT NORFOLK MEDICAL CENTER
301 RIVERVIEW AVE
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
83 83 - SENTARA FAM MEDICINE PHYS-FORT NK
301 RIVERVIEW AVE STE 810
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
84 84 - SENTARA FAMILY MED PHYS-ST LUKE'S
20209 SENTARA WAY STE 200
CARROLLTON,VA23314 		OTHER OUTPATIENT SITE
85 85 - SENTARA PULMONARY & CC SPEC-NK
600 GRESHAM DR STE 8630
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
86 86 - SENTARA FAMILY MED PHYS-1080 BLDG
1080 FIRST COLONIAL ROAD STE 200
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
87 87 - SENTARA CARDIOLOGY SPEC-WILLIAMSBURG
500 SENTARA CIR STE 100
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
88 88 - SENTARA FAM MED PHYS-OLD HAMPTON
200 EATON ST
HAMPTON,VA23669 		OTHER OUTPATIENT SITE
89 89 - FIRST COLONIAL DIAGNOSTIC CENTER
1080 FIRST COLONIAL ROAD STE 100
VIRGINIA BEACH,VA23454 		DIAGNOSTIC CENTER
90 90 - SENTARA INTERNAL MED PHYS-FORT NK
301 RIVERVIEW AVE STE 710
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
91 91 - SENTARA PODIATRY SPEC-KEMPSVILLE
844 KEMPSVILLE ROAD STE 100D
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
92 92 - SENTARA RHEUMATOLOGY SPEC-CAREPLEX W
4000 COLISEUM DR STE 310
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
93 93 - SENTARA NEUROLOGY SPEC-NK
600 GRESHAM DR STE 8630
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
94 94 - SENTARA FAM MED PHYS-PORT WARWICK I
11803 JEFFERSON AVE STE 100
NEWPORT NEWS,VA23606 		OTHER OUTPATIENT SITE
95 95 - NEW TOWN DIAGNOSTIC CENTER
4374 NEW TOWN AVE STE 104
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
96 96 - SENTARA SURGERY SPEC-CAREPLEX
4000 COLISEUM DR STE 320
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
97 97 - SENTARA FAM MED& UC PHYS-LITTLE NECK
2859 VIRGINIA BEACH BLVD STE 100
VIRGINIA BEACH,VA23452 		OTHER OUTPATIENT SITE
98 98 - SENTARA PODIATRY SPEC-1ST COLONIAL
1080 FIRST COLONIAL RD STE 305
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
99 99 - VASCULAR & TRANSPLANT SPEC-CAREPLEX W
4000 COLISEUM DR STE 310
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
100 100 - SENTARA ENDOCRINOLOGY SPEC-SCP
4000 COLISEUM DR STE 345
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
101 101 - SENTARA FAM MED PHYS-PENINSULA TOWNE
2104 EXECUTIVE DR
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
102 102 - SENTARA PODIATRY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 355
SUFFOLK,VA23434 		OTHER OUTPATIENT SITE
103 103 - CARDIOLOGY SPECIALISTS-PORT WARWICK
1031 LOFTIS BLVD STE 100
NEWPORT NEWS,VA23606 		OTHER OUTPATIENT SITE
104 104 - SENTARA SURGERY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 305
SUFFOLK,VA23434 		OTHER OUTPATIENT SITE
105 105 - NEUROSURGERY NORFOLK HEART HOSPITAL
600 GRESHAM DR STE 8630
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
106 106 - SENTARA PULMONARY & CC SPEC-CAREPLEX
4000 COLISEUM DR STE 350
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
107 107 - SENTARA NEUROLOGY SPEC-CAREPLEX
4000 COLISEUM DR STE 200
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
108 108 - SENTARA SURG SPEC-PORT WARWICK I
11803 JEFFERSON AVE STE 235
NEWPORT NEWS,VA23606 		OTHER OUTPATIENT SITE
109 109 - MOBILE PET SCAN
5900-B LAKE WRIGHT DR
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
110 110 - SENTARA INTERNAL MEDICINE PHYS-KINGSMILL
477 MCCLAWS CIR STE 1
WILLIAMSBURG,VA23185 		OTHER OUTPATIENT SITE
111 111 - VASCULAR & TRANSPLANT SPEC-SUFFOLK
171 N MAIN ST
SUFFOLK,VA23434 		OTHER OUTPATIENT SITE
112 112 - SENTARA SURGERY SPEC-WLMSG
500 SENTARA CIR STE 202
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
113 113 - SENTARA MID-ATLANTIC CARDIO SPEC-WMSBG
400 SENTARA CIR STE 450
WILIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
114 114 - SENTARA SURGERY SPEC-1080 BUILDING
1080 FIRST COLONIAL ROAD STE 200
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
115 115 - SENTARA NEUROSURGERY SPEC 1080 BLDG
1080 FIRST COLONIAL RD STE 400
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
116 116 - OCEANFRONT FAMILY PRACTICE
303 35TH STREET STE 102
VIRGINIA BEACH,VA23451 		OTHER OUTPATIENT SITE
117 117 - SENTARA PULMONARY & CC SPEC-WILLIAMSBURG
400 SENTARA CIR STE 320
WILLIAMSBURG,VA23188 		OTHER OUTPATIENT SITE
118 118 - SENTARA PAIN MANAGEMENT-FORT NK
301 RIVERVIEW AVE STE 200
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
119 119 - SENTARA PHY MED & PAIN MGMT SPC-CAREPLEX
4000 COLISEUM DR STE 345
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
120 120 - SENTARA INFECTIOUS DISEASE SPEC-KEMPS
850 KEMPSVILLE RD STE 100F
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
121 121 - ORTHOPEDIC TRAUMA-NORFOLK
600 GRESHAM DR SUITE 204
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
122 122 - SENTARA ORTHOPAEDIC TRAUMA SPEC-1ST COL
1080 FIRST COLONIAL RD STE 305
VIRGINIA BEACH,VA23452 		OTHER OUTPATIENT SITE
123 123 - SENTARA INFECTIOUS DIS SPEC-OBICI
2790 GODWIN BLVD STE 225
SUFFOLK,VA23434 		OTHER OUTPATIENT SITE
124 124 - INFECTIOUS DISEASE-FORT NORFOLK
301 RIVERVIEW AVE STE 710
NORFOLK,VA23510 		OTHER OUTPATIENT SITE
125 125 - SENTARA INFECTIOUS DISEASE SPEC-CAREPLEX
4000 COLISEUM DR STE 310
HAMPTON,VA23666 		OTHER OUTPATIENT SITE
126 126 - SENTARA PLASTIC SURGERY SPECIALISTS
600 GRESHAM DR STE 204
NORFOLK,VA23507 		OTHER OUTPATIENT SITE
127 127 - SENTARA PULM AND CC SPEC
6251 E VIRGINIA BEACH BLVD STE 300
NORFOLK,VA23502 		OTHER OUTPATIENT SITE
128 128 - SENTARA CYTOGENICS LAB
1701 WILL O WISP DR STE 1E
VIRGINIA BEACH,VA23454 		OTHER OUTPATIENT SITE
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S SECTION 501(C)(3) SOLE MEMBER.
PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES.
PART I, LINE 7G: $118,984 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART VI - INFORMATION REGARDING THE ORGANIZATION'S ASC'S: THE ORGANIZATION IS A MEMBER OF SEVERAL JOINT VENTURES WHICH OWN AND OPERATE AMBULATORY SURGERY CENTERS ("ASCS" ) LOCATED IN VIRGINIA (SEE PART V FOR OWNERSHIP INFORMATION). AS VIRGINIA REQUIRES ASCS TO GO THROUGH A CERTIFICATE OF PUBLIC NEED PROCESS AND RETAIN A HOSPITAL LICENSE, VIRGINIA ASCS MEET THE DEFINITION OF HOSPITAL FACILITIES FOR FORM 990 REPORTING PURPOSES.THE ORGANIZATION'S ASCS ARE ORGANIZED AND OPERATED IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES AS EXTENSIONS OF ITS OUTPATIENT FACILITIES, IN PARTNERSHIP WITH ITS PHYSICIANS, TO PROVIDE A MORE EFFECTIVE MEANS OF CARING FOR LESS SERIOUS NON-EMERGENCY MEDICAL CONDITIONS THAT DO NOT REQUIRE INPATIENT HOSPITAL STAYS. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE ASCS. INDIVIDUALS DESIRING TREATMENT SPEAK WITH FACILITY PERSONNEL PRIOR TO BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS INSURANCE COVERAGE AND PAYMENT ARRANGEMENTS. THE ASCS WORK WITH INDIVIDUALS TO COME UP WITH PAYMENT OPTIONS, OFFERING FREE CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S DISCOUNT PRACTICES.
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 HEALTH IMPROVEMENT ADVOCACY - THE ORGANIZATION PARTNERED WITH MULTIPLE COMMUNITY ORGANIZATIONS SUCH AS BETHEL HIGH SCHOOL, HARVEST CHURCH OF HAMPTON, SUSAN KOMEN FOUNDATION, AMERICAN RED CROSS, UNITED WAY, FOOD BANK OF SOUTHEASTERN VIRGINIA, AMERICAN HEART ASSOCIATION, YWCA, NEW HOPE CHURCH, MILL SWAMP INDIAN HORSE FARM, WESTERN TIDEWATER FREE CLINIC, ECPI, TIDEWATER COMMUNITY COLLEGE ADVISORY BOARD, CEDAR GROVE, UROLOGY OF VIRGINIA, THOMAS NELSON COMMUNITY COLLEGE FOUNDATION, JAMES CITY COUNTY ROTARY, AMERICAN K-9 COLLEGE, GREATER WILLIAMSBURG CHAMBER OF COMMERCE, PENINSULAS EMS COUNCIL, OLDE TOWNE MEDICAL AND DENTAL CENTER, WILLIAMSBURG LANDING, INC., WILLIAMSBURG HEALTH FOUNDATION, WILLIAMSBURG PERINATAL COALITION, UNIQUE BOUTIQUE, VIRGINIA CAPITAL TRAIL FOUNDATION, AND PENINSULA EMERGENCY MEDICAL SERVICES COUNCIL TO STRATEGIZE AND PROVIDE COMMUNITY HEALTH IMPROVEMENT. OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS MEALS ON WHEELS DELIVERIES; HEIGHT, WEIGHT AND VISION SCREENINGS AT LOCAL SCHOOLS; AND VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY.
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 17-21 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 4: SEE FOOTNOTE 4 ON PAGES 17-21 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES IMPLICIT PRICE CONCESSIONS (FORMERLY BAD DEBT.)
PART III, LINE 8: WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6.
PART III, LINE 9B: 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; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. 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 AN INSURED PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, OR AN UNINSURED PATIENT'S INCOME IS AT OR BELOW THE 300% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS 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 TOLL-FREE 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 THE STATEMENTS 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 EMPLOYS AN EXTERNAL FIRM TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COST TO PATIENTS.
PART VI, LINE 4: SENTARA HOSPITALS SERVES RESIDENTS OF OVER 30 CITIES AND COUNTIES IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE AREA INCLUDES THE VIRGINIA BEACH-NORFOLK-NEWPORT NEWS, VA-NC METROPOLITAN STATISTICAL AREA, THE ELIZABETH CITY, NC METROPOLITAN STATISTICAL AREA, AND SURROUNDING RURAL COMMUNITIES. THE AREA IS BORDERED TO THE EAST BY THE ATLANTIC OCEAN AND IS NOTED FOR ITS WATERWAYS, INCLUDING THE CHESAPEAKE BAY, CURRITUCK SOUND, AND YORK, JAMES AND ELIZABETH RIVERS.THE 2021 POPULATION OF THE SERVICE AREA IS 2,108,287, AND IS EXPECTED TO REMAIN RELATIVELY STABLE OVER THE NEXT FIVE YEARS, GROWING BY 1.6% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 2.8%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A LOWER PERCENT OF THE POPULATION 65+ (16.8% VS. 17.0%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 20 YEARS (23.7% VS. 24.6%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 26.0% VS. 26.9% FOR THE US OVERALL, WHILE 18.7% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 20.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $71,459 VS. $73,066 FOR THE US, AND A LOWER PERCENT OF HOUSEHOLDS, 20.7% VS. 18.3%, SUBSIST ON LESS THAN $25,000 PER YEAR. RACIALLY, THE SERVICE AREA IS HOME TO 55.4% WHITES (VS. 61.2% FOR THE US), 28.5% BLACK/AFRICAN AMERICANS (VS. 12.6% US), 4.4% ASIANS (VS. 6.7% US), WITH 3.1% REPORTING ANOTHER RACE VS. 8.1% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 7.0% HISPANICS VS. 18.8% NATIONALLY, AND 93.0% NON-HISPANICS, VS. 81.2% NATIONALLY.
PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A SECTION 501(C) TAX-EXEMPT ORGANIZATION, WHOSE COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTHCARE, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTH SYSTEM ("SENTARA.") NAMED TO IBM WATSON HEALTH'S 2021 "TOP 15 HEALTH SYSTEMS," SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT SYSTEM OF 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. THE SENTARA FAMILY ALSO INCLUDES FOUR MEDICAL GROUPS, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND THE OPTIMA HEALTH PLAN AND VIRGINIA PREMIER HEALTH PLAN SERVING OVER 900,000 MEMBERS IN VIRGINIA, NORTH CAROLINA AND OHIO. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR ITS PATIENTS AND MEMBERS.
Schedule H (Form 990) 2021
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