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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for 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
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980
NORFOLK,VA23501 		23-7053208 501(C)(3) 18,191,042 0     OPERATING FUND AND INDIGENT CARE
(2) OLDE TOWNE MEDICAL CENTER
5249 OLDE TOWNE RD
WILLIAMSBURG,VA23188 		54-1663905 501(C)(3) 100,000 0     COMMUNITY HEALTH SUPPORT
(3) SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE
NORFOLK,VA23502 		52-1271901 501(C)(3) 9,187,865 0     CORPORATE OVERHEAD ALLOCATIONS
(4) PENINSULA EMS COUNCIL
PO BOX 1297
GLOUCESTER,VA23061 		54-1064500 501(C)(3) 10,000 0     DONATION/SPONSORSHIP
(5) TIDEWATER EMS COUNCIL INC
1104 MADISON PLAZA
CHESAPEAKE,VA23320 		54-0977032 501(C)(3) 25,000 0     ANNUAL SUPPORT
(6) ALBEMARLE HOSPITAL FOUNDATION
PO BOX 1412
ELIZABETH CITY,NC27906 		43-2031990 501(C)(3) 55,812 0     PROGRAM SUPPORT
(7) ALBEMARLE REGIONAL HEALTH SERVICES
711 ROANOKE AVENUE
ELIZABETH CITY,NC27909 		56-6000798   15,833 0     FUNDING FOR CLINICAL RESOURCES
(8) PASQUOTANK COUNTY
PO BOX 586
ELIZABETH CITY,NC27907 		56-6000328   75,000 0     PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) SCHOLARSHIPS 221 367,279      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS SECTION 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. THE ORGANIZATION ALSO DONATES FUNDS TO OTHER ORGANIZATIONS WITH A SIMILAR MISSION OF PROVIDING AND PROMOTING HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. SUCH ORGANIZATIONS ALSO HAVE COMMUNITY BOARDS WHICH OVERSEE THE PROPER EXPENDITURES OF SUCH FUNDS. THE ORGANIZATION'S COLLEGE OF HEALTH SCIENCES AWARDS SCHOLARSHIPS TO STUDENTS ON AN ON-GOING BASIS BASED ON NEED AND MERIT. RECIPIENTS ARE SELECTED FROM QUALIFIED APPLICANTS ACCORDING TO PRESCRIBED GUIDELINES. ALL SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS, AND THEIR USE IS MONITORED BY SCHOOL PERSONNEL.
Schedule I (Form 990) 2021



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