Instrumentl eFile Render
Object ID: 202203079349301535 - Rendered 2024-05-06
TIN: 54-1547408
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
SENTARA HOSPITALS
Employer identification number
54-1547408
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
WILLIAMSBURG MEDICAL MGT LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1760126
MOB RENTAL
VA
0
0
SENTARA HOSPITALS
(2)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
46-3846081
HOSPITAL
VA
147,863,185
111,851,961
SENTARA HOSPITALS
(3)
SENTARA WORKFORCE SOLUTIONS LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
83-1997553
WORKFORCE SOLUTIONS
VA
604,664
0
SENTARA HOSPITALS
(4)
SENTARA ADVANCED IMAGING SOLUTIONS LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
84-2884329
ADVANCED IMAGING
VA
663,495
2,129,896
SENTARA HOSPITALS
(5)
SARMC ANESTHESIA SPECIALISTS
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
37-1791448
ANESTHESIA BILLING
VA
0
0
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER
(6)
SENTARA REFERENCE LAB SOLUTIONS LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
84-5117964
LABORATORY
VA
13,665,917
12,739,165
SENTARA HOSPITALS
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CLARKSVILLE SENIOR CARE LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1957066
SENIOR CARE
VA
501(C)(3)
LINE 12A, I
HALIFAX REGIONAL HOSPITAL
Yes
(2)
HALIFAX REGIONAL DEV FOUNDATION INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1801459
HLTH/WELFARE
VA
501(C)(3)
LINE 7
HALIFAX REGIONAL HOSPITAL
Yes
(3)
HALIFAX REGIONAL HOSPITAL INCORPORATED
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-0648699
HEALTHCARE
VA
501(C)(3)
LINE 3
SENTARA HEALTHCARE
Yes
(4)
HALIFAX REGIONAL LONG TERM CARE INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-6074529
SENIOR CARE
VA
501(C)(3)
LINE 12A, I
HALIFAX REGIONAL HOSPITAL
Yes
(5)
SENTARA HALIFAX REGIONAL PROPERTIES INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1801463
HLTH/WELFARE
VA
501(C)(3)
LINE 12A, I
HALIFAX REGIONAL HOSPITAL
Yes
(6)
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
27-3208969
HEALTHCARE
VA
501(C)(3)
LINE 3
SENTARA HOSPITALS
Yes
(7)
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
52-1271901
HEALTHCARE
VA
501(C)(3)
LINE 7
N/A
No
(8)
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1217184
HEALTHCARE
VA
501(C)(3)
LINE 10
SENTARA HEALTHCARE
Yes
(9)
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1917649
HEALTHCARE
VA
501(C)(3)
LINE 10
SENTARA HEALTHCARE
Yes
(10)
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1217183
HEALTHCARE
VA
501(C)(3)
LINE 10
SENTARA HEALTHCARE
Yes
(11)
MPB INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1346393
TITLE HOLDING COMPANY
VA
501(C)(2)
SENTARA ENTERPRISES
Yes
(12)
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1283337
HMO
VA
501(C)(3)
LINE 12A, I
SENTARA HEALTHCARE
Yes
(13)
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-0853898
HEALTHCARE
VA
501(C)(3)
LINE 3
SENTARA HEALTHCARE
Yes
(14)
SENTARA RMH MEDICAL CENTER
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-0506331
HEALTHCARE
VA
501(C)(3)
LINE 3
SENTARA HOSPITALS
Yes
(15)
VALLEY WELLNESS CENTER
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
52-1309257
PREVENTATIVE HEALTH/REHAB
VA
501(C)(3)
LINE 10
SENTARA RMH MEDICAL CENTER
Yes
(16)
MJH FOUNDATION
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1401357
INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL
VA
501(C)(3)
LINE 12A, I
MARTHA JEFFERSON HOSPITAL
Yes
(17)
MARTHA JEFFERSON HOSPITAL FOUNDATION
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
30-0041113
FUNDRAISING FOR SUPPORTED ORG
VA
501(C)(3)
LINE 12A, I
MARTHA JEFFERSON HOSPITAL
Yes
(18)
MARTHA JEFFERSON HOSPITAL
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-0261840
HEALTHCARE
VA
501(C)(3)
LINE 3
SENTARA HOSPITALS
Yes
(19)
OPTIMA FAMILY CARE OF NC INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
82-3610648
MEDICAID HMO
NC
501(C)(3)
LINE 10
OPTIMA HEALTH OF NORTH CAROLINA LLC
Yes
(20)
OPTIMA HEALTH OF NORTH CAROLINA LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
82-3623430
SUPPORTS MCAID HMO
NC
501(C)(3)
LINE 12A, I
SENTARA HEALTHCARE
Yes
(21)
SENTARA MEDICARE ADVANTAGE OF NORTH CAROLINA INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
84-2066617
MEDICARE HMO
NC
501(C)(4)
LINE 12A, I
SENTARA HEALTHCARE
Yes
(22)
SENTARA CAREPLEX - HAMPTON AUXILIARY
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-0662589
HEALTHCARE
VA
501(C)(3)
LINE 12A, I
SENTARA HEALTHCARE
Yes
(23)
VIRGINIA PREMIER HEALTH PLAN INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1760974
MEDICAID HMO
VA
501(C)(3)
LINE 10
SENTARA HEALTHCARE
Yes
(24)
SENTARA COMMERCIAL HEALTH PLANS OF NORTH CAROLINA INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
85-1043564
SOCIAL WELFARE
NC
501(C)(4)
SENTARA HEALTHCARE
Yes
(25)
SENTARA COMMUNITY HEALTH AND WELLNESS INITIATIVE
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
86-3471400
SOCIAL WELFARE
VA
501(C)(4)
SENTARA HEALTHCARE
Yes
(26)
SENTARA EMPLOYEES PAC OF VIRGINIA
925 DOWNSHIRE CHASE
VIRGINIA BEACH
,
VA
23452
86-3515192
POLITICAL
VA
527
SENTARA COMMUNITY HEALTH AND WELLNESS INITIATIVE
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE STE H
CHESAPEAKE
,
VA
23320
54-1365012
HLTH MGT SV
VA
N/A
No
No
(2)
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE STE H
CHESAPEAKE
,
VA
23320
54-1365012
HLTH MGT SV
VA
SH
UNRELATED
978
180,525
No
Yes
20.000 %
(3)
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
26-1749881
RE RENTAL
VA
SH
RELATED
90,024
3,348,796
No
Yes
76.710 %
(4)
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300
VA BEACH
,
VA
23456
20-4920880
HEALTH CARE
VA
SH
RELATED
2,285,456
4,199,574
No
Yes
52.590 %
(5)
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE
VA BEACH
,
VA
23454
54-1448218
HEALTH CARE
VA
SH
RELATED
613,071
3,364,093
No
Yes
50.000 %
(6)
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE
NORFOLK
,
VA
23502
20-1338518
HEALTH CARE
VA
SH
RELATED
-713,144
9,139,913
No
Yes
50.000 %
(7)
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE
VIRGINIA BEACH
,
VA
23462
20-0942600
HEALTH CARE
VA
N/A
No
No
(8)
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE H
CHESAPEAKE
,
VA
23320
54-1774472
HEALTH CARE
VA
N/A
No
No
(9)
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE H
CHESAPEAKE
,
VA
23320
54-1774472
HEALTH CARE
VA
SH
RELATED
-57,561
1,094,483
No
Yes
25.000 %
(10)
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD
SUFFOLK
,
VA
23434
26-0144898
HEALTH CARE
VA
SH
RELATED
877,350
2,884,282
No
Yes
63.500 %
(11)
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W
FALLS CHURCH
,
VA
22042
54-1802733
HEALTH CARE
VA
N/A
No
No
(12)
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE
HAMPTON
,
VA
23666
27-1867311
HEALTH CARE
VA
SH
RELATED
3,238,660
2,946,511
No
Yes
50.000 %
(13)
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE
CHARLOTTESVILLE
,
VA
22901
26-0080717
HEALTH CARE
VA
N/A
No
No
(14)
MNS SUPPLY CHAIN NETWORK LLC
11525 N COMMUNITY HOUSE RD STE 450
CHARLOTTE
,
NC
28277
45-4235238
GPO
DE
N/A
No
No
(15)
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204
WOODBRIDGE
,
VA
22192
45-5347932
HEALTH CARE
VA
N/A
No
No
(16)
CAHABA PARTNERS CORE FIXED INCOME FUND
C/O GTC 12 GILL ST SUITE 2600
WOBURN
,
MA
01801
47-4618533
POOLED INV FD
DE
N/A
Yes
No
(17)
HIGHLAND EQUITY FUND
C/O GTC 12 GILL ST SUITE 2600
WOBURN
,
MA
01801
47-4606269
POOLED INV FD
DE
N/A
Yes
No
(18)
CAHABA PARTNERS PUBLIC INFLATION HEDGES FD
C/O GTC 12 GILL ST SUITE 2600
WOBURN
,
MA
01801
47-4601867
POOLED INV FD
DE
N/A
Yes
No
(19)
LEIGH ORTHOPEDIC SURGERY CENTER LLC
830 KEMPSVILLE ROAD
NORFOLK
,
VA
23502
83-2402528
SURGERY CENTER
VA
SH
RELATED
1,895,085
9,568,452
No
Yes
51.000 %
(20)
SURGICAL SUITES OF COASTAL VIRGINIA LLC
400 SENTARA CIRCLE
WILLIAMSBURG
,
VA
23188
83-3205375
SURGERY CENTER
VA
SH
RELATED
2,286,530
2,090,169
No
Yes
51.000 %
(21)
PORT WARWICK SURGERY CENTER LLC
1031 LOFTIS BOULEVARD
NEWPORT NEWS
,
VA
23606
83-2749039
HEALTH CARE
VA
SH
RELATED
3,404
764,750
No
Yes
53.410 %
(22)
CAHABA PARTNERS EQUITY PLUS FUND
C/O GTC 12 GILL ST SUITE 2600
WOBURN
,
MA
01801
61-1865746
POOLED INV FD
DE
N/A
Yes
No
(23)
CAHABA PARTNERS TACTICAL EQUITY FUND
C/O GTC 12 GILL ST SUITE 2600
WOBURN
,
MA
01801
37-1939267
POOLED INV FD
DE
N/A
Yes
No
(24)
HA INTL EQUITY CEF FD CL-A
C/O BNY MELLON TRUST 4005 KENNET PI
GREENVILLE
,
DE
19807
84-5176311
POOLED INV FD
DE
N/A
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1555638
HOLDING COMPANY
VA
N/A
C
Yes
(2)
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
52-2368125
TPA
VA
N/A
C
Yes
(3)
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1473382
HMO
VA
N/A
C
Yes
(4)
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1642752
HEALTH INSURANCE
VA
N/A
C
Yes
(5)
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
62-1382666
MENTAL HEALTH SVCS
VA
N/A
C
Yes
(6)
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1688615
HOLDING COMPANY
VA
N/A
C
Yes
(7)
SENTARA HEALTH INSURANCE CO OF NC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
47-1888140
HEALTH INSURANCE
NC
N/A
C
Yes
(8)
SENTARA HEALTH PLANS OF NC INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
46-5510421
TPA
NC
N/A
C
Yes
(9)
MANAGED CARE SERVICES INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
81-5421060
ALT HEALTH DELIVERY
VA
N/A
C
Yes
(10)
SENTARA SOUTHSIDE HEALTH SERVICES INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1417772
HEALTH SERVICES
VA
N/A
C
Yes
(11)
DOMINION HEALTH MEDICAL ASSOCIATES LTD
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1060357
PHYS PRACTICE
VA
N/A
C
Yes
(12)
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
20-3730331
HEALTH CARE
VA
N/A
C
Yes
(13)
POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1441420
PHARMACY
VA
N/A
C
Yes
(14)
ROCKINGHAM HEALTH SERVICES INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
54-1721387
CONTRACTING SVCS
VA
N/A
C
Yes
(15)
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
22911
54-1841528
MEDICAL BILLING SVCS
VA
N/A
C
Yes
(16)
BAY PRIMEX INSURANCE COMPANY LTD
PO BOX 1051
GRAND CAYMAN
KY1-1102
CJ
98-0704114
OTHER INSURANCE FUNDS
CJ
N/A
C
Yes
(17)
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
26-4592192
PHYS PRACTICE
NC
N/A
C
Yes
(18)
THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION
6015 POPLAR HALL DRIVE
NORFOLK
,
VA
23502
56-2295574
BUILDING ASSOCIATION
VA
N/A
C
Yes
(19)
MEDSTREAMING EGYPT SOFTWARD
5A-ELNASRROADDELTA BUILDING8T
CAIRO
EG
CONSULTING
EG
N/A
C
Yes
(20)
CAHABA PARTNERS TOTAL RETURN FUND LTD
27 HOSPITAL ROAD
GEORGE TOWN
KY1-9008
CJ
POOLED INV FD
CJ
N/A
C
No
(21)
FIVOS INC
8 COMMERCE AVE
WEST LEBANON
,
NH
03784
45-1573625
HEALTHCARE IT
DE
N/A
C
Yes
(22)
PINEBRIDGE SSL SUB-TRUST 2
190 ELGIN AVENUE
GEORGE TOWN
KY1-9005
CJ
98-6079263
POOLED INV FD
CJ
N/A
T
No
(23)
MEDICAL METRX HOLDING INC
8 COMMERCE AVE
WEST LEBANON
,
NH
03784
20-4195631
HOLDING COMPANY
DE
N/A
C
Yes
(24)
M2M INC
8 COMMERCE AVE
WEST LEBANON
,
NH
03784
13-3978513
DATA COLLECTION/AGGREGATION
DE
N/A
C
Yes
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
Yes
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
L
643,868
CORP BOOKS/REC
(2)
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
M
7,820,085
CORP BOOKS/REC
(3)
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
A
195,988
CORP BOOKS/REC
(4)
DOMINION HEALTH MEDICAL ASSOCIATES LTD
L
405,187
CORP BOOKS/REC
(5)
HALIFAX REGIONAL HOSPITAL INC
L
9,685,490
CORP BOOKS/REC
(6)
HALIFAX REGIONAL HOSPITAL INC
R
168,291
CORP BOOKS/REC
(7)
HALIFAX REGIONAL HOSPITAL INC
S
79,719,929
CORP BOOKS/REC
(8)
MARTHA JEFFERSON HOSPITAL
B
3,165,133
CORP BOOKS/REC
(9)
MARTHA JEFFERSON HOSPITAL
C
253,603,652
CORP BOOKS/REC
(10)
MARTHA JEFFERSON HOSPITAL
L
32,930,162
CORP BOOKS/REC
(11)
MPB INC
A
109,717
CORP BOOKS/REC
(12)
MPB INC
K
24,603,594
CORP BOOKS/REC
(13)
MPB INC
R
156,087
CORP BOOKS/REC
(14)
MPB INC
S
35,570,247
CORP BOOKS/REC
(15)
OPTIMA HEALTH INSURANCE COMPANY
L
14,733,362
CORP BOOKS/REC
(16)
OPTIMA HEALTH PLAN
L
190,506,728
CORP BOOKS/REC
(17)
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
L
25,917,064
CORP BOOKS/REC
(18)
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
S
221,606,262
CORP BOOKS/REC
(19)
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
Q
279,884
CORP BOOKS/REC
(20)
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
S
2,208,959
CORP BOOKS/REC
(21)
OPTIMA BEHAVIORAL HEALTH SERVICES INC
M
308,000
CORP BOOKS/REC
(22)
SENTARA ENTERPRISES
K
698,905
CORP BOOKS/REC
(23)
SENTARA ENTERPRISES
L
4,474,264
CORP BOOKS/REC
(24)
SENTARA ENTERPRISES
M
9,007,360
CORP BOOKS/REC
(25)
SENTARA ENTERPRISES
R
3,014,846
CORP BOOKS/REC
(26)
SENTARA ENTERPRISES
S
4,913,491
CORP BOOKS/REC
(27)
SENTARA HALIFAX REGIONAL PROPERTIES INC
K
201,731
CORP BOOKS/REC
(28)
SENTARA HEALTH PLANS INC
L
240,431,899
CORP BOOKS/REC
(29)
SENTARA HEALTH PLANS INC
Q
16,290,138
CORP BOOKS/REC
(30)
SENTARA LIFE CARE CORPORATION
L
1,241,557
CORP BOOKS/REC
(31)
SENTARA LIFE CARE CORPORATION
R
1,633,867
CORP BOOKS/REC
(32)
SENTARA MEDICAL GROUP
A
23,330
CORP BOOKS/REC
(33)
SENTARA MEDICAL GROUP
K
3,625,256
CORP BOOKS/REC
(34)
SENTARA MEDICAL GROUP
L
32,523,346
CORP BOOKS/REC
(35)
SENTARA MEDICAL GROUP
M
134,066,881
CORP BOOKS/REC
(36)
SENTARA MEDICAL GROUP
R
436,200
CORP BOOKS/REC
(37)
SENTARA MEDICAL GROUP
S
37,910,318
CORP BOOKS/REC
(38)
SENTARA OBICI AMBULATORY SURGERY LLC
Q
833,716
CORP BOOKS/REC
(39)
SENTARA OBICI AMBULATORY SURGERY LLC
S
144,000
CORP BOOKS/REC
(40)
SENTARA PRINCESS ANNE HOSPITAL
F
25,833,675
CORP BOOKS/REC
(41)
SENTARA PRINCESS ANNE HOSPITAL
L
28,118,434
CORP BOOKS/REC
(42)
SENTARA PRINCESS ANNE HOSPITAL
Q
890,324
CORP BOOKS/REC
(43)
SENTARA PRINCESS ANNE HOSPITAL
R
441,516
CORP BOOKS/REC
(44)
SENTARA RMH MEDICAL CENTER
L
42,714,109
CORP BOOKS/REC
(45)
SENTARA RMH MEDICAL CENTER
B
3,674,564
CORP BOOKS/REC
(46)
SENTARA RMH MEDICAL CENTER
C
361,459,598
CORP BOOKS/REC
(47)
SENTARA VENTURES INC
L
602,000
CORP BOOKS/REC
(48)
SMG INNOVATIONS INC
L
490,000
CORP BOOKS/REC
(49)
SMG INNOVATIONS INC
Q
304,838
CORP BOOKS/REC
(50)
SURGICAL SUITES OF COASTAL VIRGINIA LLC
S
1,943,105
CORP BOOKS/REC
(51)
VALLEY WELLNESS CENTER
L
179,104
CORP BOOKS/REC
(52)
VALLEY WELLNESS CENTER
S
1,096,122
CORP BOOKS/REC
(53)
VIRGINIA PREMIER HEALTH PLAN INC
L
38,843,940
CORP BOOKS/REC
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
Schedule R (Form 990) 2021
Additional Data
Software ID:
Software Version: