2025-04-15T11:49:45+00:00 2024-05-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-06-01 521277417 HOSPITAL FOR EXTENDED RECOVERY HOSP 7573881700 600 GRESHAM DRIVE 700 NORFOLK VA 23507 AIMEE M VERGARA CEO 2025-04-15 true Amy Bibby P00445891 8282542254 2023-12-20 2023 2025-03-06 01:10:19Z AIMEE M VERGARA 600 GRESHAM DRIVE 700 NORFOLK VA 23507 10396419 false X WWW.SENTARA.COM/HOSPITALFOREXTENDEDRECOVERY X 2001 VA the hospital specializes in treating medically complex patients that require acute hospitalization for extended periods of time, averaging four weeks. The patients treated include, but are not limited to, post surgery, respiratory ailments, wound care, cancer, cardiac patients and ventilator care. 6 6 97 7 0 0 393161 0 10291304 10235962 91505 160457 0 0 10775970 10396419 0 0 0 0 7621375 7998108 0 0 0 3540173 3150759 11161548 11148867 -385578 -752448 10732914 9291110 3451031 2761675 7281883 6529435 The hospital provides health care services to acutely ill individuals without regard to race, creed, color, national origin, gender, disability or ability to pay. false false 10257695 10235962 Hospital for Extended Recovery ('HER') was formed to provide restorative care to acutely ill individuals with conditions including, but not limited to, post surgery, respiratory ailments, wound care, cancer and cardiac patients and those dependent on ventilator care whose condition is so significant that an average stay of four weeks or more is expected. "HER" meets the medical, therapeutic and rehabilitative needs of individuals using an interdisciplinary team approach incorporating medical management and therapies in an effort to restore individual quality of life to as high a degree of normalcy as possible. Treatment is structured to reduce patient dependency on others and to promote self-help and independence. "HER" is part of the continuum of care that begins with acute hospital care and continues through various venues. "HER" has 35 licensed beds and provided 5,460 days of care during the year ended 5/31/24. Because "HER" is a hospital within a hospital, our patients benefit from the expertise and technology in the region's first magnet designated hospital and the nationally ranked heart program at Sentara Norfolk General Hospital and Sentara Heart Hospital. "HER" is ranked higher than the national average in quality data from Care Compare; and more "HER" patients successfully return to home and the community. As part of Sentara Healthcare, "HER" participates in many of the Sentara initiatives to improve patient care. Examples are: improving patient safety through technology by using a protected network linking patient medical information between hospitals, physician practices and other care sites and using barcode technology to reduce bedside medication errors. 10257695 true false false true false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 1 0 true 97 true false false false false false false false false false false false false X 6 6 false false false false true true false true true false false true true true true true true true true false VA X Susan Taylor 7573881383 600 GRESHAM DRIVE SUITE 700 NORFOLK VA 23507 FELICIA TORENO PHD SECRETARY 1.0 X X 0 0 0 GUY FRIDDELL CHAIRMAN 1.0 X X 0 0 0 JOSEPH DORTO TREASURER 1.0 X X 0 0 0 DR THOMAS SCOTT JR DIRECTOR 1.0 X 0 0 0 HUGH PATTERSON DIRECTOR 1.0 X 0 0 0 KATHLEEN HARDESTY DIRECTOR 1.0 X 0 0 0 AIMEE VERGARA CEO 50.0 X 241003 0 65130 HEATHER DEXTRADEUR DIRECTOR OF FINANCE / VP 50.0 X 154092 0 33103 Esther Macaraeg Registered Nurse 40.0 X 135263 0 107814 Irene Inarda Physical Therapist 40.0 X 134057 0 47148 Katonga Peacock Manager Case Management 40.0 X 138311 0 63126 Robin Nkwonta Registered Nurse 40.0 X 129551 0 35976 Tracey Kane Clinical Manager 40.0 X 158653 0 83057 1090930 0 435354 21 false true false Sentara Healthcare PO Box 2199 Norfolk VA 23501 Clinical and Ancillary Services 1461339 Trubridge PO Box 11407 Birmingham AL 352466448 IT/Billing Support 108461 2 0 Patient Services Revenue 622110 10235962 10235962 0 0 0 0 10235962 160457 160457 0 0 0 0 0 0 0 0 0 10396419 10235962 0 160457 476772 476772 5954908 5923484 31424 453030 422072 30958 649980 576411 73569 463418 416903 46515 3655 3655 55205 55205 1055679 1009539 46140 0 2978 2603 375 83548 69120 14428 439920 405410 34510 1577 1572 5 6445 6445 36 36 192146 171336 20810 39414 34085 5329 MEDICAL SUPPLIES 1084917 1063583 21334 Equipment Rent & Maintenance 100112 97302 2810 OTHER EXPENSES 78501 53242 25259 TAXES AND LICENSES 6626 4552 2074 0 0 0 0 11148867 10257695 891172 0 1549538 244603 5580840 4093751 388511 44749 2362916 4082763 0 0 0 0 20668 13936 20473 13595 2609687 1811974 773979 797713 0 0 35989 0 10732914 9291110 1324719 1018165 0 0 2126312 1743510 3451031 2761675 X 7281883 6529435 7281883 6529435 10732914 9291110 -752448 0 X X false true X true false X false false false false false true 1593 false false false 1593 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1F: $1,593 - PORTION OF NALTH DUES THAT THE ORGANIZATION USED FOR LOBBYING. 1079995 554186 525809 1529692 1257788 271904 797713 Due to affiliated organization 1702101 due to third-party payor 41409 1743510 X 10396419 0 0 10396419 0 0 10396419 11148867 0 0 11148867 0 0 11148867 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Hospital is a qualifying nonprofit organization exempt from income taxes, except for unrelated business income, under Section 501(c)(3) of the Internal Revenue Code and the tax statutes of the Commonwealth of Virginia; accordingly, the accompanying financial statements do not reflect a provision or liability for federal and state income taxes. The Hospital has determined that it does not have any material unrecognized tax benefits or obligations as of May 31, 2024 and 2023. true true true X true X 600 true true true false true true 615643 615643 0.0552 0 0.0 0 0.0 0 0 615643 0 615643 0.0552 3600 3600 0.0003 0 0.0 0 0.0 0 0.0 0 0.0 0 0 3600 0 3600 0.0003 0 0 619243 0 619243 0.0555 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 966715 966715 4132213 4294768 -162555 X true true 1 1 HOSPITAL FOR EXTENDED RECOVERY 600 GRESHAM DRIVE SUITE 700 NORFOLK VA 23507 WWW.SENTARA.COM/HOSPITALFOREXTENDEDREC # H 1858 X LONG TERM ACUTE CARE HOSPITAL HOSPITAL FOR EXTENDED RECOVERY 1 false false true X X X X X X X X X 22 true true true true X www.sentara.com/hospitalforextendedrecovery X X true 23 false true false true X 200.0 600.0 true true X X X X true X http://www.sentara.com/hospitalforextendedrecovery X http://www.sentara.com/hospitalforextendedrecovery X http://www.sentara.com/hospitalforextendedrecovery X X X X X X X true X false X X X false X X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. THE COMMUNITY KEY STAKEHOLDER AND COMMUNITY MEMBER SURVEYS WERE CONDUCTED JOINTLY WITH BON SECOURS HAMPTON ROADS, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, RIVERSIDE HEALTH SYSTEM, AND THE HAMPTON AND PENINSULA HEALTH DISTRICTS OF THE VIRGINIA DEPARTMENT OF HEALTH TO OBTAIN COMMUNITY INPUT. THE SURVEY WAS CONDUCTED WITH A BROAD-BASED GROUP OF COMMUNITY STAKEHOLDERS AND COMMUNITY MEMBERS IN EASTERN SHORE, MIDDLE PENINSULA, PENINSULA, SOUTH HAMPTON ROADS, WESTERN TIDEWATER, AND NORTHEAST REGION OF NORTH CAROLINA. SURVEYS WERE AVAILABLE ONLINE AND IN ENGLISH AND SPANISH BY PAPER SUBMISSION. THE SURVEY GATHERED DEMOGRAPHIC DATA SUCH AS GENDER, RACE, INCOME, ZIP CODE AND COVID-19 FACTORS. THE SURVEY ASKED RESPONDENTS FOR THEIR INSIGHT AND PERSPECTIVE REGARDING IMPORTANT HEALTH CONCERNS IN THE COMMUNITY FOR ADULTS AND FOR CHILDREN: THE SURVEYS WERE MADE AVAILABLE TO THE PUBLIC FROM DECEMBER 1, 2021-FEBRUARY 28, 2022, IN PAPER FORMAT AND ELECTRONICALLY USING SURVEYMONKEY. THE SURVEY WAS DISTRIBUTED TO 1,892 STAKEHOLDERS INCLUDING INDIVIDUALS REPRESENTING PUBLIC HEALTH, EDUCATION, SOCIAL SERVICES, BUSINESSES, LOCAL GOVERNMENT, AND LOCAL CIVIC ORGANIZATIONS. AT THE COMPLETION OF THE SURVEY PERIOD, 1,871 STAKEHOLDER SURVEYS AND 17,294 COMMUNITY MEMBER SURVEYS WERE COMPLETED. IT IS IMPORTANT TO NOTE THAT NOT EVERY RESPONDENT ANSWERED EVERY QUESTION IN THE STAKEHOLDER AND COMMUNITY MEMBER SURVEYS. MOST COUNTIES DID NOT HAVE AN EQUALLY DISTRIBUTED RESPONSE TO SURVEYS TO REPRESENT THE ENTIRE SERVICE AREA POPULATION. AS A RESULT, SURVEY RESPONSES SHOULD BE CONSIDERED AS ONLY ONE COMPONENT OF INFORMATION UTILIZED TO SELECT HEALTH PRIORITIES. THE MOST UNDERSERVED POPULATIONS' FEEDBACK IS NOT ADEQUATELY REFLECTED IN MOST SURVEYS. SENTARA HEALTHCARE STAFF PERFORMED TARGETED OUTREACH ACTIVITIES TO INCLUDE INDIVIDUALS WHO SERVE THE UNDERSERVED POPULATIONS TO FURTHER DEVELOP THE ROBUSTNESS OF THE SURVEY RESPONSE. THE STAKEHOLDERS RESPONDING TO THE SURVEY REPRESENT MULTIPLE ORGANIZATIONS AND EACH HAS UNIQUE INSIGHT INTO THE HEALTH FACTORS THAT IMPACT THE COMMUNITY. THE STAKEHOLDERS REPRESENT HOSPITALS, PHYSICIAN OFFICES, CITY DEPARTMENTS OF SOCIAL SERVICES, HEALTH DEPARTMENTS, AND COMMUNITY-BASED NON-PROFIT SERVICE ORGANIZATIONS. THE RESPONDENTS HAVE REPRESENTED MANY DIVERSE PROFESSIONAL AND VOLUNTEER FIELDSFROM EMERGENCY MEDICAL PROVIDERS TO PASTORS AND PUBLIC-SCHOOL TEACHERS. STAKEHOLDER SURVEY RESPONDENTS WERE ASKED TO IDENTIFY THE TYPE OF ORGANIZATION THAT BEST REPRESENTS THEIR PERSPECTIVE ON HEALTH ISSUES THROUGH EMPLOYMENT OR OTHER AFFILIATION. 1,357 OUT OF 1,871 RESPONDENTS ANSWERED THIS QUESTION WITH 43.85% BEING HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS. SEE APPENDIX C FOR THE COMPLETE STAKEHOLDER AND COMMUNITY MEMBER SURVEYS, THE LIST OF TYPES OF EMPLOYERS FOR STAKEHOLDER RESPONDENTS, CHARACTERISTICS OF SURVEY RESPONDENTS AND TOP HEALTH CONCERNS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. DUE TO THE URBAN LOCATION, THE ORGANIZATION WORKS WITH A NUMBER OF COMMUNITY PARTNERS TO ADDRESS HEALTH NEEDS. THE ASSESSMENT WAS CONDUCTED JOINTLY BY BON SECOURS HAMPTON ROADS, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, RIVERSIDE HEALTH SYSTEM, SENTARA HEALTHCARE AND THE HAMPTON AND PENINSULA HEALTH DISTRICTS OF THE VIRGINIA DEPARTMENT OF HEALTH TO OBTAIN COMMUNITY INPUT. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. DUE TO THE URBAN LOCATION, THE ORGANIZATION WORKS WITH A NUMBER OF COMMUNITY PARTNERS TO ADDRESS HEALTH NEEDS. THE ASSESSMENT WAS CONDUCTED JOINTLY BY BON SECOURS HAMPTON ROADS, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, RIVERSIDE HEALTH SYSTEM, SENTARA HEALTHCARE AND THE HAMPTON AND PENINSULA HEALTH DISTRICTS OF THE VIRGINIA DEPARTMENT OF HEALTH TO OBTAIN COMMUNITY INPUT. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. THE RESULTS OF THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WERE SENT TO ALL MEMBERS OF THE FOCUS GROUPS THAT PARTICIPATED IN THE SURVEY. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. THE NEEDS ASSESSMENT IDENTIFIES NUMEROUS HEALTH ISSUES THAT OUR COMMUNITIES FACE. THE HOSPITAL FACILITY 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 SEVERITY AND INTENSITY OF THE PROBLEM, THE FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS, HEALTH DISPARITIES ASSOCIATED WITH THE NEED, THE IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE NEED, RESOURCES AVAILABLE, ISSUES THAT IMPACT THOSE IN THE COMMUNITY MOST INTERESTED IN THE SCOPE OF THE SERVICES WE OFFER AND CONSISTENCY WITH OUR MISSION "TO IMPROVE HEALTH EVERY DAY". HOSPITAL FOR EXTENDED RECOVERY ("HER") HAS SELECTED THREE HEALTH PROBLEMS TO ADDRESS IN THE IMPLEMENTATION STRATEGY: CHRONIC DISEASE; BEHAVIORAL HEALTH; SOCIAL DETERMINANTS OF HEALTH. "HER" HAS SELECTED NURSES TO BE EXTENSIVELY TRAINED IN AREAS OF NEED IDENTIFIED BY THE ASSESSMENT IN ORDER TO EDUCATE HOSPITAL PATIENTS, STAFF AND THE COMMUNITY. "HER" ALSO COORDINATES WITH VARIOUS HEALTHCARE PROVIDERS, AGENCIES ON AGING AND OTHER RESOURCES IN THE COMMUNITY TO ENSURE THAT PATIENT/FAMILY EDUCATION AND CARE AFTER DISCHARGE IS APPROPRIATE. "HER" FOUNDED AND MAINTAINS A CAREGIVER SUPPORT GROUP FOR ALZHEIMER CARE GIVERS IN THE PHILIPENO COMMUNITY. IN ADDITION TO VOLUNTEERING AT COMMUNITY HEALTH SCREENING EVENTS THE STAFF AT "HER" PARTICIPATES IN FUNDRAISERS AND COMMUNITY SERVICE EVENTS FOR NATIONALLY RECOGNIZED RESEARCH AND HEALTHCARE ORGANIZATIONS THAT TARGET THE SPECIFIC NEEDS IDENTIFIED IN THE ASSESSMENT. 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 (SENTARA HEALTHCARE) RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL. AN EXAMPLE IS THAT THE SENTARA HEALTH FOUNDATION ANNUALLY PROVIDES FUNDING TO IMPROVE ACCESS FOR LOW INCOME INDIVIDUALS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. A PLAIN LANGUAGE SUMMARY DESCRIBING THE FACILITY'S FINANCIAL ASSISTANCE POLICY WAS AVAILABLE AT THE PATIENT REGISTRATION AREA AND INCLUDED CONTACT INFORMATION FOR RECEIVING ASSISTANCE. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS ALSO INCLUDED IN ALL PATIENT REGISTRATION PACKETS. ALL LETTERS FOR PAYMENT INCLUDED A NOTIFICATION REGARDING THE FACILITY'S FINANCIAL ASSISTANCE POLICY, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND CONTACT INFORMATION FOR APPLYING FOR ASSISTANCE. THE FACILITY'S FINANCIAL ASSISTANCE POLICY AND APPLICATION IS AVAILABLE ON THE COMPANY WEBSITE: HTTP://WWW.SENTARA.COM/HOSPITALFOREXTENDEDRECOVERY Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. THE HOSPITAL DOES NOT PURSUE ANY EXTRAORDINARY COLLECTION ACTIONS. STATEMENTS ARE MAILED AND PHONE CALLS ARE MADE BY THE REVENUE CYCLE COORDINATOR ON STAFF. NO AMOUNTS ARE REPORTED TO ANY ORGANIZATION OR BUREAU. THE HOSPITAL DOES NOT SELL THE DEBT, DENY CARE OR CONTACT LEGAL COUNSEL FOR COLLECTIONS. Schedule H, Part V, Section B, Line 21 Facility , 1 Facility , 1 - HOSPITAL FOR EXTENDED RECOVERY. THE HOSPITAL DOES NOT PROVIDE EMERGENCY MEDICAL CARE, HENCE THERE IS NO POLICY REGARDING EMERGENCY CARE. 0 Schedule H, Part I, Line 6a DUE TO THE URBAN LOCATION THE ORGANIZATION WORKS WITH A NUMBER OF COMMUNITY PARTNERS TO ADDRESS HEALTH NEEDS. IN 2022 THE ASSESSMENT WAS CONDUCTED JOINTLY BY BON SECOURS HAMPTON ROADS, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, RIVERSIDE HEALTH SYSTEM, SENTARA HEALTHCARE AND THE HAMPTON AND PENINSULA HEALTH DISTRICTS OF THE VIRGINIA DEPARTMENT OF HEALTH TO OBTAIN COMMUNITY INPUT. THE RESULTS OF THE ASSESSMENT IS POSTED ON THE WEBSITE WWW.SENTARA.COM/HOSPITALFOREXTENDEDRECOVERY Schedule H, Part I, Line 7 A COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. Schedule H, Part VI, Line 7 STATE FILING IS NOT REQUIRED. Schedule H, Part II Community Building Activities COALITION BUILDING THE ORGANIZATION COLLABORATES WITH VARIOUS COMMUNITY ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH CARE NEEDS WITHIN THE COMMUNITY. WORKFORCE DEVELOPMENT THE ORGANIZATION PROVIDES VARIOUS PROGRAMS WHERE HIGH SCHOOL AND COLLEGE STUDENTS WITH AN INTEREST IN HEALTH CARE CAREERS MAY PARTICIPATE IN JOB SHADOWING OR EXTERNSHIPS WITHIN THE HOSPITAL. OTHER - EMPLOYEES OF THE ORGANIZATION VOLUNTEER THEIR TIME IN VARIOUS COMMUNITY SETTINGS INCLUDING PUBLIC SCHOOLS, FAITH BASED ORGANIZATIONS, COMMUNITY CENTERS, AND OTHER HEALTHCARE BASED ENTITIES. THE ORGANIZATION FOUNDED A CAREGIVER SUPPORT GROUP FOR ALZHEIMER CARE GIVERS IN THE PHILIPENO COMMUNITY WHICH HAS GARNERED RECOGNITION FROM MANY OTHER ORGANIZATIONS IN THE COMMUNITY. THE COSTS INCURRED FOR THESE ACTIVITIES ARE NOT SPECIFICALLY ACCUMULATED BUT INCLUDE SALARIES AND OTHER OPERATING EXPENSES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS, NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN-OFF. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE NOTES TO THE FINANCIAL STATEMENTS DO NOT INCLUDE A REFERENCE TO BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS, NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN-OFF. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN WHAT IT COSTS TO PROVIDE THE CARE AND SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THE COST OF PROVIDING THE CARE MAY EXCEED THE FUNDS WE RECEIVED FROM MEDICARE FOR THE SERVICE. OUR SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT. MEDICARE SHORT-FALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. ADDITIONALLY, IT IS IMPLIED IN INTERNAL REVENUE SERVICE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFITS STANDARD. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 BOTH 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. THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED UPON THE INFORMATION PROVIDED BY THE REFERRING HOSPITAL AND THE PATIENTS PARTICIPATION IN SOCIAL PROGRAMS FOR LOW INCOME FAMILIES. WHEN THE INFORMATION SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. NO ACCOUNTS WERE SUBMITTED TO COLLECTION ACTIVITY THIS YEAR BUT 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 WRITTEN OFF TO CHARITY. Schedule H, Part V, Section B, Line 16a FAP website - HOSPITAL FOR EXTENDED RECOVERY: Line 16a URL: http://www.sentara.com/hospitalforextendedrecovery; Schedule H, Part V, Section B, Line 16b FAP Application website - HOSPITAL FOR EXTENDED RECOVERY: Line 16b URL: http://www.sentara.com/hospitalforextendedrecovery; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HOSPITAL FOR EXTENDED RECOVERY: Line 16c URL: http://www.sentara.com/hospitalforextendedrecovery; Schedule H, Part VI, Line 2 Needs assessment OUR STAFF IS ENGAGED IN OUR COMMUNITY AND PROVIDES FEEDBACK TO HELP DIRECT OUR RESOURCES TO HAVE MEANINGFUL IMPACT WITH THE POPULATION WE SERVE. OUR ASSESSMENT INCLUDES A REVIEW OF POPULATION CHARACTERISTICS SUCH AS AGE, EDUCATIONAL LEVEL, AND RACIAL AND ETHNIC COMPOSITION BECAUSE SOCIAL FACTORS ARE IMPORTANT DETERMINANTS OF HEALTH. THE ASSESSMENT ALSO LOOKS AT RISK FACTORS LIKE OBESITY AND SMOKING AND AT HEALTH INDICATORS SUCH AS INFANT MORTALITY AND PREVENTABLE HOSPITALIZATIONS. COMMUNITY PARTICIPATION IS IMPORTANT, SO THE ASSESSMENT ALSO INCLUDES INPUT FROM COMMUNITY MEMBERS, LOCAL PUBLIC HEALTH DEPARTMENTS, THE SCHOOL SYSTEM, SOCIAL SERVICES, COMMUNITY HEALTH CENTERS, FREE CLINICS, LOCAL GOVERNMENTS, AND THOSE WHO REPRESENT UNDERSERVED POPULATIONS AND OTHERS THROUGH SURVEYS, FOCUS GROUPS, AND OTHER MEANS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ALL PATIENTS ARE GIVEN A PLAIN LANGUAGE SUMMARY OF THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY (FAP) UPON ADMISSION. THIS INFORMATION INCLUDES ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE BASED ON FEDERAL POVERTY GUIDELINES, INFORMATION REQUIRED TO SUBMIT A FINANCIAL ASSISTANCE APPLICATION, SUPPORTING DOCUMENTATION REQUIRED WITH THE APPLICATION, CONTACT INFORMATION FOR STAFF WHO CAN ASSIST WITH THE APPLICATION AND THE APPLICATION PROCESS, INFORMATION ON HOW TO OBTAIN THE FULL FAP AND APPLICATION, INFORMATION ON HOW TO OBTAIN TRANSLATIONS OF FAP, PLAIN LANGUAGE FAP AND APPLICATION AND THE AMOUNT OF TIME A PATIENT HAS TO APPLY FOR FREE OR DISCOUNTED CARE. THE PLAIN LANGUAGE FAP IS ALSO INCLUDED WITH ANY WRITTEN CORRESPONDENCE TO A PATIENT AFTER DISCHARGE. THE FAP/APPLICATION IS OFFERED DURING ANY VERBAL CONTACT WITH PATIENT OR PATIENT REPRESENTATIVE DURING THE STAY AND SUBSEQUENT TO DISCHARGE. THE POLICY(S) AND APPLICATION ARE POSTED PROMINENTLY IN THE HOSPITAL AND ON THE HOSPITAL WEBSITE INCLUDING TRANSLATED DOCUMENTS. THESE ITEMS HAVE BEEN MADE AVAILABLE TO REFERRING DOCTORS OFFICES AND REFERRING HOSPITALS, AND ARE AVAILABLE BY MAIL FREE OF CHARGE TO ANY WHO REQUEST IT. 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 HAS ACCESS TO THE RESOURCES OF SENTARA HEALTHCARE, WHICH EMPLOYS AN EXTERNAL FIRM TO ASSIST IN THE ELIGIBILITY PROCESS. Schedule H, Part VI, Line 4 Community information HIGHLIGHT POPULATION: THE COMBINED POPULATION OF SERVICE AREA NUMBERS OVER 1.2 MILLION PEOPLE. THE SERVICE AREA IS COMPRISED OF 8 LOCALITIES: THE CITIES OF NORFOLK, CHESAPEAKE, VIRGINIA BEACH, PORTSMOUTH, SUFFOLK, AND FRANKLIN, AS WELL AS THE COUNTIES OF THE ISLE OF WIGHT AND SOUTHAMPTON. VIRGINIA BEACH IS THE MOST POPULOUS CITY IN THE SERVICE REGION, FOLLOWED BY NORFOLK AND CHESAPEAKE. THOSE THREE CITIES COMBINED HOLD 11% OF THE POPULATION OF THE STATE OF VIRGINIA. SOME OF THE LOCALITIES IN THE SERVICE AREA ARE VERY RURAL WITHIN THE 2,015 SQUARE MILE REGION. HIGHLIGHT POPULATION AND AGE: OUT OF THE 1,203,918 COMMUNITY MEMBERS LIVING IN THE SNGH SERVICE AREA, MOST RESIDENTS ARE BETWEEN THE AGES OF 30-64. THERE IS A SLIGHTLY HIGHER PERCENT OF RESIDENTS AGED 65+ THAN THE STATE. NORFOLK, VIRGINIA BEACH AND CHESAPEAKE HAVE THE HIGHEST NUMBER OF THE SENIOR POPULATION WITH 117,540 RESIDENTS AGED 65+. FRANKLIN HAS THE HIGHEST PERCENT OF THE VERY ELDERLY, AGED 85+. CHESAPEAKE, SUFFOLK, AND PORTSMOUTH HAVE THE HIGHEST PERCENT OF CHILDREN. THERE WERE 14,979 BABIES BORN IN THE SERVICE AREA IN 2019. MAJORITY OF THE BIRTHS WERE IN NORFOLK AND CHESAPEAKE WITH THE HIGHEST NUMBER BEING IN VIRGINIA BEACH, ACCOUNTING FOR SLIGHTLY OVER 8% OF THE STATE-WIDE BIRTHS. LIKE THE STATE OF VIRGINIA, THERE IS A SLIGHTLY HIGHER PERCENT OF RESIDENTS IDENTIFYING AS FEMALE IN THE ENTIRE SERVICE AREA WITH NORFOLK AND SOUTHAMPTON HAVING SLIGHTLY OVER HALF OF THE RESIDENTS IDENTIFYING AS MALE. AGING POPULATION: IT IS WELL UNDERSTOOD THAT OLDER INDIVIDUALS ARE MORE LIKELY TO NEED MORE HEALTHCARE SERVICES, AND A VARIETY OF SERVICES WHICH ARE TARGETED TOWARD THAT POPULATION. THE POPULATION OF THE SNGH/HER SERVICE AREA IS PROJECTED TO BE OLDER THAN THE STATE IN 2040. THE PERCENT OF THE VERY ELDERLY, SHOWN TO HAVE THE HIGHEST UTILIZATION OF MEDICAL SERVICES, IS HIGHEST IN PORTSMOUTH AND ISLE OF WIGHT. IN 2020, 13.9% OF THE POPULATION LIVING IN THE SERVICE AREA IS AGE 65+, SLIGHTLY BELOW THE POPULATION OF VIRGINIA WHICH IS 15.9%. BY 2030, THE AGING POPULATION OF THE SERVICE AREA IS PROJECTED TO BE AT 18.5%, AND BY 2040, INCREASE TO 18.9%. OTHER DEMOGRAPHIC FEATURES THE OVERALL RATE OF THE POPULATION WHO ARE VETERANS IS HIGHER THAN EITHER VIRGINIA OR THE UNITED STATES WITH 11.4% VETERANS LIVING IN THE SERVICE AREA. THE MEDIAN HOME VALUE IS LESS THAN THAT OF VIRGINIA AS A WHOLE, AND THE MEDIAN INCOME AND PER CAPITA INCOME REFLECT THAT LOWER COST OF LIVING. THERE IS A HIGHER PERCENTAGE OF OWNER-OCCUPIED HOMES IN CHESAPEAKE, SUFFOLK, ISLE OF WIGHT, AND SOUTHAMPTON COMPARED TO THE STATE. IN THE RURAL COMMUNITIES, FEWER HOUSEHOLDS HAVE COMPUTERS AND INTERNET ACCESS, IMPACTING REMOTE LEARNING OPPORTUNITIES AND OUTCOMES DURING THE COVID PANDEMIC. A HIGHER PERCENT OF THE POPULATION HAS A DISABILITY THAN IN THE STATE. THIS IS INDICATED BOTH FOR CHILDREN, WORKING AGE ADULTS AND THE ELDERLY. NORFOLK, PORTSMOUTH, SOUTHAMPTON, AND FRANKLIN HAVE A HIGHER PERCENTAGE OF PERSONS LIVING IN POVERTY, AND LOWER PERCENTAGE OF COLLEGE DEGREES WHEN COMPARED TO THE STATE. ETHNICITY: THE POPULATION OF THE SERVICE AREA IS OVERWHELMINGLY WHITE AND BLACK, WITH VIRGINIA BEACH AND NORFOLK THE MOST DIVERSE COMMUNITIES (15.3% AND 12.2% COMBINED NON-WHITE OR BLACK) FOLLOWED BY CHESAPEAKE AT 9.7% COMBINED (APPENDIX A). ALL OTHER LOCALITIES HAVE NO MORE THAN 7% COMBINED NON-WHITE OR BLACK POPULATION. VIRGINIA BEACH, NORFOLK AND CHESAPEAKE HAVE SMALL ASIAN POPULATIONS, BUT NO OTHER RACIAL GROUPS ARE REPRESENTED IN THE AREA IN ANY SIGNIFICANT NUMBER. THE SERVICE AREA POPULATION HAS A SMALL HISPANIC POPULATION, WITH VIRGINIA BEACH HOME TO THE LARGEST HISPANIC COMMUNITY WITH 8.2% OF THE POPULATION FOLLOWED BY NORFOLK WITH 8% AND CHESAPEAKE WITH 6.2%. NO OTHER COMMUNITY IN THE SERVICE AREA HAS MORE THAN 5% HISPANIC COMMUNITY, WITH SOUTHAMPTON AND FRANKLIN HAVING LESS THAN 3%. Schedule H, Part VI, Line 5 Promotion of community health EMPLOYEES OF THE ORGANIZATION VOLUNTEER TO CONDUCT COMMUNITY BASED HEALTH SCREENINGS. THE ORGANIZATION PROVIDES SHADOWING OPPORTUNITIES TO AREA HIGH SCHOOL AND COLLEGE STUDENTS WHO ARE INTERESTED IN NURSING CAREERS. THE ORGANIZATION'S GOVERNING BODY IS A COMMUNITY-BASED BOARD THAT IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF HOSPITAL FOR EXTENDED RECOVERY, 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. Schedule H, Part VI, Line 6 Affiliated health care system SENTARA HEALTHCARE PROVIDES A NUMBER OF PROGRAMS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES, IN ADDITION TO THOSE IDENTIFIED FOR THE ORGANIZATION. X X X false false false false false false false false false AIMEE VERGARA CEO 189392 0 51611 0 0 0 63497 0 1633 0 306133 0 0 0 HEATHER DEXTRADEUR DIRECTOR OF FINANCE / VP 124144 0 29948 0 0 0 24245 0 8858 0 187195 0 0 0 Tracey Kane Clinical Manager 140933 0 17720 0 0 0 61013 0 22044 0 241710 0 0 0 Esther Macaraeg Registered Nurse 130922 0 4341 0 0 0 90341 0 17473 0 243077 0 0 0 Katonga Peacock Manager Case Management 124365 0 13946 0 0 0 61858 0 1268 0 201437 0 0 0 Irene Inarda Physical Therapist 129040 0 5017 0 0 0 38401 0 8747 0 181205 0 0 0 Robin Nkwonta Registered Nurse 121224 0 8327 0 0 0 24687 0 11289 0 165527 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation WITH ASSISTANCE FROM SENTARA HEALTHCARE, THE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES IS BASED ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND OVERALL PERFORMANCE OF THE ORGANIZATION. THIS INFORMATION IS GIVEN DIRECTLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. Form 990, Part IV, Line 20b Upon the filing of this Form 990, the 05/31/2024 Audited Financial Statements were still outstanding. The 05/31/2023 Audited Financial Statements have been attached. Form 990, Part VI, Line 15 WITH ASSISTANCE FROM SENTARA HEALTHCARE, THE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES IS BASED ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND OVERALL PERFORMANCE OF THE ORGANIZATION. THIS INFORMATION IS GIVEN DIRECTLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW, DISCUSSION AND APPROVAL. Form 990, Part VI, Line 6 Classes of members or stockholders Sentara Life Care Corporation is the sole member of Hospital for Extended Recovery and appoints one member to the board of directors. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Sentara Life Care Corporation is the sole member of Hospital for Extended Recovery and appoints one member to the board of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body Once the draft 990 is given to the CEO, they then send to each Board member for review. At the scheduled Board meeting a time for questions and review is given. A Unanimous written consent for approval of the CEO to sign the 990 is then signed by each Board member. Form 990, Part VI, Line 12c Conflict of interest policy DIRECTORS, BOARD MEMBERS AND EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATIONS KEY EMPLOYEES THEN MONITOR RESPONSE TO ENSURE THAT ANY POTENTIAL CONFLICTS ARE REASONABLE AND AT ARMS LENGTH. REPORTS OF CONFLICTS OF INTEREST AND ANY SUCH TRANSACTIONS ARE REPORTED TO THE BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTERESTS POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XII, Line 2c Change of oversight process or selection process No change from prior year.