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      <Form990PartVIISectionAGrp>
        <PersonNm>MR TAYLAN BOZKURT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31642</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR JAMIE PUCCI</PersonNm>
        <TitleTxt>Low Vision Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57150</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MR KEVIN JACKSON</PersonNm>
        <TitleTxt>Marketing &amp; Development</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TONYA JENKINS</PersonNm>
        <TitleTxt>HR Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MANNING</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
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        <PersonNm>LESLIE CRYTSER</PersonNm>
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        <PersonNm>MARY DILLON</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>375152</TotalOtherCompensationAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <Desc>PATIENT SERVICE REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>3021336</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
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      <InvestmentIncomeGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>74958</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>238669</ProgramServicesAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1369963</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>34731149</BOYAmt>
        <EOYAmt>36649383</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>38019346</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <ExplanationTxt>REEHA is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code; accordingly, the accompanying consolidated financial statements do not reflect a provision or liability for federal and state income taxes.</ExplanationTxt>
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        <ExplanationTxt>Facility , 1 - RICHMOND EYE &amp; EAR HEALTHCARE ALLIANCE:. PART V, SECTION B, LINE 5: THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. IN PARTICULAR, THOSE CONSULTED WERE ACCESS NOW, CROSSOVER HEALTHCARE MINISTRY, FAMILY LIFELINES, THE FAN FREE CLINIC, THE GOOCHLAND FREE CLINIC &amp; FAMILY SERVICES, &amp; THE PARTNERSHIP FOR FAMILIES NORTHSIDE.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - RICHMOND EYE &amp; EAR HEALTHCARE ALLIANCE:. PART V, SECTION B, LINE 11: REEHA PROVIDES FREE VISION AND HEARING SCREENINGS FOR PRE KINDERGARTEN CHILDREN TO INCREASE ACCESS TO CARE FOR CHILDREN AND TO HELP THEM SEE AND HEAR AS WELL AS THEIR CLASSMATES. THE PROGRAM PROVIDES FREE MOBILE SCREENINGS, IN ADDITION TO EDUCATIONAL INFORMATION REGARDING THE IMPORTANCE OF VISUAL AND AUDITORY HEALTH, AND SEEKS TO BREAK DOWN BARRIERS TO CARE SUCH AS LANGUAGE, TRANSPORTATION, LOW INCOME OR THE LACK OF INSURANCE. REEHA SCREENING ASSISTANTS DETECT POTENTIAL VISUAL AND AUDITORY PROBLEMS AND REPORT ANY NECESSARY REFERRALS. RICHMOND EYE AND EAR HEALTHCARE ALLIANCE 54-1904435 DETECTING THESE ISSUES AT AN EARLY AGE IS CRITICAL FOR ACADEMIC SUCCESS. MORE THAN 15,000 CHILDREN HAVE BEEN SCREENED SINCE THE PROGRAM'S INCEPTION IN FALL 2015. 20% OF THE CHILDREN SCREENED WERE REFERRED TO A PHYSICIAN FOR VISION, HEARING OR BOTH. 80% OF CHILDREN REFERRED RECEIVED FOLLOW-UP CARE. LOW VISION HAS ALSO BEEN A FOCUS AS MEDARVA OPERATES VIRGINIA'S ONLY FULL-TIME, PRIVATE LOW VISION CENTER. THE CENTER PROVIDES COMPREHENSIVE LOW VISION EXAMS TO NOT ONLY THOSE WITH INSURANCE, BUT INDIVIDUALS WHO ARE REFERRED TO THE PROGRAM AND NEED ASSISTANCE. ALONG WITH SCREENINGS, THE CENTER PROVIDES OCCUPATIONAL THERAPY SERVICES TO PATIENTS WHO NEED TO LEARN HOW TO USE SPECIAL LOW VISION EQUIPMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED WORKSHEET 2 OF THE 2023 SCHEDULE H INSTRUCTIONS TO CALCULATE A COST-TO-CHARGES RATIO USED TO COMPUTE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. AMOUNTS ON LINE 7E - 7I ARE TRACKED AT COST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SURGERY CENTER ESTIMATES THAT NONE OF THE BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS THAT WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE BECAUSE THESE BAD DEBTS RELATE SOLELY TO COMMERCIALLY INSURED INDIVIDUALS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED A COST-TO-CHARGES RATIO TO DETERMINE BAD DEBT AT COST. BAD DEBT IS COMPRISED OF A RATABLE PORTION ALLOCATED FROM A JOINT VENTURE, CONVERTED TO COST USING A COST-TO-CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital facility does not prepare a Medicare Cost Report. As a result, Medicare revenue is determined by multiplying the hospital facility's gross Medicare charges by REEHA's ownership percentage in the hospital facility and multiplying that amount by the percentage of Medicare gross charges actually collected by the hospital facility. Medicare allowable costs is determined by multiplying the hospital facility's operating expenses by REEHA's ownership percentage in the hospital facility and then multiplying that amount by the percentage of the hospital facility's total gross patient charges comprised of Medicare gross charges.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSONS WHO QUALIFY FOR THE CHARITY CARE OR FINANCIAL ASSISTANCE ARE REMOVED FROM THE COLLECTION PROCESS AT THE FIRST AVAILABILITY OF INFORMATION. ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS ARE RETURNED TO THE PATIENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- 1 STONY POINT SURGERY CENTER: Line 16a URL: WWW.MEDARVA.COM;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- 1 STONY POINT SURGERY CENTER: Line 16b URL: WWW.MEDARVA.COM;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- 1 STONY POINT SURGERY CENTER: Line 16c URL: WWW.MEDARVA.COM;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDARVA Healthcare, prides itself on practicing and perfecting the art of medicine, and partnering with community organizations to help bring medical assistance and awareness to those in need. The conclusions resulted from qualitative and quantitative finding from community resources, the "community insights profile" based on feedback from community health professionals and the "community indicator profile" based on demographic research. After compiling information regarding the health care needs of the communities served by MEDARVA, a set of community health indicators were identified. The indicators focus on determinants of health (economic conditions, health care access, health care affordability), prevalence of chronic conditions, and health outcomes (morbidity as measured by hospital use and mortality). Using these determinants, the Task Force discussed key health and health care issues from the perspectives of challenges, achievements, opportunities for action, resources and priorities for action. This process was used to delineate, in order of priority, the following list of community health needs: - Affordable health care - Access to specialist Health Care - Pervasive health problems - Need for non-profit Health Care facilities - Continued funding of Medicaid procedures and charity care</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDARVA's mission is to provide the best care to every patient every day. As part of that commitment, the organization appropriately serves patients in difficult financial circumstances and offers financial assistance to those who have an established need to receive emergency or medically necessary medical services. SPSC's policy is to provide emergency care to stabilize patients, regardless of their ability to pay. SPSC's policy serves to establish and ensure a fair and consistent method for the review and completion of requests for charitable medical care to patients in need. Patients who want to apply for financial assistance or who have been identified as potentially eligible for financial assistance are informed of the application process either before receiving services if the facts suggest potential eligibility or after the billing and collection process has begun.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDARVA Stony Point Surgery Center (SPSC) is a licensed outpatient surgery hospital and Medicare/Medicaid certified ambulatory surgery center. MEDARVA's highly trained professional staff and physicians utilize advanced technology to perform surgery in the 30,000 square foot modern ambulatory surgery center. The center has eight operating rooms and five special procedure rooms. An analysis of MEDARVA patient data from the past three years indicates that MEDARVA primarily provides outpatient surgical services to patients in the Greater Richmond Metropolitan Area, which includes the following locales: Amelia County, Caroline County, Charles City County, Chesterfield County, City of Richmond, City of Petersburg, City of Hopewell, City of Colonial Heights, Cumberland County, Dinwiddie County, Goochland County, Hanover County, Henrico County, King and Queen County, King William County, Louisa County, New Kent County, Powhatan County, Prince George County, and Sussex County. MEDARVA's services also include the cities of Fredericksburg, Williamsburg, and Emporia. - Health Demographic Profile The study region included major counties surrounding the City of Richmond, including Henrico County and Chesterfield County. While other surrounding counties are significant, Henrico and Chesterfield are significantly larger and closer geographically to the City of Richmond. These counties share health care facilities and services. Many other surrounding counties are served by smaller entities and have sparse populations that can skew data. - Mortality Profile Data shown in the Mortality Profile is from census data. Medical data (death by cause). All data is from the Virginia Department of Health &amp; Vital Statistics and from the U.S. Census. - Maternal and Infant Health Profile Natality profile data comes from the Virginia Department of Health and Vital Statistics and the American Community Survey (U.S. Census Data). This comprehensive information provides insight on geographical regions within the Commonwealth. - Preventable Hospitalization Profile Experts have identified a defined set of conditions that are ambulatory care sensitive (ACS). Ambulatory care is often considered preventable if and when adequate primary care is available to and accessed by those in need. These factors are often affected by significant levels of poverty in urban areas, which are inversely proportional to the same factors in more affluent areas. - Health Professional Shortage Profile Defined as having a shortage of primary medical care, dental or mental health professionals. There are 143,925 (12.23%) people living in an area identified as having limited access to Health Care. - Diabetes Management Profile In the report area, 11,644 Medicare enrollees with diabetes have had an annual exam out of 13,616 Medicare enrollees in the report area with diabetes, or 85.52%. This is a comparable rate to the Commonwealth of Virginia. Data is also from the American Community Survey and the Virginia Department of Health and Vital Statistics. The VDOH provides more robust data on localities than the ACS shows, which is more focused on national statistics. - Uninsured Profile In the report area, adults age 18 to 64 without health insurance coverage is 17.78%. This is average compared to statewide coverage. This data, also from the American Community Survey, highlights some striking differences between coverage in certain geographic areas, levels of wealth and demographics. It is worth noting that these levels will continue to fluctuate as the Affordable Care Act continues to affect insurance coverage throughout the nation and particularly statewide.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>RICHMOND EYE &amp; EAR HEALTHCARE ALLIANCE PROVIDES DIRECT PATIENT SURGICAL CHARITY CARE THROUGH ITS 41.85% OWNERSHIP OF STONY POINT SURGERY CENTER. IT ALSO PROVIDES OVER $380,000 ANNUALLY TO COMMUNITY HEALTHCARE EDUCATION AND OUTREACH GRANTS AND RESEARCH FUNDING, DISTRIBUTED THROUGH RICHMOND EYE &amp; EAR FOUNDATION. (LISTED ON STONYPOINTSC.COM WEBSITE) A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OF NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. Stony Point Surgery Center extends medical staff privileges to all qualified physicians in REEHA's community. REEHA utilizes any surplus funds from operations to further promote the charitable purposes of the organization. Partner with Virginia's largest free healthcare clinic (Crossover Ministry) Given $1.4 million in research grants over the past 10 years. We donate to various community organizations (special Olympics, Virginia Voice, Challenge Discovery, Scottish Rite childhood language Center). Donated to and hired employees from The Virginia Home (people with irreversible physical disabilities). We provided free hearing and vision screenings to over 4,700 preschool children in 2018.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>RICHMOND EYE &amp; EAR HEALTHCARE ALLIANCE IS 41.85% OWNER OF STONY POINT SURGERY CENTER AS OF THE END OF THE TAX PERIOD. THE ORGANIZATION IS NOT OTHERWISE PART OF AN AFFILIATED HEALTH CARE SYSTEM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>VA</ExplanationTxt>
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        <PersonNm>DR JAMIE PUCCI</PersonNm>
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        <TotalCompensationFilingOrgAmt>178745</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARC LOTANO</PersonNm>
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        <TotalCompensationFilingOrgAmt>470550</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MERVYN COLINA</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY MANNING</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY DILLON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LESLIE CRYTSER</PersonNm>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE SUBCOMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE FORM 990 WITH THE MANAGEMENT OF THE ORGANIZATION. THE SUBCOMMITTEE REPORTED ITS FINDINGS AND OPINIONS TO THE FULL FINANCE COMMITTEE AND EXECUTIVE COMMITTEE, WHICH PRESENTED THE COMPLETED FORM TO EACH OF THE BOARD MEMBERS for their review PRIOR TO ITS FILING WITH THE IRS. Any comments or questions from the Board Members are properly reflected in the Form 990 that is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY, OR AS THEY ARISE. MEMBERS WITH A POTENTIAL CONFLICT OF INTEREST ARE EXCUSED DURING ANY VOTE IN WHICH A CONFLICT MAY APPLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO ESTABLISH CEO'S GOALS AND RATE IMPLEmeNTATION OF THE CEO GOALS. THE COMMITTEE ALSO COMMISSIONS AN INDEPENDENT SALARY SURVEY FOR THE CEO AND CFO. THE COMPENSATION COMMITTEE EVALUATES THE CEO. THE CEO EVALUATES AND DETERMINES THE OTHER DIRECTORS SALARY USING MGMA 2015 SALARY SURVEY DATA AND ANNUAL EVALUATION. BENCHMARKS ARE OBTAINED FROM THE INDEPENDANT SALARY SURVEY AND THE MGMA 2016 SALARY SURVEY DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO ESTABLISH CEO'S GOALS AND RATE IMPLEmeNTATION OF THE CEO GOALS. THE COMMITTEE ALSO COMMISSIONS AN INDEPENDENT SALARY SURVEY FOR THE CEO AND CFO. THE COMPENSATION COMMITTEE EVALUATES THE CEO. THE CEO EVALUATES AND DETERMINES THE OTHER DIRECTORS SALARY USING MGMA 2015 SALARY SURVEY DATA AND ANNUAL EVALUATION. BENCHMARKS ARE OBTAINED FROM THE INDEPENDANT SALARY SURVEY AND THE MGMA 2016 SALARY SURVEY DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOTOCOPIES OF THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF PERPETUAL TRUST - 213419; Repurchase of Members Interest - 1751960; Other Adjustments - 42902; Total - 2008281;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>This process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1 DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL IN A MANNER THAT PROMOTES HEALTH FOR A BROAD CROSS SECTION OF THE COMMUNITY, INCLUDING: ACCESS TO THE AVAILABILITY OF HEALTHCARE; FUND HEALTH RESEARCH AND COMMUNITY GRANTS; PROVIDE OTHER HEALTH CARE GRANTS AS DEEMED APPROPRIATE BY ITS BOARD OF DIRECTORS; PROMOTE THE USE OF HEALTHCARE TECHNOLOGY AND EDUCATION; AND PROVIDE FREE HEALTH CLINIC CARE SERVICES AND FUNDING AS DEEMED APPROPRIATE BY ITS BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1 DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS; PROVIDE OTHER HEALTH CARE GRANTS AS DEEMED APPROPRIATE BY ITS BOARD OF DIRECTORS; PROMOTE THE USE OF HEALTHCARE TECHNOLOGY AND EDUCATION; AND PROVIDE FREE HEALTH CLINIC CARE SERVICES AND FUNDING AS DEEMED APPROPRIATE BY ITS BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF NINE (9) DIRECTORS, INCLUDING THE CHAIRMAN AND VICE CHAIRMAN OF THE CORPORATION, PLUS THE PRESIDENT, AND THE CHIEF AND VICE CHIEF OF THE MEDICAL STAFF OF THE CENTER WHO WILL SERVE EX-OFFICIO. THE EXECUTIVE COMMITTEE SHALL BE APPOINTED ANNUALLY BY THE BOARD OF DIRECTORS, WHO SHALL SELECT FROM NOMINEES RECOMMENDED BY THE GOVERNANCE COMMITTEE. THE CHAIRMAN OF THE CORPORATION SHALL BE THE CHAIRMAN OF THE EXECUTIVE COMMITTEE AND THE PRESIDENT SHALL BE THE SECRETARY OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED HEREIN OR BY EXPRESS VOTE OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWER AND AUTHORITY VESTED IN THE BOARD OF DIRECTORS BY LAW, THE ARTICLES OF INCORPORATION AND THESE BYLAWS FOR THE CONTROL AND MANAGEMENT OF THE CORPORATION, INCLUDING, BUT IN NO MANNER LIMITED TO, THE POWERS TO AUTHORIZE THE SEAL TO THE CORPORATION TO BE AFFIXED TO ALL PAPERS WHICH REQUIRE IT AND TO ACT FOR THE BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS, BUT SHALL NOT BE EMPOWERED TO APPROVE A PLAN OF MERGER OR CONSOLIDATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE SUBCOMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE FORM 990 WITH THE MANAGEMENT OF THE ORGANIZATION. THE SUBCOMMITTEE REPORTED ITS FINDINGS AND OPINIONS TO THE FULL FINANCE COMMITTEE AND EXECUTIVE COMMITTEE, WHICH PRESENTED THE COMPLETED FORM TO EACH OF THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO ITS FILING WITH THE IRS. ANY COMMENTS OR QUESTIONS FROM THE BOARD MEMBERS ARE PROPERLY REFLECTED IN THE FORM 990 THAT IS FILED WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>BRUCE KUPPER RECEIVES COMPENSATION FROM STONY POINT SURGERY CENTER, A RELATED ORGANIZATION, FOR SERVICES PERFORMED FOR THAT ORGANIZATION. COMPENSATION IS PAID TO THIS INDIVIDUAL THROUGH RICHMOND EYE &amp; EAR HEALTHCARE ALLIANCE, WITH THE ORGANIZATION RECEIVING REIMBURSEMENTS FROM THE RELATED ORGANIZATION. TOTAL COMPENSATION IS REPRESENTED IN PART VII, LINE 1, COLUMN (D). THE INDIVIDUAL WORKS 40 HOURS AVERAGE PER WEEK FOR THE ORGANIZATIONS COMBINED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>