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Melinda Hancock

Executive Vice President and CFO

Sentara Health

Virginia Beach, VA

Ms. Hancock is responsible for all centralized financial operations at Sentara Health, a nonprofit integrated delivery system with 12 hospitals, more than 1 million health plan members and more than 34,000 team members, overseeing accounting and actuarial services, financial planning and analysis, revenue cycle, Medicare and Medicaid reimbursement, managed care contracting, the system’s capital structure and its treasury function. She joined Sentara in 2021 as inaugural chief administrative officer, became inaugural chief transformation officer in 2023 to help lead the “One Sentara” strategic plan, and became executive vice president and CFO in January 2025. Under her direction, the transformation office launched more than 1,150 initiatives with an income impact of $735 million over three years. As CFO she has focused on transparency and accountability, including financial acumen education, cost-center-level budgeting paired with quarterly forecasts, structured management operating reviews and opportunities around automation and AI. Her work supports a turnaround from the system’s first operating loss in 2024 stemming from Medicaid redetermination. Sentara earned a 3.4% operating margin in 2025 and is on track to achieve its two-year turnaround targets. Before Sentara, Ms. Hancock served as chief administration and financial officer at Richmond, Va.-based VCU Health and as senior vice president and CFO for the Virginia market of Cincinnati-based Bon Secours Health System. She also serves on the board of trustees of the American Hospital Association.

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Melinda Hancockhas been named a Becker's honoree on the lists below.

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Executives

180 Hospital and Health System CFOs to Know

The chief financial officers featured on this list are helming financial functions for health systems and hospitals throughout the U.S. These leaders are instrumental in strategic financial planning, expansions and joint ventures for their organizations. These CFOs take on responsibility for the financial sustainability of their hospitals and health systems, and are key to their organizations’ overall success.

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