2024-11-08T09:18:40-06:00 2023-12-31 990 2023-01-01 541547408 SENTARA HOSPITALS SENT 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ROBERT A BROERMANN TREASURER 7574557020 2024-11-08 1 2023 2024-10-15 13:58:12Z TERRIE L EDWARDS 1300 SENTARA PARK VIRGINIA BEACH VA 23464 3993995515 0 X WWW.SENTARA.COM X 1990 VA AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 3 0 17900 596 54352710 2209078 1689772 3972074 3410892774 3984598866 1357582 1756397 3598160 3484370 3417538288 3993811707 43857193 65910601 0 0 1447456554 1542286184 0 0 0 1591780719 1892122348 3083094466 3500319133 334443822 493492574 2148162045 2455284394 477261564 484869152 1670900481 1970415242 X SEE SCHEDULE O 0 0 3158134035 65910601 3930169300 SEE SCHEDULE O 3158134035 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 1 1432 0 1 17900 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 VA X CORPORATE OFFICERS 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 DENNIS A MATHEIS DIRECTOR/CHAIR 2.00 45.00 X X 0 5723707 84854 MICHAEL V GENTRY DIRECTOR/PRESIDENT (THROUGH 5/23) 2.00 48.00 X X 0 2142866 78055 ROBERT A BROERMANN DIRECTOR/TREASURER 2.00 49.00 X X 0 2673690 135907 TERRIE L EDWARDS DIRECTOR/INTERIM PRESIDENT (EFF 5/23) 40.00 5.00 X X 1370901 0 415748 AMBER PRICE KE (PRESIDENT, SWRMC) 40.00 0.00 X 447585 0 55770 CHRISTOPHER P PIERSON KE (COO, SNGH) 40.00 0.00 X 491948 0 70088 DAVID J MASTERSON KE (PRESIDENT, SOH) 40.00 0.00 X 625380 0 104326 ELWOOD B BOONE III KE (PRESIDENT, SVBGH) 40.00 0.00 X 555313 0 114127 GENEMARIE W MCGEE KE (CNO) 40.00 0.00 X 627196 333850 132709 JENNIFER L MCPHERREN KE VP (SUPPLY CHAIN) 40.00 0.00 X 577260 0 50751 JOANNE M INMAN KE (PRESIDENT, SLH) 40.00 2.00 X 582836 0 118644 KIRKPATRICK CONLEY KE (REGIONAL PRESIDENT) 40.00 0.00 X 800183 0 111322 LIISA KORTEGON KE (PRESIDENT SNGH) 40.00 0.00 X 814809 0 95971 PAUL A GADEN KE (REGIONAL PRESIDENT) 40.00 7.40 X 1057862 0 155133 TIMOTHY S JENNINGS KE (VP PHARMACY) 40.00 0.00 X 495691 0 178925 TIMOTHY S SKEEN KE (EVP & CIO) 40.00 0.00 X 1898822 0 188744 JOEL T BUNDY VP, CHIEF QUALITY & SAFETY OFFICER 40.00 0.00 X 688188 0 102866 MICHAEL H HOOPER VP, CHIEF MEDICAL OFFICER 40.00 0.00 X 547014 80555 54903 JAMISSON FOWLER SVP, CHIEF DIGITAL OFFICER 40.00 0.00 X 516050 0 60535 JOHN MICHAEL EARGLE DVP, STRATEGIC SERVICE LINES 40.00 0.00 X 566617 0 56453 RHONDA MILLER VP, CORPORATE REVENUE CYCLE 40.00 0.00 X 542773 0 22264 LOUIS PATALANO IV FORMER OFFICER 0.00 0.00 X 0 210869 6 HOWARD P KERN FORMER OFFICER/DIRECTOR 0.00 40.00 X 0 5705453 42542 ARTHUR D JAMES FORMER KE 0.00 40.00 X 0 1148284 45474 KURT HOFELICH FORMER KE 0.00 40.00 X 0 655399 170020 ROBERT C FIRESTONE FORMER KE 40.00 0.00 X 332268 0 96286 13538696 18674673 2742423 3138 1 1 0 WHITING TURNER CONTRACTING COMPANY PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION 65985337 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE 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11776820 -277510656 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15409567 6328047 153330 398263 6518942 14973739 14415970 8398131 -105055 362928 6936551 15409567 15433838 5162488 455593 367279 6268670 14415970 11645780 8668301 131112 353384 4657971 15433838 11323627 2795727 152479 323068 2302985 11645780 0.20890 0.79110 0 0 3309891 43939602 47249492 1057535464 503416219 554119245 52646604 39759193 12887411 2182844614 1909951442 272893173 316195015 59750251 256444764 1143594085 DUE FROM AFFILIATES 127887271 INVESTMENT IN AFFILIATES 187023386 OTHER ASSETS 869595 315780252 DUE TO AFFILIATES 16718821 OTHER LIABILITIES 13264623 DUE TO THIRD-PARTY PAYORS 8913284 CAPITAL LEASE OBLIGATION 36662478 GENERAL RESERVE 19759998 ROU LIABILITY 153913948 MEDICAL CLAIMS PAYABLE 55315 249288467 PART V, LINE 4: TEMPORARILY RESTRICTED CONTRIBUTIONS ARE TO EITHER SPECIFIC PURPOSE FUNDS OR PLANT EXPANSION FUNDS. SPECIFIC PURPOSE FUNDS INCLUDE GENERAL BENEFIT FUNDS SUCH AS BIOTERRORISM RESPONSE, NIGHTINGALE AIR AMBULANCE, AND THE SCHOOL OF NURSING GIFT FUND. OTHER SPECIFIC PURPOSE FUNDS ARE FOR SCHOLARSHIPS, EDUCATION/RESEARCH/SYMPOSIUM, CANCER/ONCOLOGY, AND CARDIAC. PLANT EXPANSION INCLUDE FUNDS FOR GENERAL BUILDING, BURN UNIT AND CANCER INSTITUTE. 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X X 1 22 0 1 0 1 X 200.000000000000 0.000000000000 X 1 1 X X X 1 X WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/ X WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/ X WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/ X X X X X X 1 X 0 X X X 0 X X X 0 0 SENTARA OBICI AMB SURG CTR 13 0 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 22 0 1 0 1 X 200.000000000000 0.000000000000 X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X 0 X X X 0 0 PRINCESS ANNE AMB SURG CTR 11 0 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 22 0 1 0 1 X 200.000000000000 0.000000000000 X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X 0 X X X 0 0 CAREPLEX ORTHO AMBULATORY SURG CTR 10 0 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 22 0 1 0 1 X 250.000000000000 0.000000000000 X X 1 1 X X X 1 X CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/ X CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/ X CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 0 X X X 0 0 LEIGH ORTHOPEDIC SURGERY CENTER 8 0 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 22 0 1 0 1 X 200.000000000000 0.000000000000 X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 0 X X X 0 0 PORT WARWICK SURGERY CENTER 9 0 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C, LINE 7D. X X 1 22 0 1 0 1 X 200.000000000000 0.000000000000 X X 1 1 X X X 1 X WWW.PWSURGERYCENTER.COM/PATIENT-INFORMATION X WWW.PWSURGERYCENTER.COM/PATIENT-INFORMATION X WWW.PWSURGERYCENTER.COM/PATIENT-INFORMATION X X X X X X 1 X 0 X X X X 0 X X X 0 0 SURGICAL SUITES OF COASTAL VA 12 0 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. 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X X 1 22 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 SENTARA BELLEHARBOUR SURGERY CENTER 15 1 0 1 X X X X X X X X X 22 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 22 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X X 0 X X 0 0 VA BEACH AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. PORT WARWICK SURGERY CENTER PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SURGICAL SUITES OF COASTAL VA PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SENTARA ALBEMARLE MEDICAL CTR PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SENTARA ALBEMARLE MEDICAL CENTER (SAMC) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS. 1) SAMC PARTICIPATED IN A HEALTH ENC CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. THE COMMITTEE, WHICH INCLUDED REPRESENTATIVES FROM SAMC, ALBEMARLE REGIONAL HEALTH SERVICES (ARHS), HEALTH ENC, AND CONDUENT HEALTHY COMMUNITIES INSTITUTE, WAS RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. THE FINDINGS OF THESE REPORTS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3) IN ADDITION TO THE ONLINE SURVEYS FOR COMMUNITY INSIGHT, SAMC CARRIED OUT A SERIES OF MORE IN-DEPTH COMMUNITY FOCUS GROUPS TO OBTAIN GREATER INSIGHT FROM DIVERSE COMMUNITY MEMBERS. FOCUS GROUPS WERE PROMOTED, ELECTRONICALLY AND BY WORD OF MOUTH, TO HOSPITAL PATIENTS AND VISITORS, EXISTING HOSPITAL AND COMMUNITY GROUPS, AND PARTNER ORGANIZATIONS. INPUT WAS ALSO SOUGHT FROM OTHER POPULATIONS IN THE COMMUNITY, INCLUDING REPRESENTATIVES OF UNDERSERVED COMMUNITIES AND CONSUMERS OF SERVICES.DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. MEMBERS OF THE STEERING COMMITTEE CONDUCTED TARGETED FOCUS GROUPS OR INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. SENTARA BELLEHARBOUR SURGERY CENTER PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. VA BEACH AMB SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF VIRGINIA BEACH AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA VIRGINIA BEACH GENERAL HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF VIRGINIA BEACH. SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF OBICI AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA OBICI HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A, AND SENTARA BELLEHARBOUR SURGERY CENTER. ALL THREE FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES OF SUFFOLK AND FRANKLIN, AS WELL AS THE COUNTIES OF THE ISLE OF WIGHT, SOUTHAMPTON, SUSSEX, SURRY IN VIRGINIA, AND GATES COUNTY IN NORTH CAROLINA. PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF PRINCESS ANNE AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA PRINCESS ANNE HOSPITAL. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES OF CHESAPEAKE AND VIRGINIA BEACH. CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 6A: THE CHNA OF CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA CAREPLEX HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A, AND PORT WARWICK SURGERY CENTER. ALL THREE FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES NEWPORT NEWS, HAMPTON, AND POQUOSON, AND THE COUNTY OF YORK. LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 6A: THE CHNA OF LEIGH ORTHOPEDIC SURGERY CENTER WAS CONDUCTED WITH SENTARA LEIGH HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES OF CHESAPEAKE, NORFOLK, AND VIRGINIA BEACH. PORT WARWICK SURGERY CENTER PART V, SECTION B, LINE 6A: THE CHNA OF PORT WARWICK SURGERY CENTER WAS CONDUCTED WITH SENTARA CAREPLEX HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A, AND CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER. ALL THREE FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES NEWPORT NEWS, HAMPTON, AND POQUOSON, AND THE COUNTY OF YORK. SURGICAL SUITES OF COASTAL VA PART V, SECTION B, LINE 6A: THE CHNA OF SURGICAL SUITES OF COASTAL VIRGINIA SURGERY CENTER WAS CONDUCTED WITH SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF CITY OF WILLIAMSBURG AND THE COUNTIES OF CHARLES CITY, GLOUCESTER, JAMES CITY, KING AND QUEEN, KING WILLIAM, MIDDLESEX, NEW KENT AND YORK. SENTARA BELLEHARBOUR SURGERY CENTER PART V, SECTION B, LINE 6A: THE CHNA OF BELLEHARBOUR SURGERY CENTER WAS CONDUCTED WITH SENTARA OBICI HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A, AND SENTARA OBICI AMBULATORY SURGERY CENTER. ALL THREE FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES OF SUFFOLK AND FRANKLIN, AS WELL AS THE COUNTIES OF THE ISLE OF WIGHT, SOUTHAMPTON, SUSSEX, SURRY IN VIRGINIA, AND GATES COUNTY IN NORTH CAROLINA. VA BEACH AMB SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PORT WARWICK SURGERY CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SURGICAL SUITES OF COASTAL VA PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SENTARA ALBEMARLE MEDICAL CTR PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SENTARA BELLEHARBOUR SURGERY CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS VA BEACH AMB SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. PORT WARWICK SURGERY CENTER PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SURGICAL SUITES OF COASTAL VA PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SENTARA ALBEMARLE MEDICAL CTR PART V, SECTION B, LINE 11: THE SAMC COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL 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 INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, IMPACT ON HEALTH DISPARITIES, THE IMPORTANCE TO THE COMMUNITY, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTION OF THE IMPLEMENTATION STRATEGIES, THE HOSPITAL IS PARTICIPATING IN A VARIETY OF LOCAL INITIATIVES. SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. IMPROVING THE MENTAL AND EMOTIONAL WELL-BEING OF ALL LIVING IN THE SAMC SERVICE AREA BY INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES IS AN IMPORTANT PRIORITY. SENTARA CONTINUES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES KNOWING THAT ONE IN FIVE ADULTS WILL HAVE A MENTAL ILLNESS SEVERE ENOUGH TO REQUIRE TREATMENT, AND MANY MORE WILL HAVE EMOTIONAL AND MENTAL HEALTH PROBLEMS THAT PREVENT THEM FROM FULLY ENJOYING THEIR LIVES. AT SENTARA, WE OFFER INPATIENT TREATMENT SERVICES THROUGH TELEPSYCHIATRY. OUR ADULT AND SENIOR BEHAVIORAL HEALTH INPATIENT PROGRAMS PROVIDE DIAGNOSTIC SERVICES AND TREATMENT FOR PEOPLE 18 AND OLDER WHO ARE IN CRISIS DUE TO MENTAL ILLNESS, EMOTIONAL DISTRESS OR DESTRUCTIVE BEHAVIOR PATTERNS. BECAUSE OUR TREATMENT FACILITIES ARE LOCATED WITHIN SEVERAL OF OUR HOSPITALS, PATIENTS HAVE ACCESS TO THE FULL RANGE OF BOTH PSYCHIATRIC AND MEDICAL CARE. SENTARA WILL CONTINUE TO PARTNER WITH COMMUNITY MENTAL HEALTH PROGRAMS TO IDENTIFY ALTERNATE PLACEMENT OPTIONS FOR BEHAVIORAL HEALTH EMERGENCY DEPARTMENT PATIENTS. SAMC PARTNERED WITH MULTIPLE COUNTIES TO INCREASE AND IMPROVE PHYSICAL ACTIVITY OPPORTUNITIES TO PROMOTE THE DEVELOPMENT OF EFFECTIVE STRESS MANAGEMENT AND COPING SKILLS. SAMC ALSO PARTNERED WITH COMMUNITY ORGANIZATIONS TO REDUCE THE NUMBER OF VETERAN SUICIDES AND TO HELP OFFER BOTH MENTAL AND PHYSICAL HELP BY CREATING A NETWORK OF SUPPORT FOR VETERANS TO FALL BACK ON WHEN NEEDED. SAMC PARTNERED WITH CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INC. BY PROVIDING FUNDING SUPPORT TO INCREASE THE MENTAL HEALTH PROGRAM TO PROVIDE NEEDED MENTAL HEALTH SERVICES TO ALL LOCAL CHILDREN WHO NEED IT. TO INCREASE COMMUNITY AWARENESS AND REDUCE STIGMA, SENTARA PARTNERED WITH VIRGINIA STAGE COMPANY TO SUPPORT AN INSPIRATIONAL PLAY ABOUT MENTAL HEALTH. "EVERY BRILLIANT THING" IS AN INTIMATE, INTERACTIVE PERFORMANCE WHICH CONTINUES TO BE BROUGHT TO COMMUNITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA. SAMC WORKED WITH MULTIPLE COMMUNITY PARTNERS TO INCREASE HEALTH EDUCATION AND RESOURCES TO COMMUNITIES. SAMC PARTNERED WITH PORT DISCOVER STEM AND LOCAL COLLEGES TO PROVIDE HEALTH EDUCATION AND RESOURCES TO YOUTH AND FAMILIES. SAMC WORKED WITH LOCAL RELIGIOUS GROUPS TO ENSURE ALL RESIDENTS HAVE ACCESS AND OPPORTUNITY TO THE SAME HIGH LEVEL OF HEALTHCARE, IMPROVING HEALTH EQUITY FOR ALL RESIDENTS. SAMC STAFF WORKED AT MULTIPLE COMMUNITY EVENTS TO PROVIDE HEALTH EDUCATION AND SCREENING OPPORTUNITIES INCLUDING THE ADDITION OF A MOBILE MAMMOGRAPHY VEHICLE TO BRING CANCER SCREENING OPPORTUNITIES TO VULNERABLE POPULATIONS WITHOUT ACCESS TO TIMELY CARE.EACH HOSPITAL HAS IMPLEMENTED THE USE OF UNITE US, A CROSS-SECTOR COLLABORATION SOFTWARE ESTABLISHING A NEW STANDARD OF CARE THAT IDENTIFIES SOCIAL NEEDS IN COMMUNITIES, MANAGES ENROLLMENT OF INDIVIDUALS IN SERVICES, AND LEVERAGES MEANINGFUL OUTCOMES DATA AND ANALYTICS TO FURTHER DRIVE COMMUNITY INVESTMENT. SAMC IS ALSO WORKING WITH NORTH CAROLINA CARE 360, A STATEWIDE NETWORK THAT UNITES HEALTH CARE AND HUMAN SERVICES ORGANIZATIONS TO BETTER PROVIDE RESOURCES TO COMMUNITIES. TO INCREASE ECONOMIC GROWTH, JOB SECURITY, AND EDUCATIONAL OPPORTUNITIES, SAMC CONTINUES TO COLLABORATE WITH MULTIPLE COLLEGES AND UNIVERSITIES TO PROVIDE FELLOWSHIPS, INTERNSHIPS AND PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. SENTARA BELLEHARBOUR SURGERY CENTER PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. VA BEACH AMB SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, UNINSURED INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. PORT WARWICK SURGERY CENTER PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. SURGICAL SUITES OF COASTAL VA PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME. SENTARA ALBEMARLE MEDICAL CTR PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES. SENTARA BELLEHARBOUR SURGERY CENTER PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES. VA BEACH AMB SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. LEIGH ORTHOPEDIC SURGERY CENTER PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. PORT WARWICK SURGERY CENTER PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. SURGICAL SUITES OF COASTAL VA PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. SENTARA BELLEHARBOUR SURGERY CENTER PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. PART V, SECTION B, LINE 3E - FACILITY REPORTING GROUP A THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - VA BEACH AMB SURG CTR THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - SENTARA OBICI AMB SURG CTR THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - PRINCESS ANNE AMB SURG CTR THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - CAREPLEX ORTHO AMB SURG CTR THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - SENTARA ALBEMARLE REGIONAL MEDICAL CENTER THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - SURGICAL SUITES OF COASTAL VA THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - LEIGH ORTHOPEDIC SURGERY CENTER THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - PORT WARWICK SURGERY CENTER THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B, LINE 3E - SENTARA BELLEHARBOUR SURGERY CENTER THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SENTARA NORFOLK GENERAL HOSP, - FACILITY 2: SENTARA LEIGH HOSPITAL, - FACILITY 3: SENTARA VA BEACH GEN HOSP, - FACILITY 5: SENTARA OBICI HOSPITAL, - FACILITY 4: SENTARA CAREPLEX HOSPITAL, - FACILITY 6: SENTARA WMSBG REG MED CTR FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: 1) IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), EACH HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH METHODS INCLUDING: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS. EACH HOSPITAL FACILITY PARTICIPATED IN A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT. THE COMMITTEES WERE RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. SEVERAL OF THE LOCAL HEALTH DEPARTMENTS HAD GONE THROUGH THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS AND REPORTS WERE AVAILABLE FOR THE STEERING COMMITTEE. THE FINDINGS OF THESE REPORTS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. EACH OF THE HOSPITAL FACILITIES CONDUCTED EITHER TARGETED FOCUS GROUPS OR INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. MEMBERS OF THE STEERING COMMITTEES OF THE HOSPITAL FACILITIES PARTICIPATED IN LOCAL COALITIONS SUCH AS THE SUFFOLK PARTNERSHIP FOR A HEALTHY COMMUNITY AND ACCESS PARTNERSHIP AND PROVIDED ADDITIONAL INPUT. 4) IN ADDITION TO THE ONLINE SURVEYS FOR COMMUNITY INSIGHT, EACH HOSPITAL CARRIED OUT A SERIES OF MORE IN-DEPTH COMMUNITY FOCUS GROUPS TO OBTAIN GREATER INSIGHT FROM DIVERSE COMMUNITY MEMBERS. FOCUS GROUPS WERE PROMOTED, ELECTRONICALLY AND BY WORD OF MOUTH, TO HOSPITAL PATIENTS AND VISITORS, EXISTING HOSPITAL AND COMMUNITY GROUPS, AND PARTNER ORGANIZATIONS. INPUT WAS ALSO SOUGHT FROM OTHER POPULATIONS IN THE COMMUNITY, INCLUDING REPRESENTATIVES OF UNDERSERVED COMMUNITIES AND CONSUMERS OF SERVICES. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: THE CHNA OF SENTARA CAREPLEX HOSPITAL WAS CONDUCTED WITH CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER AND PORT WARWICK SURGERY CENTER. ALL THREE FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES NEWPORT NEWS, HAMPTON, AND POQUOSON, AND THE COUNTY OF YORK.THE CHNA OF SENTARA LEIGH HOSPITAL WAS CONDUCTED WITH LEIGH ORTHOPEDIC SURGERY CENTER. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES OF CHESAPEAKE, NORFOLK, AND VIRGINIA BEACH.THE CHNA OF SENTARA OBICI HOSPITAL WAS CONDUCTED WITH SENTARA OBICI AMBULATORY SURGERY CENTER AND SENTARA BELLEHARBOUR AMBULATORY SURGERY CENTER. ALL THREE FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF THE CITIES OF SUFFOLK AND FRANKLIN, AS WELL AS THE COUNTIES OF THE ISLE OF WIGHT, SOUTHAMPTON, SUSSEX, SURRY IN VIRGINIA, AND GATES COUNTY IN NORTH CAROLINA.THE CHNA OF SENTARA VIRGINIA BEACH GENERAL HOSPITAL WAS CONDUCTED WITH VIRGINIA BEACH AMBULATORY SURGERY CENTER. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF VIRGINIA BEACH.THE CHNA OF SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WAS CONDUCTED WITH SURGICAL SUITES OF COASTAL VIRGINIA SURGERY CENTER. BOTH FACILITIES HAVE AN IDENTICAL, SHARED SERVICE AREA OF CITY OF WILLIAMSBURG AND THE COUNTIES OF CHARLES CITY, GLOUCESTER, JAMES CITY, KING AND QUEEN, KING WILLIAM, MIDDLESEX, NEW KENT AND YORK. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS.THE DIRECT URL ADDRESSES FOR THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS ARE AS FOLLOWS:SENTARA CAREPLEX HOSPITAL HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSSENTARA LEIGH HOSPITAL HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSSENTARA NORFOLK GENERAL HOSPITAL HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSSENTARA OBICI HOSPITAL HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSSENTARA VIRGINIA BEACH GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSSENTARA WILLIAMSBURG REGIONAL MEDICAL CENTERHTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: EACH OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL FACILITIES 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 INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, IMPACT ON HEALTH DISPARITIES, THE IMPORTANCE TO THE COMMUNITY, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTION OF THE IMPLEMENTATION STRATEGIES, THE FACILITIES ARE PARTICIPATING IN BOTH REGIONAL AND CITY LEVEL COLLABORATIVE EFFORTS. BY IDENTIFYING THE MOST PRESSING HEALTH CONCERNS WITHIN A COMMUNITY, THE ASSESSMENTS ASSISTED IN SETTING PRIORITIES FOR HEALTH INTERVENTIONS AND RESOURCE ALLOCATION TO ADVANCE HEALTH EQUITY BASED ON PATIENT DEMOGRAPHIC DATA AND COMMUNITY INSIGHT.TO INCREASE COMMUNITY AWARENESS AND REDUCE STIGMA, SENTARA HOSPITALS ARE PARTNERING WITH VIRGINIA STAGE COMPANY TO SUPPORT AN INSPIRATIONAL PLAY ABOUT MENTAL HEALTH. "EVERY BRILLIANT THING" IS AN INTIMATE, INTERACTIVE PERFORMANCE WHICH CONTINUES TO BE BROUGHT TO COMMUNITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA. IN THE HAMPTON ROADS AND PENINSULA REGIONS, SENTARA IS PARTNERING WITH AN EXAMPLE, THE PENINSULA COMMUNITY HEALTH COLLABORATIVE, WHICH INCLUDES REPRESENTATION FROM BON SECOURS MERCY HEALTH, CHKD, AND RIVERSIDE AND SENTARA. THE COLLABORATIVE, IS WORKING TOGETHER TO ADDRESS THE MENTAL AND BEHAVIORAL HEALTH AMONG YOUTH AND FAMILIES IN OUR REGION. SEVERAL OF OUR FACILITIES ARE COLLABORATING TO CREATE AWARENESS AND EDUCATION FOR THE COMMUNITY AND THOSE IMPACTED. 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 RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL. SENTARA HOSPITALS ARE WORKING TO REDUCE THE IMPACT OF CHRONIC DISEASES ON MORBIDITY AND MORTALITY FOR THE COMMUNITY LIVING IN THEIR SERVICE AREAS BY INCREASING DISEASE MANAGEMENT SUPPORT RESOURCES AND EDUCATION. HOSPITALS EXTEND THEIR REACH INTO THE COMMUNITY, WHERE LIFE HAPPENS. SENTARA BRINGS PREVENTION, HOPE, INSPIRATION, AND SUPPORT TO OUR LOCAL COMMUNITY WHERE SENTARA IS WORKING TO REDUCE CHRONIC DISEASE IMPACT. EACH HOSPITAL WORKS WITH PATIENTS AND THEIR FAMILIES TO PROVIDE MULTIPLE RESOURCES AND TOOLS REGARDING CHRONIC DISEASES.CANCER EDUCATORS IMPLEMENT PROGRAMS FOCUSED ON CANCER PREVENTION AND DETECTION AND PROVIDE COMMUNITY OUTREACH BY HOSTING AND PARTICIPATING IN SCREENING AND EDUCATION EVENTS. LOCAL CANCER SCREENING EVENTS FOR ORAL, HEAD AND NECK CANCERS, FIT TESTING FOR COLORECTAL CANCER, BREAST CANCER MAMMOGRAPHY SCREENING AND SKIN CANCER SCREENING EVENTS ARE OFFERED. SENTARA CONTINUES TO WORK TO REMOVE BARRIERS TO WELLNESS FOR UNINSURED OR UNDERINSURED WOMEN FOR MAMMOGRAPHY, INCLUDING SUPPLEMENTING TRADITIONAL MEASURES, SUCH AS ITS MOBILE MAMMOGRAPHY VAN, WITH MORE TARGETED EFFORTS TO REACH UNDERSERVED COMMUNITIES, INCLUDING CONNECTING WITH FAITH LEADERS, PROVIDING TRANSPORTATION FOR THOSE WHO NEED IT AND BUILDING TRUST WITH PATIENTS.EACH HOSPITAL HAS IMPLEMENTED THE USE OF UNITE US, A CROSS-SECTOR COLLABORATION SOFTWARE ESTABLISHING A NEW STANDARD OF CARE THAT IDENTIFIES SOCIAL NEEDS IN COMMUNITIES, MANAGES ENROLLMENT OF INDIVIDUALS IN SERVICES, AND LEVERAGES MEANINGFUL OUTCOMES DATA AND ANALYTICS TO FURTHER DRIVE COMMUNITY INVESTMENT. TO INCREASE ECONOMIC GROWTH, JOB SECURITY, AND EDUCATIONAL OPPORTUNITIES, SENTARA CONTINUES TO COLLABORATE WITH MULTIPLE COLLEGES AND UNIVERSITIES TO PROVIDE FELLOWSHIPS, INTERNSHIPS AND PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES. PART V, SECTION B, LINE 20D - VA BEACH AMB SURG CTR THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. PART V, SECTION B, LINE 20D - SENTARA OBICI AMB SURG CTR THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. PART V, SECTION B, LINE 20D - PRINCESS ANNE AMB SURG CTR THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. 124 1 - SENTARA BROCK CANCER CENTER 6251 E VIRGINIA BEACH BLVD NORFOLK VA 23502 OTHER OUTPATIENT SITE 2 - ADVANCED IMAGING CENTER-GREENBRIER 713 VOLVO PARKWAY STE 105 CHESAPEAKE VA 23320 OTHER OUTPATIENT SITE 3 - ADVANCED IMAGING CENTER-1ST COLONIAL 1080 FIRST COLONIAL ROAD VIRGINIA BEACH VA 23454 IMAGING CENTER 4 - SENTARA INDEPENDENCE 800 INDEPENDENCE BLVD VIRGINIA BEACH VA 23455 OTHER OUTPATIENT SITE 5 - PORT WARWICK MEDICAL ARTS 11803 JEFFERSON AVE NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 6 - PORT WARWICK COMPREHENSIVE BREAST CTR 1051 LOFTIS BLVD STE 200 NEWPORT NEWS VA 23606 DIAGNOSTIC CENTER 7 - SENTARA MCLESKEY COMP BREAST CENTER 6251 E VIRGINIA BEACH BLVD STE 105 NORFOLK VA 23502 OTHER OUTPATIENT SITE 8 - ADVANCED IMAG CTR-WAINWRIGHT 229 WEST BUTE ST STE 900 9TH FL NORFOLK VA 23510 IMAGING CENTER 9 - SENTARA THERAPY CENTER-OBICI YMCA 2769 GODWIN BOULEVARD SUFFOLK VA 23434 REHABILITATION CENTER 10 - SWRMC OUTPATIENT REHABILITATION SERVICES YMCA BUILDING 301 SENTARA CIR WILLIAMSBURG VA 23188 REHABILITATION CENTER 11 - SENTARA THERAPY CENTER-GREENBRIER 713 VOLVO PARKWAY STE 101 CHESAPEAKE VA 23320 REHABILITATION CENTER 12 - SENTARA THER CTR-ORTHO & SPORTS PERFORM 6201 E VIRGINIA BEACH BLVD SUITE 110 NORFOLK VA 23502 OTHER OUTPATIENT SITE 13 - SENTARA PORT WAR PHYS THER & WOUND CARE 11803 JEFFERSON AVE STE 125 NEWPORT NEWS VA 23606 REHABILITATION CENTER 14 - SENTARA THERAPY CENTER-LYNNHAVEN 2728-2732 VIRGINIA BEACH BLVD VIRGINIA BEACH VA 23452 REHABILITATION CENTER 15 - SENTARA PHYSICAL THERAPY-TREYBURN 3901 TREYBURN DRIVE WILLIAMSBURG VA 23185 REHABILITATION CENTER 16 - SENTARA THERAPY CENTER-COLISEUM 4001 COLISEUM DR STE 200 HAMPTON VA 23666 REHABILITATION CENTER 17 - SVBGH PAIN MANAGEMENT UNIT 1080 FIRST COLONIAL ROAD STE 201 VIRGINIA BEACH VA 23454 PAIN MGT. CENTER 18 - SENTARA THERAPY CENTER-GREAT BRIDGE 633 BATTLEFIELD BLVD S CHESAPEAKE VA 23322 REHABILITATION CENTER 19 - SENTARA THERAPY CTR-PEDS NEWTOWN 818 NEWTOWN ROAD VIRGINIA BEACH VA 23462 REHABILITATION CENTER 20 - SENTARA THERAPY CENTER-GRANBY YMCA 2901 GRANBY ST STE 200 NORFOLK VA 23504 REHABILITATION CENTER 21 - SENTARA THERAPY CTR-WARD'S CORNER 7419 GRANBY STREET NORFOLK VA 23505 REHABILITATION CENTER 22 - SENTARA INDEPENDENCE THERAPY CENTER 816 INDEPENDENCE BLVD STE 3F VIRGINIA BEACH VA 23455 REHABILITATION CENTER 23 - SENTARA THER CTR-ST LUKESSMITHFIELD 20209 SENTARA WAY STE 102 CARROLLTON VA 23314 REHABILITATION CENTER 24 - SENTARA THERAPY CTR-FORT NORFOLK 301 RIVERVIEW AVE STE 802 NORFOLK VA 23510 OTHER OUTPATIENT SITE 25 - SENTARA THERAPY CENTER-GRASSFIELD 1001 SCENIC PARKWAY STE 101 CHESAPEAKE VA 23323 REHABILITATION CENTER 26 - SENTARA HAND THERAPY CENTER 844 KEMPSVILLE ROAD STE 104 NORFOLK VA 23052 OTHER OUTPATIENT SITE 27 - SENTARA HAND THERAPY CENTER 6201 E VIRGINIA BEACH BLVD SUITE 110 NORFOLK VA 23502 OTHER OUTPATIENT SITE 28 - 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CAREPLEX MEDICAL ARTS SLEEP LAB 4000 COLISEUM DR STE 350 HAMPTON VA 23666 SLEEP DISORDER CLINIC 39 - SENTARA THERAPY CENTER PEDIATRICS 11803 JEFFERSON AVE STE 250 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 40 - SENTARA THERAPY CENTER-MATTHEWS 33 CRICKET HILL RD STE 100 HUDGINS VA 23076 REHABILITATION CENTER 41 - SVBGH-SENTARA HEALTH AND WELLNESS CTR 1708 OLD DONATION PARKWAY VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 42 - SENTARA THERAPY CTR CANCER REHAB 6251 E VIRGINIA BEACH BLVD SUITE 400 NORFOLK VA 23502 OTHER OUTPATIENT SITE 43 - SENTARA THERAPY CTR COMP NEURO REHAB 6251 E VIRGINIA BEACH BLVD SUITE 400 NORFOLK VA 23502 OTHER OUTPATIENT SITE 44 - SENTARA KITTY HAWK 5200 N CROATAN HWY KITTY HAWK NC 27949 SURGERY AND DIAGNOSTIC CENTER 45 - SENTARA THERAPY CENTER-WAKEFIELD 103 RAILROAD AVE WAKEFIELD VA 23888 REHABILITATION CENTER 46 - CARDIOLOGY SPEC-KEMPSVILLE RD 844 KEMPSVILLE ROAD STE 202 NORFOLK VA 23502 OTHER OUTPATIENT SITE 47 - AMBULATORY CARE CLINIC 130 COLLEY AVE NORFOLK VA 23507 OTHER OUTPATIENT SITE 48 - NORFOLK DIAGNOSTIC CENTER 850 KEMPSVILLE ROAD NORFOLK VA 23502 DIAGNOSTIC CENTER 49 - SENTARA THERAPY CENTER-CURRITUCK YMCA 130 COMMUNITY WAY BARCO NC 27917 OTHER OUTPATIENT SITE 50 - SENTARA THERAPY CENTER-YORKTOWN 100 ENTERPRISE DRIVE YORKTOWN VA 23692 REHABILITATION CENTER 51 - SENTARA MOBILE MAMMOGRAPHY 6251 E VIRGINIA BEACH BLVD STE 105 NORFOLK VA 23502 MOBILE MAMMOGRAPHY 52 - SENTARA CARDIO SPEC-VB 1101 FIRST COLONIAL RD STE 300 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 53 - GLOUCESTER IMAGING CENTER 5659 PARKWAY DR STE 130 GLOUCESTER VA 23061 IMAGING CENTER 54 - CARDIOLOGY SPEC CHESAPEAKE 713 VOLVO PKWY CHESAPEAKE VA 23320 OTHER OUTPATIENT SITE 55 - CARDIOLOGY SPEC-FORT NORFOLK 301 RIVERVIEW AVE STE 700 NORFOLK VA 23510 OTHER OUTPATIENT SITE 56 - SENTARA FORT NK COMP BREAST CTR 301 RIVERVIEW AVE STE 830 NORFOLK VA 23510 BREAST DIAGNOSTIC CENTER 57 - SENTARA CARDIOLOGY SPEC-OBICI 2790 GODWIN BLVD STE 100 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 58 - SENTARA HAND SURGERY SPECIALISTS-VAB 5716 CLEVELAND ST STE 210 VIRGINIA BEACH VA 23462 REHABILITATION CENTER 59 - SENTARA PODIATRY SPECIALISTS 5253 PROVIDENCE ROAD STE 100 VIRGINIA BEACH VA 23464 OTHER OUTPATIENT SITE 60 - SENTARA RHEUMATOLOGY SPEC-KEMPS 844 KEMPSVILLE RD STE 1038 NORFOLK VA 23502 OTHER OUTPATIENT SITE 61 - NEW TOWN FAMILY PRACTICE 4374 NEW TOWN AVE STE 200 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 62 - SENTARA FAM MED PHYS-1ST COLONIAL 1024 FIRST COLONIAL ROAD STE 102 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 63 - SENTARA FAM MED PHYS-SUFFOLK 2760 GODWIN BLVD STE 100 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 64 - SENTARA NEUR SPEC-PRINCESS ANNE 1950 GLENN MITCHELL DR STE 200 VIRGINIA BEACH VA 23456 OTHER OUTPATIENT SITE 65 - SENTARA FAM MED & UC PHYS-VBTC INDEP 816 INDEPENDENCE BLVD STE 100 VIRGINIA BEACH VA 23455 OTHER OUTPATIENT SITE 66 - SENTARA INT MED PHYS-PORT WARWICK 1 11803 JEFFERSON AVE STE 140 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 67 - NEW TOWN INTERNAL MEDICINE 4374 NEW TOWN AVE STE 102 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 68 - SENTARA RADIOLOGY SPECIALISTS-KEMPS 850 KEMPSVILLE ROAD NORFOLK VA 23502 OTHER OUTPATIENT SITE 69 - FAMILY MED WILLIAMSBURG 400 SENTARA CIR STE 450 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 70 - FORT NORFOLK MEDICAL CENTER 301 RIVERVIEW AVE NORFOLK VA 23510 OTHER OUTPATIENT SITE 71 - SENTARA FAM MED PHYS-THOROUGHGOOD 2017 PLEASURE HOUSE ROAD VIRGINIA BEACH VA 23455 OTHER OUTPATIENT SITE 72 - VASCULAR & TRANSPLANT SPEC-VAB 397 LITTLE NECK ROAD STE 120 VIRGINIA BEACH VA 23452 OTHER OUTPATIENT SITE 73 - SENTARA SURGERY SPEC-LEIGH 6251 E VIRGINIA BEACH BLVD STE 300 NORFOLK VA 23502 OTHER OUTPATIENT SITE 74 - SENTARA INTERNAL MED PHYS-FORT NK 301 RIVERVIEW AVE STE 710 NORFOLK VA 23510 OTHER OUTPATIENT SITE 75 - SENTARA NEUROLOGY SPEC-KEMPSVILLE 844 KEMPSVILLE RD STE 104 NORFOLK VA 23502 OTHER OUTPATIENT SITE 76 - SENTARA FAM MEDICINE PHYS-FORT NK 301 RIVERVIEW AVE STE 810 NORFOLK VA 23510 OTHER OUTPATIENT SITE 77 - VASCULAR & TRANSPLANT SPECIALISTS-NK 600 GRESHAM DR STE 8620 NORFOLK VA 23507 OTHER OUTPATIENT SITE 78 - SENTARA FAMILY MED PHYS-ST LUKE'S 20209 SENTARA WAY STE 200 CARROLLTON VA 23314 OTHER OUTPATIENT SITE 79 - 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SENTARA DERM SPEC-KEMPS 850 KEMPSVILLE RD STE 100D NORFOLK VA 23502 OTHER OUTPATIENT SITE 90 - SENTARA INTERNAL MEDICINE PHYS-KINGSMILL 477 MCCLAWS CIR STE 1 WILLIAMSBURG VA 23185 OTHER OUTPATIENT SITE 91 - SENTARA PULMONARY & CC SPEC-NK 600 GRESHAM DR STE 8630 NORFOLK VA 23507 OTHER OUTPATIENT SITE 92 - SENTARA NEUROLOGY SPEC-NK 600 GRESHAM DR STE 8630 NORFOLK VA 23507 OTHER OUTPATIENT SITE 93 - SENTARA ENDOCRINOLOGY SPEC-SCP 4000 COLISEUM DR STE 345 HAMPTON VA 23666 OTHER OUTPATIENT SITE 94 - SENTARA PULM AND CC SPEC 6251 E VIRGINIA BEACH BLVD STE 300 NORFOLK VA 23502 OTHER OUTPATIENT SITE 95 - SENTARA FAM MED PHYS-PENINSULA TOWNE 2104 EXECUTIVE DR HAMPTON VA 23666 OTHER OUTPATIENT SITE 96 - MOBILE PET SCAN 5900-B LAKE WRIGHT DR NORFOLK VA 23502 OTHER OUTPATIENT SITE 97 - NEUROSURGERY NORFOLK HEART HOSPITAL 301 RIVERVIEW AVENUE SUITE 202A NORFOLK VA 23510 OTHER OUTPATIENT SITE 98 - SENTARA SURG SPEC-PORT WARWICK I 11803 JEFFERSON AVE STE 235 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 99 - FIRST COLONIAL DIAGNOSTIC CENTER 1080 FIRST COLONIAL ROAD STE 100 VIRGINIA BEACH VA 23454 DIAGNOSTIC CENTER 100 - SENTARA MID-ATLANTIC CARDIO SPEC-WMSBG 400 SENTARA CIR STE 450 WILIAMSBURG VA 23188 OTHER OUTPATIENT SITE 101 - SENTARA PODIATRY SPEC-1ST COLONIAL 1080 FIRST COLONIAL RD STE 305 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 102 - SENTARA PODIATRY SPECIALISTS-OBICI 2790 GODWIN BLVD STE 355 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 103 - SENTARA SURGERY SPEC-CAREPLEX 4000 COLISEUM DR STE 320 HAMPTON VA 23666 OTHER OUTPATIENT SITE 104 - SENTARA NEUROLOGY SPEC-CAREPLEX 4000 COLISEUM DR STE 200 HAMPTON VA 23666 OTHER OUTPATIENT SITE 105 - SENTARA SURGERY SPECIALISTS-OBICI 2790 GODWIN BLVD STE 305 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 106 - SENTARA PULMONARY & CC SPEC-CAREPLEX 4000 COLISEUM DR STE 350 HAMPTON VA 23666 OTHER OUTPATIENT SITE 107 - OCEANFRONT FAMILY PRACTICE 303 35TH STREET STE 102 VIRGINIA BEACH VA 23451 OTHER OUTPATIENT SITE 108 - SENTARA RHEUMATOLOGY SPEC-CAREPLEX W 4000 COLISEUM DR STE 310 HAMPTON VA 23666 OTHER OUTPATIENT SITE 109 - VASCULAR & TRANSPLANT SPEC-CAREPLEX W 4000 COLISEUM DR STE 310 HAMPTON VA 23666 OTHER OUTPATIENT SITE 110 - VASCULAR & TRANSPLANT SPEC-SUFFOLK 171 N MAIN ST SUFFOLK VA 23434 OTHER OUTPATIENT SITE 111 - SENTARA SURGERY SPEC-WLMSG 500 SENTARA CIR STE 202 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 112 - SENTARA NEUROSURGERY SPEC 1080 BLDG 1080 FIRST COLONIAL RD STE 400 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 113 - SENTARA PULMONARY & CC SPEC-WILLIAMSBURG 400 SENTARA CIR STE 320 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 114 - ORTHOPEDIC TRAUMA-NORFOLK 600 GRESHAM DR SUITE 204 NORFOLK VA 23507 OTHER OUTPATIENT SITE 115 - SENTARA INFECTIOUS DISEASE SPEC-KEMPS 850 KEMPSVILLE RD STE 100F NORFOLK VA 23502 OTHER OUTPATIENT SITE 116 - SENTARA SURGERY SPEC-1080 BUILDING 1080 FIRST COLONIAL ROAD STE 200 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 117 - SENTARA PAIN MANAGEMENT-FORT NK 301 RIVERVIEW AVE STE 200 NORFOLK VA 23510 OTHER OUTPATIENT SITE 118 - SENTARA ORTHOPAEDIC TRAUMA SPEC-1ST COL 1080 FIRST COLONIAL RD STE 305 VIRGINIA BEACH VA 23452 OTHER OUTPATIENT SITE 119 - SENTARA PLASTIC SURGERY SPECIALISTS 301 RIVERVIEW AVENUE SUITE 400 NORFOLK VA 23510 OTHER OUTPATIENT SITE 120 - SENTARA COMPREHENSIVE CARE-FORT NK 301 RIVERVIEW AVE STE 170 NORFOLK VA 23510 OTHER OUTPATIENT SITE 121 - SENTARA INFECTIOUS DIS SPEC-OBICI 2790 GODWIN BLVD STE 225 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 122 - SENTARA INFECTIOUS DISEASE SPEC-CAREPLEX 4000 COLISEUM DR STE 310 HAMPTON VA 23666 OTHER OUTPATIENT SITE 123 - INFECTIOUS DISEASE-FORT NORFOLK 301 RIVERVIEW AVE STE 710 NORFOLK VA 23510 OTHER OUTPATIENT SITE 124 - SENTARA CYTOGENICS LAB 1701 WILL O WISP DR STE 1E VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE PART I, LINE 3C: IN ADDITION TO FPG, THE ORGANIZATION ALSO USED INSURANCE STATUS AND AN ASSET TEST AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE:* UNINSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 300% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.* INSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 200% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.* UNINSURED PATIENTS WITH A HOUSEHOLD INCOME ABOVE 300%, BUT AT OR BELOW 400%, OF THE FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR DISCOUNTED CARE AT 75% OFF OF GROSS CHARGES."AVAILABLE ASSETS" INCLUDE THE PATIENT HOUSEHOLD'S TOTAL AMOUNT OF ASSETS AVAILABLE, INCLUDING ANY LIQUID AND/OR FIXED ASSETS, FOR USE IN PAYING FOR MEDICAL CARE INCLUDING, BUT NOT LIMITED TO: CASH AND CASH EQUIVALENTS, BANK ACCOUNTS, CERTIFICATES OF DEPOSIT, INVESTMENTS, TRUST ACCOUNTS, AUTOMOBILES, RECREATIONAL VEHICLES AND OTHER FORMS OF LEISURE TRANSPORT, AND REAL ESTATE EQUITY IN REAL PROPERTY OTHER THAN THE PRINCIPAL PLACE OF RESIDENCE. SPECIFICALLY EXCLUDED FROM AVAILABLE ASSETS IS THE EQUITY IN AN APPLICANT'S PRINCIPAL PLACE OF RESIDENCE, PRIMARY SOURCE OF TRANSPORTATION, IRS RECOGNIZED RETIREMENT SAVINGS ACCOUNTS, BUSINESS ASSETS, AND 3.99 ACRES OF LAND. PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTH, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER. PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION IS PART OF THE SENTARA HEALTH SYSTEM AND FUNDS THE SYSTEM'S COMMUNITY ENGAGEMENT DEPARTMENT AND ITS PROGRAM, SENTARA CARES. SENTARA CARES GOES ABOVE AND BEYOND THE DELIVERY OF MEDICAL CARE AND COMPREHENSIVE HEALTH SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH--THE CONDITIONS IN WHICH PEOPLE LIVE, WORK, AND LEARN--WHICH ARE PROVEN TO HAVE A SIGNIFICANT AND LASTING IMPACT ON HEALTH OUTCOMES. THROUGH THE PROGRAM, SENTARA COLLABORATES WITH COMMUNITY ORGANIZATIONS TO ELIMINATE HEALTH DISPARITIES AND PROMOTE EQUITABLE ACCESS TO NUTRITIOUS FOOD, EDUCATION, SAFE AND AFFORDABLE HOUSING, AND STABLE, REWARDING JOB OPPORTUNITIES. DURING THE CURRENT YEAR, THE PROGRAM INCLUDED PARTNERSHIPS WITH LOCAL YMCAS, SCHOOLS, FOOD BANKS, AND HOMELESS SHELTERS; HABITAT FOR HUMANITY; AND VETERAN AND SENIOR SERVICES ORGANIZATIONS.THE ORGANIZATION ALSO PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES:-PHYSICAL IMPROVEMENTS AND HOUSING - THE ORGANIZATION PARTNERED WITH HOUSING DEVELOPMENT CORPORATION OF HAMPTON ROADS AND HABITAT FOR HUMANITY OF SOUTH HAMPTON ROADS TO IMPROVE ACCESS TO HOUSING.-COMMUNITY SUPPORT - TO PROVIDE ADDITIONAL COMMUNITY SUPPORT, THE ORGANIZATION PARTNERED WITH FULLSTEAM INC., YOU NEED TO KNOW MINISTRIES, SEAPOINTE COLLEGE, VIRGINIA OPERA ASSOCIATION, INC., USTA MID-ATLANTIC, LEE'S FRIENDS, WE ARE VB, THE O.A.T. FOUNDATION, ALL DISTRICT READS, GVBK, VETERANS HOMEFRONT, YOUNG INVESTORS GROUP, SLOVER LIBRARY FOUNDATION, SECOND CALVARY BAPTIST CHURCH, CENTER FOR SEXUAL ASSAULT SURVIVORS, ELIZA HOPE FOUNDATION, CENTER FOR CHILD & FAMILY SERVICES, VIRGINIA BEACH RESCUE SQUAD FOUNDATION, INC., YORK COUNTY VIRGINIA, WESTERN TIDEWATER FREE CLINIC INC., 3E RESTORATION, INC., YWCA SOUTH HAMPTON ROADS, REACH, INC. (READING ENRICHES ALL CHILDREN), COMMUNITIES IN SCHOOLS OF HAMPTON ROADS, SURVIVOR VENTURES, HORIZONS HAMPTON ROADS, INC., VIRGINIA LIVING MUSEUM, LITERACY FOR LIFE, CONNECT WITH A WISH, ABILITY CENTER OF VIRGINIA, CITY OF HAMPTON, OLE SCHOOL ALUMNI SCHOLARSHIP FUND, NORTHEAST ACADEMY FOR AEROSPACE AND ADVANCED TECHNOLOGIES, PASQUOTANK COUNTY NAACP, DREAM HUNT & FISHING PROGRAM AND CAMDEN BABE RUTH ASSOCIATION (CAMDEN YOUTH LEAGUE). -COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE ORGANIZATION PARTNERED WITH MULTIPLE COMMUNITY ORGANIZATIONS SUCH AS GIRLS ON THE RUN HAMPTON ROADS, PHILIPPINE NURSES ASSOCIATION OF VIRGINIA, INC., RECK LEAGUE, VERSABILITY RESOURCES, STOP THE VIOLENCE 757 INC., INDIGO CENTER FOR AUTISM, HISPANIC CHAMBER OF COASTAL VIRGINIA, MAXSTRONG MEMORIAL FUND, SOUTHEASTERN VIRGINIA HEALTH SYSTEM, HERE FOR THE GIRLS, INC. (H4TG), COMMUNITY OF FAITH MISSION, INC., AMERICAN RED CROSS OF COASTAL VIRGINIA, OLIVET MEDICAL MINISTRY, INC. DBA LACKEY CLINIC, CITY OF HAMPTON, FREE FOUNDATION FOR REHABILITATION EQUIPMENT AND ENDOWMENT, BACON STREET YOUTH AND FAMILY SERVICES, PARK PLACE HEALTH & DENTAL CLINIC, THE UNION MISSION, PIN MINISTRY, HAMPTON ROADS ECUMENICAL LODGINGS & PROVISIONS, INC., ALBEMARLE REGIONAL HEALTH SERVICES, KIDS FIRST INC JOHN A HOLMES HIGH SCHOOL, BOYS & GIRLS CLUB OF THE ALBEMARLE, PASQUOTANK-CAMDEN EMERGENCY MANAGEMENT, ELIZABETH CITY HABITAT FOR HUMANITY, FAITH & VICTORY CHRISTIAN CHURCH, GRANDY PRIMARY PARENT TEACHER ORGANIZATION INC, CAMDEN COUNTY, ALBEMARLE ALLIANCE FOR CHILDREN AND FAMILIES, SALVATION ARMY-ELIZABETH CITY, ALBEMARLE PREGNANCY RESOURCE CENTER, AND ALBEMARLE AREA UNITED WAY TO STRATEGIZE AND PROVIDE COMMUNITY HEALTH IMPROVEMENT.-WORKFORCE DEVELOPMENT - TO INCREASE THE WORKFORCE IN HEALTHCARE THE ORGANIZATION PARTNERED WITH TIDEWATER COMMUNITY COLLEGE EDUCATIONAL FOUNDATION, HAMPTON ROADS WORKFORCE FOUNDATION, NEW VISION YOUTH SERVICES, INC., WHAT'S NEXT FOR SUCCESS FOUNDATION, PENINSULA PASTORAL COUNSELING CENTER, INC., HEARTS 4 PROGRESS, OLD DOMINION UNIVERSITY EDUCATIONAL FOUNDATION AND NORFOLK STATE UNIVERSITY.-OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS MEALS ON WHEELS DELIVERIES; HEIGHT, WEIGHT AND VISION SCREENINGS AT LOCAL SCHOOLS; AND VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY. ADDITIONALLY, THE HOSPITALS ALLOW AND ENCOURAGE EMPLOYEES TO WORK WITH COMMUNITY PARTNERS GRANTED FUNDS THROUGH SENTARA CARES ON COMMUNITY BUILDING ACTIVITIES IN THE HAMPTON ROADS, PENINSULA, AND NORTHEASTERN NORTH CAROLINA SERVICE AREAS. PARTNERS IN THE HAMPTON ROADS AND PENINSULA SERVICE AREAS INCLUDE THE HEB FOUNDATION, INC., WINKS - WITH INTENTIONAL KINDNESS AND SUPPORT, TIDEWATER COUNCIL, BOY SCOUTS OF AMERICA, LINK OF HAMPTON ROADS, INC., NO SHAME. PERIOD., IN THE GAP, INC., SOCIAL BUTTERFLIES FOUNDATION, GIRL SCOUTS OF THE COLONIAL COAST, FIRST BAPTIST CHURCH, COMPLETE THE PUZZLE, ACCESS VIRGINIA, THE COMPASSION ADVOCACY NETWORK INC., GROVE CHRISTIAN OUTREACH CENTER, COLONIAL BEHAVIORAL HEALTH, URBAN DISCOVERY MINISTRIES, THE COMMUNITY OUTREACH COALITION, ANTIOCH IMPROVEMENT MINISTRIES, CRUSADING OUTREACH MINISTRY INC., OPERATION LOVE INC., PENINSULA EMERGENCY MEDICAL SERVICE COUNCIL, INC., JEANNA'S IFEED, IT'S BIGGER THAN BRAIDS, OUR DAILY GNOME CREATIVE ARTS CENTER OF CHESAPEAKE, GIVING WITH A GOLDEN HAND, YOUR WELLNESS, INC., EMPOWERING TRANSGENDER SERVICES INC., T2 FITNESS FOUNDATION, HAMPTON ROADS URBAN AGRICULTURE, KETCHMORE KIDS, ECHO ORPHANCARE PARTNERS, WILLIAMSBURG REGIONAL LIBRARY, IVY COMMUNITY OUTREACH, INC. (ICO), NEW HOPE CHRISTIAN COMMUNITY CENTER, DREAMS OF HOPE FOUNDATION, FIRST CALVARY BAPTIST CHURCH, WHEN THE TRUMPET SOUNDS, WILLIAMSBURG AREA MEALS ON WHEELS, CARE FOR ME YOUTH INITIATIVES, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INC., HEALTHY LIVING CENTER, YOUNG LIFE OLD DOMINION REGION, REVIVE COMMUNITY, BIZNET INCORPORATED, CHILD & FAMILY SERVICES OF EASTERN VIRGINIA INC. AKA THE UP CENTER, GLOUCESTER MATHEWS CARE CLINIC, CHILD DEVELOPMENT RESOURCES, PENINSULA AGENCY ON AGING, CHESAPEAKE CARE, ARMED SERVICES YMCA OF HAMPTON ROADS, VILLAGE FAMILY, BOYS & GIRLS CLUBS OF THE VIRGINIA PENINSULA, JOY MINISTRIES, FREEKIND, AMERICAN DIABETES ASSOCIATION, GATEWAY HOMES, TIDEWATER EMERGENCY MEDICAL SERVICES COUNCIL, INC., PATIENT ADVOCATE FOUNDATION, INC., CITY OF WILLIAMSBURG, CATHOLIC CHARITIES OF EASTERN VIRGINIA, PORTSMOUTH REDEVELOPMENT AND HOUSING AUTHORITY, BLUE RIDGE DEPARTMENT OF PUBLIC HEALTH, AMERICAN PARKINSON DISEASE ASSOCIATION, UNITED WAY OF THE VIRGINIA PENINSULA, NAMI COASTAL VA, LAKE TAYLOR TRANSITIONAL HOSPITAL FOUNDATION, THRIVE PENINSULA, FACT (FAMILIES OF AUTISTIC CHILDREN OF TIDEWATER), HABITAT FOR HUMANITY PENINSULA & GREATER WILLIAMSBURG, STANDUP FOR KIDS, SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM, INC. DBA SENIOR SERVICES OF SOUTHEASTERN VIRGINIA, OLD DOMINION UNIVERSITY EDUCATIONAL FOUNDATION, VIRGINIA PENINSULA COMMUNITY COLLEGE EDUCATIONAL FOUNDATION, AND CHRISTOPHER NEWPORT UNIVERSITY EDUCATIONAL FOUNDATION INC. PARTNERS IN THE NORTHEASTERN NORTH CAROLINA SERVICE AREA INCLUDES ALBEMARLE PLANTATION, BLUE CROSS BLUE SHIELD NC FEDERAL EMPLOYEES PROGRAM, COLLEGE OF THE ALBEMARLE FOUNDATION, ELIZABETH CITY DOWNTOWN, INC., METHODIST UNIVERSITY AND TUFTS UNIVERSITY, MORGAN POINTE APARTMENTS, NEW SAWYER'S CREEK MBC MINISTRY OF CELEBRATION, OLD DOMINION UNIVERSITY EDUCATIONAL FOUNDATION, PW MOORE, ECPPS, RIVER CITY COMMUNITY DEVELOPMENT CORPORATION, SAWYER'S CREEK BAPTIST CHURCH, THAT LIFE FITNESS, TIDEWATER COMMUNITY COLLEGE, UNC HEALTH FOUNDATION, AND US COAST GUARD BASE IN ELIZABETH CITY. THE ORGANIZATION ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: COLLEGE OF THE ALBEMARLE, SAWYER'S CREEK BAPTIST CHURCH, AND COAST GUARD MORALE, WELFARE, AND RECREATIONS (MWR). PART III, LINE 2: FOR SCHEDULE H PART III LINE 2 PURPOSES, THE ORGANIZATION REPORTS WHAT WOULD HAVE BEEN CONSIDERED BAD DEBT EXPENSE PRIOR TO ITS 2018 ADOPTION OF ASC TOPIC 606. ASC TOPIC 606 NOW CLASSIFIES THIS COMPONENT OF UNCOMPENSATED CARE AS IMPLICIT PRICE CONCESSIONS, WHICH ARE A REDUCTION TO NET OPERATING REVENUE.IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT BASED ON ITS COLLECTIONS HISTORY WITH THOSE PATIENTS AND CURRENT MARKET CONDITIONS. IT UTILIZES A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS AS A COLLECTIVE GROUP RATHER THAN INDIVIDUALLY.SEE FOOTNOTE 4 ON PAGES 16-20 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 4: SEE FOOTNOTE 4 ON PAGES 16-20 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES IMPLICIT PRICE CONCESSIONS (FORMERLY BAD DEBT.) PART III, LINE 8: WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6. PART III, LINE 9B: 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 UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS AND IN THE SENTARA BILL PAY (SBP) ONLINE PORTAL ACCESSED BY PATIENTS THROUGH THE SENTARA WEBSITE, SENTARA MYCHART, OR THE SENTARA APP; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE THE APPROPRIATE DISCOUNT AMOUNT IS APPLIED TO THE PATIENT'S HOSPITAL ACCOUNTS AND THEY ARE ADVISED OF THE DISCOUNT. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT AN INSURED PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, OR AN UNINSURED PATIENT'S INCOME IS AT OR BELOW 300% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. 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 DEEMED UNCOLLECTIBLE IN THE HOSPITAL'S COLLECTION SYSTEM AND ALL ATTEMPTS TO COLLECT ON THAT BALANCE STOP. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:- ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED IN THE DEVELOPMENT OF ORGANIZATIONAL PLANS.- OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY.- REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED, INCORPORATED INTO THE ORGANIZATION'S PLANS, AND SHARED WITH ORGANIZATIONAL DECISION MAKERS.- PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY. INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING.- INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS. PART VI, LINE 3: FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A LOCAL PHONE NUMBER IS GIVEN TO PATIENTS TO REACH CUSTOMER SERVICE REPRESENTATIVES DURING THE BUSINESS DAY FOR QUESTIONS OR CONCERNS. FINANCIAL ASSISTANCE PROGRAMS ARE ALSO PUBLISHED ON THE ORGANIZATION'S WEBSITE AND INCLUDED ON STATEMENTS AND OTHER NOTICES PROVIDED TO PATIENTS. 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 CONTRACTS WITH EXTERNAL MEDICAID ELIGIBILITY VENDORS (MEV'S) TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COST TO PATIENTS. PART VI, LINE 4: SENTARA HOSPITALS SERVES RESIDENTS OF OVER 30 CITIES AND COUNTIES IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE AREA INCLUDES THE VIRGINIA BEACH-NORFOLK-NEWPORT NEWS, VA-NC GATES COUNTY, AND SURROUNDING RURAL COMMUNITIES. THE AREA IS BORDERED TO THE EAST BY THE ATLANTIC OCEAN AND IS NOTED FOR ITS WATERWAYS, INCLUDING THE CHESAPEAKE BAY, CURRITUCK SOUND, AND YORK, JAMES AND ELIZABETH RIVERS. MORE SPECIFICALLY, THE SERVICE AREA INCLUDES THE CITIES OF CHESAPEAKE, FRANKLIN, HAMPTON, NEWPORT NEWS, NORFOLK, PORTSMOUTH, SUFFOLK, VIRGINIA BEACH AND WILLIAMSBURG, AND THE VIRGINIA COUNTIES OF CHARLES CITY, GLOUCESTER, ISLE OF WIGHT, JAMES CITY, KING AND QUEEN, KING WILLIAM, MIDDLESEX, NEW KENT, SOUTHAMPTON, SUSSEX, SURRY, YORK, AND NORTH CAROLINA COUNTY OF GATES.BASED ON THE US CENSUS JULY 2022 POPULATION ESTIMATES, THE 2023 POPULATION OF THE SERVICE AREA IS 1,828,616 AND IS EXPECTED TO GROW OVER THE NEXT TEN YEARS, GROWING BY 5.7%, THE SAME AS THE OVERALL US POPULATION. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, THOUGH LOWER PERCENTAGE OF THE POPULATION 65+ (15.7% VS. 17.3%) AND A SLIGHTLY HIGHER PERCENT OF THE POPULATION YOUNGER THAN 19 YEARS (21.8% VS. 21.7%). A HIGHER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 92.4% VS. 89.1% FOR THE US OVERALL, THOUGH 34.1% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 34.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS ABOUT $75,846 VS. $75,149 FOR THE US, AND A LOWER PERCENT OF HOUSEHOLDS, 10.9% VS. 11.5%, LIVE IN POVERTY. RACIALLY, THE SERVICE AREA IS HOME TO 56.2% WHITES (VS. 75.5% FOR THE US), 30.6% BLACK/AFRICAN AMERICANS (VS. 13.6% US), 8.0% ASIANS (VS. 6.3% US), WITH 6.8% REPORTING TWO OR MORE RACES VS. 3.0% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 7.4% HISPANICS VS. 19.1% NATIONALLY, AND 53.4% NON-HISPANICS, VS. 58.9% NATIONALLY. PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTH, A 501(C)(3) TAX-EXEMPT ORGANIZATION, WHOSE COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTH, 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. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTH SYSTEM ("SENTARA.") SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 32,000 EMPLOYEES (INCLUDING 1,300 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.2M MEMBERS IN VIRGINIA AND FLORIDA. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK. PART VI - INFORMATION REGARDING THE ORGANIZATION'S ASC'S: THE ORGANIZATION IS A MEMBER OF SEVERAL JOINT VENTURES WHICH OWN AND OPERATE AMBULATORY SURGERY CENTERS ("ASCS") LOCATED IN VIRGINIA (SEE PART V FOR OWNERSHIP INFORMATION). AS VIRGINIA REQUIRES ASCS TO GO THROUGH A CERTIFICATE OF PUBLIC NEED PROCESS AND RETAIN A HOSPITAL LICENSE, VIRGINIA ASCS MEET THE DEFINITION OF HOSPITAL FACILITIES FOR FORM 990 REPORTING PURPOSES.THE ORGANIZATION'S JOINT VENTURE ASCS ARE ORGANIZED AND OPERATED IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES AS EXTENSIONS OF ITS OUTPATIENT FACILITIES, IN PARTNERSHIP WITH ITS PHYSICIANS, TO PROVIDE A MORE EFFECTIVE MEANS OF CARING FOR LESS SERIOUS NON-EMERGENCY MEDICAL CONDITIONS THAT DO NOT REQUIRE INPATIENT HOSPITAL STAYS. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE JOINT VENTURE ASCS. INDIVIDUALS DESIRING TREATMENT SPEAK WITH FACILITY PERSONNEL PRIOR TO BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS INSURANCE COVERAGE AND PAYMENT ARRANGEMENTS. THE JOINT VENTURE ASCS WORK WITH INDIVIDUALS TO COME UP WITH PAYMENT OPTIONS, OFFERING FREE CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S DISCOUNT PRACTICES. 1 EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK VA 23501 237053208 501(C)(3) 0 13942084 OPERATING FUND AND INDIGENT CARE SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 521271901 501(C)(3) 0 51390387 CORPORATE OVERHEAD ALLOCATIONS PENINSULA EMS COUNCIL PO BOX 1297 GLOUCESTER VA 23061 541064500 501(C)(3) 0 10000 PROGRAM SUPPORT COLISEUM CENTRAL BUSINESS IMPROVEMENT 2102 EXECUTIVE DR STE 550 HAMPTON VA 23666 541791888 501(C)(6) 0 19500 PROGRAM SUPPORT THE WILLIAMSBURG SYMPHONY ORCHESTRA 212 N HENRY ST 2 WILLIAMSBURG VA 23185 521342360 501(C)(3) 0 15000 PROGRAM SUPPORT TIDEWATER EMS COUNCIL INC 1104 MADISON PLAZA CHESAPEAKE VA 23320 540977032 501(C)(3) 0 25000 PROGRAM SUPPORT VA PENINSULA CHAMBER OF COMMERCE 11850 MERCHANTS WALKE NEWPORT NEWS VA 23606 521431619 501(C)(6) 0 9000 PROGRAM SUPPORT GREATER WILLIAMSBURG CHAMBER OF COMMERCE 421 N BOUNDARY STREET WILLIAMSBURG VA 23185 521431619 501(C)(6) 0 6600 PROGRAM SUPPORT HOSPICE HOUSE OF WILLIAMSBURG 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 521289657 501(C)(3) 0 11000 PROGRAM SUPPORT 6 3 SCHOLARSHIPS 164 398263 PART I, LINE 2: AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTH, 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. X 1 1 1 1 0 0 0 0 0 1 0 DENNIS A MATHEIS DIRECTOR/CHAIR 0 2115675 0 2319360 0 1288672 0 53706 0 31148 0 5808561 0 746489 HOWARD P KERN FORMER OFFICER/DIRECTOR 0 623835 0 3015385 0 2066233 0 9900 0 32642 0 5747995 0 321340 ROBERT A BROERMANN DIRECTOR/TREASURER 0 1250127 0 1116632 0 306931 0 106554 0 29353 0 2809597 0 0 MICHAEL V GENTRY DIRECTOR/PRESIDENT (THROUGH 5/23) 0 676459 0 1177775 0 288632 0 60636 0 17419 0 2220921 0 38500 TIMOTHY S SKEEN KE (EVP & CIO) 913105 0 948375 0 37342 0 154800 0 33944 0 2087566 0 0 0 TERRIE L EDWARDS DIRECTOR/INTERIM PRESIDENT (EFF 5/23 756908 0 452745 0 161248 0 389167 0 26581 0 1786649 0 0 0 PAUL A GADEN KE (REGIONAL PRESIDENT) 589442 0 398386 0 70034 0 121649 0 33484 0 1212995 0 0 0 ARTHUR D JAMES FORMER KE 0 81948 0 403200 0 663136 0 38768 0 6706 0 1193758 0 0 GENEMARIE W MCGEE KE (CNO) 244608 0 315091 0 67497 333850 127203 0 5005 501 759404 334351 0 0 KIRKPATRICK CONLEY KE (REGIONAL PRESIDENT) 480007 0 281833 0 38343 0 98516 0 12806 0 911505 0 16333 0 LIISA KORTEGON KE (PRESIDENT SNGH) 536316 0 273591 0 4902 0 57860 0 38111 0 910780 0 0 0 KURT HOFELICH FORMER KE 0 480612 0 153820 0 20967 0 135832 0 34188 0 825419 0 0 JOEL T BUNDY VP, CHIEF QUALITY & SAFETY OFFICER 448269 0 209871 0 30048 0 64465 0 38401 0 791054 0 0 0 DAVID J MASTERSON KE (PRESIDENT, SOH) 359998 0 108896 0 156486 0 66856 0 37470 0 729706 0 96435 0 JOANNE M INMAN KE (PRESIDENT, SLH) 359574 0 164551 0 58711 0 79377 0 39267 0 701480 0 18855 0 MICHAEL H HOOPER VP, CHIEF MEDICAL OFFICER 369494 80457 176981 0 539 98 29562 0 21539 3802 598115 84357 0 0 TIMOTHY S JENNINGS KE (VP PHARMACY) 339077 0 129212 0 27402 0 137976 0 40949 0 674616 0 0 0 ELWOOD B BOONE III KE (PRESIDENT, SVBGH) 403041 0 121945 0 30327 0 80267 0 33860 0 669440 0 24252 0 JENNIFER L MCPHERREN KE VP (SUPPLY CHAIN) 397254 0 179396 0 610 0 19800 0 30951 0 628011 0 0 0 JOHN MICHAEL EARGLE DVP, STRATEGIC SERVICE LINES 383169 0 155797 0 27651 0 26280 0 30173 0 623070 0 0 0 JAMISSON FOWLER SVP, CHIEF DIGITAL OFFICER 366180 0 147248 0 2622 0 19800 0 40735 0 576585 0 0 0 RHONDA MILLER VP, CORPORATE REVENUE CYCLE 388556 0 131221 0 22996 0 10344 0 11920 0 565037 0 0 0 CHRISTOPHER P PIERSON KE (COO, SNGH) 353180 0 120341 0 18427 0 33235 0 36853 0 562036 0 0 0 AMBER PRICE KE (PRESIDENT, SWRMC) 366662 0 79239 0 1684 0 42754 0 13016 0 503355 0 0 0 ROBERT C FIRESTONE FORMER KE 233934 0 77431 0 20903 0 60353 0 35933 0 428554 0 0 0 LOUIS PATALANO IV FORMER OFFICER 0 0 0 0 0 210869 0 0 0 6 0 210875 0 9326 PART I, LINE 1A THE ORGANIZATION PAID FOR A KEY EMPLOYEE'S COMPANION TO TRAVEL TO THE HEALTH SYSTEM'S BOARD RETREAT. COMPANION TRAVEL WAS TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PART I, LINE 3 SENTARA HEALTH, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION STUDY. SENTARA HEALTH RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. PART I, LINES 4A-B LOUIS PATALANO, IV RECEIVED $210,869 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. GENEMARIE W. MCGEE RECEIVED $333,850 IN COMPENSATION RELATED TO HER SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. ARTHUR DAVID JAMES RECEIVED $633,037 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND HAS ATTAINED NORMAL RETIREMENT AGE UNDER THE PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTH'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. THE PLAN IS A DEFINED BENEFIT ARRANGEMENT UNDER WHICH MEMBERS ACCRUE AN ANNUAL FORMULA-BASED BENEFIT DURING EACH YEAR OF COVERED EMPLOYMENT, WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE FOR FEDERAL INCOME TAX PURPOSES UNTIL THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION OR UPON DEATH. FICA AND FUTA TAXATION OF PORTIONS OF THE ACCRUED BENEFIT MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DISTRIBUTION OF PLAN BENEFITS MAY OCCUR AT THE DATE OF APPLICABLE TAXATION (TO THE EXTENT REQUIRED TO COVER APPLICABLE TAXES) AND IN ACCORDANCE WITH THE PARTICIPANT'S ELECTED INSTALLMENT DISTRIBUTION SCHEDULE FOLLOWING TERMINATION OF EMPLOYMENT, SUBJECT TO ADHERENCE WITH THE NON-COMPETE RESTRICTIONS. IN THE CURRENT YEAR, MR. KERN WAS NO LONGER ACTIVELY ACCRUING BENEFITS; AND HE DID NOT RECEIVE ANY DISTRIBUTIONS. HOWARD KERN, ROBERT BROERMANN, MICHAEL GENTRY, TERRIE EDWARDS, ELWOOD BOONE, GENEMARIE MCGEE, JOANNE INMAN, DENNIS MATHEIS, ARTHUR DAVID JAMES, KIRKPATRICK CONLEY, PAUL GADEN, TIMOTHY SKEEN, DAVID MASTERSON, LIISA ORTEGON, AND AMBER PRICE PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PROGRAM. SUCH PLANS ARE COMMONLY OFFERED TO NOT-FOR-PROFIT HEALTH CARE EXECUTIVES TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT LIMITATIONS IN QUALIFIED PLANS. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY THE ORGANIZATION'S [OR SENTARA HEALTH'S] BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. EFFECTIVE JANUARY 1, 2023, VESTING OF CONTRIBUTIONS EXPANDED TO INCLUDE AGE 60 WITH 5 YEARS OF SERVICE FROM THE DATE OF HIRE, OR AGE 65 WITH 2 YEARS OF SERVICE FROM THE CAA PLAN ENTRY DATE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). FICA AND FUTA TAXATION OF PRE-2009 CONTRIBUTIONS MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DURING 2023, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($222,448); TERRIE EDWARDS ($100,460); MICHAEL GENTRY ($170,140); HOWARD KERN ($369,201); GENEMARIE MCGEE ($34,732); ELWOOD BOONE ($27,318); JOANNE INMAN ($23,802); DAVID MASTERSON ($125,935); KIRKPATRICK CONLEY ($32,863); AND DENNIS MATHEIS ($1,243,768). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. MR. KERN WAS ALSO SUBJECT TO FICA AND FUTA TAXATION ON HIS PRE-2009 CONTRIBUTIONS DURING 2023. PART I, LINE 7 DURING THE CURRENT YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. LONG TERM INCENTIVE PROGRAM - EXECUTIVES LEADERS WHO ARE LARGELY RESPONSIBLE FOR OVERALL POLICY, DIRECTION, AND SUCCESSFUL PERFORMANCE OF THE SYSTEM AND PLAY CRITICAL ROLES IN STRATEGIC INITIATIVES MEASURED BY THE PLAN ARE ELIGIBLE FOR LONG-TERM INCENTIVE AWARDS BASED ON ACHIEVING LONG-TERM PERFORMANCE OBJECTIVES AND SPECIFIC AWARD OPPORTUNITIES (AS A PERCENTAGE OF BASE SALARY) SET BY THE SYSTEM'S COMPENSATION COMMITTEE. AWARDS ARE AT THE SOLE DISCRETION OF THE COMMITTEE, AND NO PARTICIPANT HAS ANY LEGALLY BINDING RIGHT TO AN AWARD UNTIL THE COMMITTEE HAS HAD AN OPPORTUNITY TO EXERCISE THAT DISCRETION. A NEW 3-YEAR CYCLE BEGINS EACH YEAR. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. PART I LINE 4 CERTAIN SENIOR EXECUTIVES OF THE SENTARA HEALTH SYSTEM ARE COVERED BY THE SENTARA HEALTH EXECUTIVE CHANGE IN CONTROL AND SEVERANCE BENEFIT PLAN. THE PLAN PROVIDES FOR SPECIFIED SEVERANCE PAY AND BENEFITS IN THE EVENT OF INVOLUNTARY TERMINATION OF EMPLOYMENT THAT OCCURS: (1) IN THE ORDINARY COURSE OF EMPLOYMENT OR (2) WITHIN TWO YEARS FOLLOWING A QUALIFYING CHANGE IN CONTROL TO ELIGIBLE INDIVIDUALS AS DEFINED IN THE PLAN. PLAN BENEFITS VARY BASED UPON AN ELIGIBLE INDIVIDUAL'S TIER LEVEL AND WHETHER THE TERMINATION IS OR IS NOT WITHIN TWO YEARS FOLLOWING A CHANGE IN CONTROL, BUT GENERALLY RANGE BETWEEN 12-18 MONTHS. THE PLAN IS UNFUNDED AND DESIGNED AS AN ERISA TOP HAT WELFARE BENEFIT PLAN. INDIVIDUALS THAT ARE NOT ELIGIBLE TO PARTICIPATE IN THE PLAN MAY BE COVERED UNDER INDIVIDUAL ARRANGEMENTS DEPENDING ON POSITION AND QUALIFYING CIRCUMSTANCES. DELANIE EDWARDS FAMILY MEMBER OF KEY EMPLOYEE TERRIE EDWARDS 94136 EMPLOYMENT 0 ALEXANDRA HIPPLER FAMILY MEMBER OF FORMER KEY EMPLOYEE KURT HOFELICH 66441 EMPLOYMENT 0 ISABELLE TUCK FAMILY MEMBER OF KEY EMPLOYEE DAVID MASTERSON 30766 EMPLOYMENT 0 HANNAH GADEN FAMILY MEMBER OF KEY EMPLOYEE PAUL GADEN 34392 EMPLOYMENT 0 FORM 990, PART III, LINE 1 AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH THE ESTABLISHMENT AND OPERATION OF ONE OR MORE NONPROFIT HOSPITALS AND RELATED HEALTH AND MEDICAL PROGRAMS FOR THE CARE OF THE SICK AND INJURED; THE OPERATION OF NONPROFIT SCHOOLS FOR THE EDUCATION AND TRAINING OF NURSES AND OTHER PERSONNEL NECESSARY OR DESIRABLE IN PROVIDING HEALTH CARE; THE PROMOTION OF HEALTH; THE CARRYING ON OF SCIENTIFIC MEDICAL RESEARCH IN THE PUBLIC INTEREST; AND THE CARRYING ON OF ANY OTHER ACTIVITIES WHICH FURTHER OR ADVANCE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTH I. SENTARA HEALTH YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTH CELEBRATES MORE THAN 135 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 32,000 EMPLOYEES (INCLUDING 1,300 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.2M MEMBERS IN VIRGINIA AND FLORIDA. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK. IN 2023, SENTARA ANNOUNCED THE NEXT EVOLUTION OF THE BRAND, CHANGING FROM SENTARA HEALTHCARE TO SENTARA HEALTH. WE ALSO RETIRED THE OPTIMA HEALTH AND VIRGINIA PREMIER BRANDS, UNIFYING THE PLANS UNDER ONE BRAND SENTARA HEALTH PLANS. THE NEW NAME REFLECTS OUR ENHANCED FOCUS ON PROMOTING THE OVERALL HEALTH AND WELL-BEING OF OUR CONSUMERS, PATIENTS, MEMBERS, AND COMMUNITIES WHO ARE AT THE CENTER OF EVERYTHING WE DO. THIS CHANGE ALSO REPRESENTS THE DEEPENING ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND HEALTH PLANS. EFFORTS ARE CENTERED ON MAKING THE CONSUMER EXPERIENCE SIMPLE, SEAMLESS, PERSONAL, AND MORE AFFORDABLE, AND ADDING VALUE TO THE COMMUNITIES WE SERVE. WE STRIVE TO SERVE ALL OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT FOR OTHER NOT-FOR-PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. AS AN INTEGRATED DELIVERY NETWORK (IDN), SENTARA PROVIDES BOTH HEALTH CARE SERVICES (HOSPITALS, CLINICS, PROVIDERS) AND HEALTH INSURANCE PLANS, WHICH ENABLES SENTARA TO FULLY UNDERSTAND AND DELIVER ON THE NEEDS OF OUR CONSUMERS IN A UNIQUE AND INSIGHTFUL WAY. ADDITIONALLY, SERVING AS AN IDN PROVIDES US WITH THE OPPORTUNITY TO IMPACT AND LIFT OUR COMMUNITIES GIVEN THE COMPREHENSIVE NATURE OF OUR ABILITY TO DELIVER CARE AND RESOURCES WITHIN THE WALLS OF OUR CARE SITES AS WELL AS DEEP WITHIN THE COMMUNITY. II. COMMITMENT TO THE COMMUNITY SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE 2023 VALUE OF COMMUNITY BENEFIT TOTALED $294 MILLION. SENTARA PROVIDED $164 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $70 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $47.4 MILLION IN COMMUNITY GIVING; AND $12.7 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED NEARLY $2.3 MILLION THROUGH DIRECT CONTRIBUTION AND EMPLOYEE MATCHING TO UNITED WAY. A. SENTARA COMMUNITY CARE WAS CREATED TO TRANSFORM THE HEALTHCARE DELIVERY SYSTEM FOR OUR COMMUNITIES WITH THE GREATEST NEED FOR CARE. THIS INNOVATIVE MODEL OF CARE INTEGRATES PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES AND FOCUSES ON ADDRESSING THE ROOT FACTORS THAT GREATLY INFLUENCE A PERSON'S HEALTH AND WELL-BEING BEYOND THE CARE THAT WE DELIVER INSIDE OF OUR MEDICAL FACILITIES. I. AS PART OF THE SENTARA COMMUNITY CARE PROGRAM, SENTARA PARTNERED WITH HARRISONBURG CITY PUBLIC SCHOOLS IN HARRISONBURG, VA TO PROVIDE PRIMARY CARE SERVICES, BEHAVIORAL HEALTH SERVICES, SCHOOL ENTRY PHYSICALS, AND VACCINATIONS TO UNINSURED AND MEDICAID STUDENTS. SENTARA ALSO IS PROVIDING ADDITIONAL HEALTH AND WELLNESS SERVICES IN HARRISONBURG AND SURROUNDING RURAL COUNTIES IN A MORE FLEXIBLE AND CONVENIENT FORMAT VIA A SENTARA MOBILE CARE VEHICLE. II. SENTARA CELEBRATED THE LAUNCH OF SENTARA MOBILE CARE, PART OF THE SENTARA COMMUNITY CARE PROGRAM, IN PETERSBURG, VA. SENTARA MOBILE CARE WILL PROVIDE DIRECT PRIMARY CARE, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT SERVICES TO THE PETERSBURG COMMUNITY IN A MORE FLEXIBLE AND CONVENIENT FORMAT. B. SENTARA CONTINUES OUR EFFORTS THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. SENTARA IS COMMITTED TO SUPPORTING COMMUNITY-BASED HEALTH OPPORTUNITY PROGRAMS THAT FOCUS ON IMPROVING PUBLIC HEALTH, TACKLING HEALTH INEQUITIES, AND PROMOTING EQUITABLE ACCESS TO CARE IN TRADITIONALLY UNDERSERVED COMMUNITIES. THROUGH OUR PARTNERSHIPS AND INVESTMENTS, WE COMMIT OUR TIME, TALENT AND TREASURE TO PARTNERS WHO HELP US DECREASE HEALTH DISPARITIES AND WHO FOCUS ON BEHAVIORAL HEALTH, WORKFORCE DEVELOPMENT, COMMUNITY DEVELOPMENT, HOUSING, AND NUTRITION SECURITY. I. SENTARA AWARDED 141 GRANTS TOTALING $9.5 MILLION FOR OUR COMMUNITIES, AS WELL AS 161 MICROGRANTS TOTALING $1.4 MILLION WHICH FUNDED PROGRAMS THAT REACHED THE DEEPEST LEVELS IN OUR COMMUNITIES. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIRONMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASES COLLECTIVE IMPACT WHERE WE WORK CLOSELY WITH TRUSTED GRASSROOTS PARTNERS. II. SENTARA ESTABLISHED THE $2 MILLION "SENTARA INNOVATION FUND" TARGETING FEDERALLY QUALIFIED HEALTH CENTERS IN FLORIDA. THESE INVESTMENTS HELP TO EXPAND ACCESS TO DENTAL CARE, MATERNAL AND CHILD HEALTHCARE, AND ENHANCE ECONOMIC MOBILITY THROUGHOUT THE REGION IN SUPPORT OF THE LONG-TERM SUCCESS FOR FLORIDA INDIVIDUALS AND COMMUNITIES. III. SENTARA PARTNERED WITH THE NETWORK OF REGIONAL ADVOCACY (NORA), AN INITIATIVE CREATED TO SERVE AS A GRANT PROVIDER TO FAITH-BASED AND OTHER CHARITABLE NONPROFIT ORGANIZATIONS, TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT HISTORICALLY MARGINALIZED AND MINORITIZED COMMUNITIES IN SOUTH HAMPTON ROADS, VA. THE PARTNERSHIP BETWEEN SENTARA AND NORA PRIMARILY FOCUSES ON PROVIDING GRANT FUNDING TO ORGANIZATIONS WORKING ON ISSUES SUCH AS FOOD INSECURITY, HEALTHCARE ACCESSIBILITY, HOUSING INEQUITY, FINANCIAL LITERACY, WORKFORCE DEVELOPMENT, SMALL BUSINESS DEVELOPMENT, AND OTHER INEQUITIES FACED BY LOW-INCOME HOUSEHOLDS AND ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) INDIVIDUALS. IV. SENTARA ESTABLISHED A $2 MILLION BEHAVIORAL HEALTH INNOVATION FUND AIMED AT IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THIS FUND WILL FOCUS ON SEVERAL KEY AREAS, INCLUDING ENHANCING THE RESPONSE SYSTEM FOR BEHAVIORAL HEALTH NEEDS; IMPROVING ACCESS TO CARE; FOSTERING INNOVATION THAT CAN BE SCALABLE; AND STRENGTHENING PARTNERSHIPS WITH SAFETY NET PROVIDERS IN THIS SPACE. V. SENTARA FOUNDED THE HAMPTON ROADS LOCAL INITIATIVES SUPPORT CORPORATION (LISC) OFFICE IN 2019, WHICH IS A COMMUNITY DEVELOPMENT FINANCE INSTITUTION AND A NATIONALLY RECOGNIZED NONPROFIT THAT WORKS WITH LOCAL GOVERNMENT, COMMUNITY DEVELOPERS AND OTHER NONPROFITS TO REVITALIZE NEIGHBORHOODS AND CATALYZE OPPORTUNITIES IN UNDERSERVED COMMUNITIES. IN 2023, SENTARA MADE A $2 MILLION INSTALLMENT TO LISC TO CONTINUE A LONGSTANDING COMMITMENT TO IMPROVE THE SOCIAL DRIVERS OF HEALTH AT THE NEIGHBORHOOD LEVEL. VI. SENTARA CONTRIBUTED $600,000 TO THE VIRGINIA FEDERATION OF FOOD BANKS TO CONTINUE ANOTHER LONG-STANDING PARTNERSHIP THAT HAS CATALYZED THE STATEWIDE HEALTHY PANTRY INITIATIVE AND EXPANDED FOOD PHARMACY PROGRAMS TO REACH OVER 29,000 PATIENTS ANNUALLY. THIS COMMITMENT TO FOOD SECURITY EXTENDS DEEPER INTO OUR COMMUNITIES AS WE PARTNER WITH LOCAL FOOD PANTRIES AND OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT SNAP ENROLLMENT AND SOLIDIFY A WHOLISTIC APPROACH TO HEALTHIER AND MORE CULTURALLY RESPONSIVE FOOD. VII. SENTARA RECOGNIZES THE CRITICAL ROLE THAT PUBLIC, PRIVATE AND FAITH-BASED PARTNERSHIPS PLAY IN COMMUNITY HEALTH IMPROVEMENT. NOT ONLY DO FAITH LEADERS HAVE THE TRUST OF THEIR CONSTITUENTS BUT THEY CAN ALSO REACH NEIGHBORS IN MARGINALIZED AREAS THAT HAVE TRADITIONALLY LACKED TRUST IN SYSTEMS. IN 2023, ONE OF MANY EXAMPLES WHERE SENTARA INVESTED IN INNOVATIVE PARTNERSHIPS WAS DEMONSTRATED BY BUILDING A STRATEGIC PARTNERSHIP UPON AN INITIAL INVESTMENT OF $255,000 TO A CHURCH-BASED HEALTH MINISTRY THAT WOULD PROVIDE SCREENINGS AND HEALTH CARE OUTREACH SUCH AS DISEASE MANAGEMENT AND HEALTHY EATING EDUCATION TO LOCAL RESIDENTS AND SCHOOLS. FORM 990, PART III, LINE 4A C. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA BEGAN NEGOTIATING AN UPDATED AFFILIATION AGREEMENT TO REFLECT LONG-TERM SUPPORT OF THE FUTURE OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL INTEGRATION. SENTARA ALSO CONTINUED ITS SUPPORT OF OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL IN THEIR O.N.E. SCHOOL OF PUBLIC HEALTH INITIATIVE, WHICH WILL ESTABLISH A NEW JOINT SCHOOL OF PUBLIC HEALTH. D. A NEW PROGRAM, CALLED THE SENTARA OPIOID BRIDGE TO RECOVERY, PROVIDES A NEW PATHWAY FOR PATIENTS WITH OPIOID USE DISORDER TO CONNECT WITH OUTPATIENT TREATMENT PROGRAMS. EMERGENCY DEPARTMENT (ED) PHYSICIANS AND OTHER PROVIDERS LICENSED TO PRESCRIBE NARCOTICS ARE NOW ABLE TO PRESCRIBE BUPRENORPHINE, AND ED STAFF MAKE APPOINTMENTS WITH LOCAL THERAPY PROGRAMS AND COMMUNITY SERVICES BOARDS (CSBS) BEFORE PATIENTS LEAVE THE ED. FOR PATIENTS SEEN AFTER HOURS, LOCAL CSBS, BEHAVIORAL HEALTH NAVIGATORS WITH SENTARA HEALTH PLANS, AND OTHER PROVIDERS RECEIVE SECURE PATIENT INFORMATION ELECTRONICALLY AND FOLLOW UP THE NEXT BUSINESS DAY. E. SENTARA HAS LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTH & PREVENTIVE SERVICES ORGANIZATION WITHIN SENTARA. SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, MOVEABOUT, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. ADDITIONALLY, MONTHLY WEBINARS ON HEALTH TOPICS AND BIOMETRIC SCREENING SERVICES WERE OFFERED IN VARIOUS REGIONS. F. SENTARA ORGANIZES AND HOSTS NUMEROUS COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT CRUCIAL HEALTH ISSUES ALIGNED WITH KEY AWARENESS MONTHS. THROUGHOUT THE YEAR, WE PRIORITIZE AT LEAST SIX ESSENTIAL AREAS OF AWARENESS ACROSS OUR COMMUNITIES, INCLUDING PROMOTING HEART AND VASCULAR HEALTH, ADVOCATING FOR COLON CANCER PREVENTION, RAISING AWARENESS ABOUT STROKE PREVENTION, AND FACILITATING SCREENINGS FOR THE EARLY DETECTION OF PROSTATE, BREAST, AND LUNG CANCER. G. THROUGH OUR FORESIGHT VIOLENCE INTERVENTION PROGRAM, SENTARA NORFOLK GENERAL HOSPITAL CONTINUED TO UTILIZE GRANT FUNDING THAT SUPPORTS COMMUNITY HEALTH WORKERS TO PROVIDE CASE MANAGEMENT SERVICES FOR SURVIVORS OF GUN VIOLENCE, ASSAULTS AND STABBINGS ADMITTED TO THE TRAUMA SERVICE OR DISCHARGED FROM THE EMERGENCY DEPARTMENT. THE PURPOSE OF THE PROGRAM IS TO ASSIST SURVIVORS OF VIOLENCE, ASSESS THEIR SOCIAL DETERMINANTS OF HEALTH AND BASED ON THE RESULTS, DEVELOP AN INTERVENTION PLAN. THE GOAL IS TO PROVIDE SKILLS AND KNOWLEDGE TO AID THE INDIVIDUAL AND FAMILY TO IMPROVE THE QUALITY OF THEIR LIVES. III. COMMITMENT TO OUR TEAM MEMBERS A. DIRECTLY INVESTING IN OUR COLLEAGUES REMAINS A TOP PRIORITY. I. NEARLY ALL OF OUR EMPLOYEES RECEIVED PAY INCREASES THROUGH A MERIT AND/OR MARKET ADJUSTMENT. II. WE CONTRIBUTED $80M IN RETIREMENT SAVINGS MATCHES AND WERE ABLE TO PROVIDE OUR TEAM MEMBERS WITH A YEAR-END BONUS TOTALING $17M. III. WE SPENT JUST OVER $40M ON SOME OF OUR NEW AND KEY BENEFITS, INCLUDING STUDENT DEBT REPAYMENT MATCHING, TUITION REIMBURSEMENT, FLOATING PAID ANNUAL LEAVE (PAL) DAY AND PARENTAL LEAVE. B. WE ADDED MORE THAN 8,500 NEW PEOPLE TO OUR TEAM, AND WE ARE SEEING GREAT IMPROVEMENTS IN OUR RETENTION EFFORTS. TOTAL TURNOVER IN 2023 WAS 14.6% COMPARED TO THE INDUSTRY AVERAGE OF 22.7%. NURSING TURNOVER EXPERIENCED A 1.3% REDUCTION FROM 2022 AND IS STILL FAR BELOW THE INDUSTRY AVERAGE OF 22.5%. C. SENTARA CONTINUED THE FOCUS ON THE IMPORTANT WORK OF DIVERSITY IN OUR WORKFORCE TO DEEPEN OUR UNDERSTANDING OF CARING FOR OUR DIVERSE PATIENT POPULATION AND TO DEVELOP STRONG RELATIONSHIPS WITH DIVERSE COMMUNITY POPULATIONS. WE CONTINUE THE WORK OF THE DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. D. SENTARA ESTABLISHED OUR FIRST THREE EMPLOYEE RESOURCE GROUPS (ERGS): WOMEN IN THE WORKPLACE, GENERATIONS IN THE WORKPLACE, AND AFRICAN AMERICAN (BLACK) IN THE WORKPLACE. AN ERG IS AN EMPLOYEE-LED GROUP THAT FOSTERS BELONGING AND BUILDS COMMUNITY BY HELPING COLLEAGUES CONNECT WITH COLLEAGUES WHO SHARE THEIR INTERESTS. E. SENTARA IMPLEMENTED AND EXPANDED SEVERAL WORKPLACE VIOLENCE PREVENTION PROGRAMS, INCLUDING THE FOLLOWING: I. WE COMPLETED THE ROLLOUT OF A VISITOR CHECK-IN AND BADGING SYSTEM AT ALL TWELVE OF OUR HOSPITALS. STUDIES INDICATE VISITOR BADGING CREATES A MORE RESPECTFUL ATMOSPHERE AND REDUCES VERBAL ABUSE. II. WE BEGAN EXPANSION OF A TWO-YEAR PILOT WITH A CONCEALED WEAPON DETECTION SYSTEM IN OUR HOSPITALS. III. WE'VE STREAMLINED THE PROCESS FOR TEAM MEMBERS TO REPORT WORKPLACE VIOLENCE INCIDENTS, AND MOST OF OUR HOSPITALS ARE INSTALLING TELEMAGISTRATE SYSTEMS SO TEAM MEMBERS CAN TALK TO A MAGISTRATE AND FILE CHARGES FROM THEIR HOSPITAL. IV. SENTARA HOSPITALS SCREEN ALL INPATIENTS FOR AGGRESSION RISK USING THE DYNAMIC APPRAISAL FOR SITUATIONAL AGGRESSION (DASA) TOOL, WHICH IS ALREADY IN USE IN OUR BEHAVIORAL HEALTH UNITS. V. FOR DIETARY, ESD AND FACILITIES STAFF, A MAGNETIC TRIANGLE DOOR PLACARD, PLACED ON THE DOOR FRAMES OF AGGRESSIVE PATIENTS, WILL ALERT TEAM MEMBERS TO STOP, ASK A NURSE, AND RECRUIT A PARTNER BEFORE ENTERING THE ROOM. VI. TO ENCOURAGE SAFETY AWARENESS BY OUR TEAM, THERE IS A NEW EPIC EMR FLAG FOR PATIENTS WITH A HIGH RISK FOR VIOLENCE. F. SENTARA JOINED THE "ALL IN: CARING FOR VIRGINIA'S CAREGIVERS INITIATIVE" WITH OTHER VIRGINIA'S HOSPITALS AND HEALTH SYSTEMS, THE MEDICAL SOCIETY OF VIRGINIA, AND THE VIRGINIA NURSES ASSOCIATION IN A STATEWIDE INITIATIVE TO PROTECT MENTAL HEALTH AND EMOTIONAL WELLBEING OF HEALTHCARE PROFESSIONALS. G. SINCE 2003, SENTARA HAS ALLOCATED OVER $5.8M TO OUR EMPLOYEES THROUGH THE H.O.P.E. (HELPING OVERCOME PERSONAL EMERGENCY) FUND. SENTARA'S COMPASSION HAS PROVIDED FINANCIAL RESOURCES FOR FELLOW SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE H.O.P.E. FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2023, FUND DONATIONS RECEIVED WERE $333,883, AND $699,697 WENT TO SENTARA EMPLOYEES IN CRISIS ACROSS THE COMPANY. H. SENTARA ESTABLISHED THE HOWARD KERN LEGACY SCHOLARSHIP TO FOSTER THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS. WITH AN ALLOCATION OF $1 MILLION TO THIS SCHOLARSHIP FUND, SENTARA AIMS TO SUPPORT THE EDUCATIONAL ASPIRATIONS OF THE CHILDREN AND GRANDCHILDREN OF SENTARA EMPLOYEES WHO ASPIRE TO PURSUE CAREERS IN HEALTHCARE AND RELATED FIELDS. THE INAUGURAL ROUND PROVIDED SCHOLARSHIPS TO NEARLY 170 STUDENTS. I. SENTARA IS COMMITTED TO ALWAYS IMPROVING - INCLUDING ENCOURAGING REGISTERED NURSES (RNS) TO CONTINUE PURSUING EDUCATIONAL OPPORTUNITIES. CONTINUOUS LEARNING WILL ADVANCE THE CARE SENTARA NURSES DELIVER TO OUR PATIENTS AND ALLOW THEM TO ADVANCE IN THEIR CAREERS. IN 2023, 73.7% OF SENTARA NURSES HAVE A BSN OR HIGHER DEGREE. IV. GROWTH IN SENTARA HEALTH A. SENTARA ESTABLISHED ITS FIRST ENTERPRISE TRANSFORMATION OFFICE AND HELD AN INAUGURAL BOTTOM-UP PLANNING (BUP) EVENT WHICH RESULTED IN NEARLY 840 INITIATIVES IN SUPPORT OF OUR STRATEGIC PLAN. B. SENTARA REMAINED IN THE TOP QUARTILE FOR FINANCIAL PERFORMANCE AGAINST OUR INTEGRATED DELIVERY NETWORK (IDN) PEERS. C. SENTARA DEVELOPED AND MOVED INTO OUR NEW CORPORATE CAMPUS, SENTARA PARK. D. SENTARA CONTINUED THE INTEGRATION OF AVMED INTO OUR SENTARA HEALTH PLANS OPERATIONS. E. SENTARA HEALTH PLANS CONTINUED TO SEE GROWTH, AND ALONG WITH AVMED SERVED 1.2M MEMBERS IN VIRGINIA AND FLORIDA. OF NOTE, WE HAVE SEEN SIGNIFICANT GROWTH IN THE VIRGINIA INDIVIDUAL EXCHANGE MARKET AND NOW SERVE OVER 70,000 MEMBERS. F. SENTARA BECAME THE SOLE OWNER OF VELOCITY URGENT CARE, LLC, WHICH HAS BEEN OPERATED AS A JOINT VENTURE BETWEEN SENTARA AND A THIRD PARTY SINCE 2017. VELOCITY IS COMPRISED OF 17 URGENT CARE LOCATIONS ACROSS VIRGINIA WITH NEARLY 200 EMPLOYEES AND PLANS TO OPEN ITS NEWEST LOCATION IN EARLY 2024 IN ELIZABETH CITY, NC. G. SENTARA OPENED THE NEW SENTARA ADVANCED IMAGING CENTER ON THE CAMPUS OF SENTARA NORTHERN VIRGINIA MEDICAL CENTER, IN WOODBRIDGE, VA. THE FACILITY OFFERS SOME OF THE NEWEST AND MOST INNOVATIVE IMAGING SERVICES AVAILABLE USING THE MOST ADVANCED TECHNOLOGY. H. SENTARA CAREPLEX HOSPITAL IN HAMPTON, VA AND SENTARA MEDICAL GROUP INTRODUCED A FULL-SCOPE MIDWIFERY PRACTICE TO THE HAMPTON ROADS, VA COMMUNITY. THE SENTARA MIDWIFERY SPECIALISTS IS THE FIRST MIDWIFERY PRACTICE FOR THE HEALTH SYSTEM, EXPANDING ACCESS FOR EXPECTING FAMILIES ACROSS HAMPTON ROADS. FORM 990, PART III, LINE 4A I. SENTARA DEDICATED A NEW MOTHER BABY UNIT AT SENTARA NORFOLK GENERAL HOSPITAL IN NORFOLK, VA. THE $6 MILLION MODERNIZATION PROJECT WILL INCREASE THE UNIT FROM 21 BEDS TO 34 BEDS. EACH PATIENT ROOM PROVIDES A PRIVATE BATHROOM WITH SHOWER AND MORE FLOOR SPACE FOR HOSPITAL BEDS AND BASSINETTES. THIS LATEST MOVE FOLLOWS A PREVIOUS EXPANSION AND MODERNIZATION OF THE NEO-NATAL INTENSIVE CARE UNIT. WHEN THE CURRENT CONSTRUCTION PROJECT IS COMPLETE, THE HOSPITAL WILL HAVE INVESTED MORE THAN $20 MILLION IMPROVING WOMEN'S SERVICES AND ALL ASPECTS OF WOMEN'S HEALTH WILL BE LOCATED ON THE SAME FLOOR. J. SENTARA EXPANDED CANCER SCREENINGS TO UNDERSERVED COMMUNITIES WITHIN A 2-HOUR DRIVING RADIUS OF NORFOLK, VA WITH A NEW 3D MAMMOGRAPHY VAN. THE 3D MAMMOGRAPHY VAN BRINGS THE SAME STATE OF THE ART TECHNOLOGY THAT A PATIENT WOULD RECEIVE IN A SENTARA FACILITY INTO OUR COMMUNITIES. THE SENTARA CANCER NETWORK WILL USE RESULTS FROM OUR ONGOING SENTARA COMMUNITY HEALTH NEEDS ASSESSMENTS TO DETERMINE WHERE THE 3D MAMMOGRAPHY VAN CAN PROVIDE THE MOST IMPACTFUL CARE. SENTARA WILL ALSO FOCUS ON PARTNERING WITH COMMUNITY ORGANIZATIONS AND LOCAL BUSINESSES TO PROVIDE CONVENIENT SCREENINGS FOR EMPLOYEES. K. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VA ANNOUNCED THAT ITS 3D MAMMOGRAPHY VAN WILL BEGIN VISITING COMMUNITIES THROUGHOUT ITS SERVICE AREA. SENTARA NORTHERN VIRGINIA MEDICAL CENTER ALSO EXPANDED ITS MOBILE PET/CT PROGRAM, DOUBLING THE AVAILABILITY OF THE MOBILE PET/CT UNIT EACH MONTH. L. SENTARA INVESTED $6 MILLION TO EXPAND THE FAMILY MATERNITY CENTER AT SENTARA LEIGH HOSPITAL IN NORFOLK, VA. THE EXPANSION PROJECT ADDS 13 PRIVATE POSTPARTUM FAMILY ROOMS, GROWING THE FAMILY MATERNITY CENTER TO 41 TOTAL BEDS TO MEET THE NEEDS OF OUR PATIENTS AND COMMUNITY. SENTARA LEIGH HOSPITAL SAFELY DELIVERS ONE OF THE HIGHEST NUMBERS OF NEWBORNS THROUGHOUT ALL OF HAMPTON ROADS AND IS AMONG THE TOP 10 BUSIEST LABOR & DELIVERY UNITS IN VIRGINIA. M. SENTARA ANNOUNCED A $70 MILLION INVESTMENT TO CONSTRUCT A NEW ACUTE CARE HOSPITAL TO REPLACE THE CURRENT SENTARA HALIFAX REGIONAL HOSPITAL. THE NEW HOSPITAL, SCHEDULED FOR COMPLETION IN 2025-2026, WILL HAVE A HIGH-EFFICIENCY, PATIENT-CENTRIC LAYOUT REPRESENTING THE TREND TOWARD PREVENTIVE CARE, OUTPATIENT SERVICES AND SHORTER HOSPITAL STAYS. N. SENTARA CUT THE RIBBON ON AN 80,000-SQUARE-FOOT MEDICAL OFFICE BUILDING (MOB) ON THE 135-ACRE SENTARA ALBEMARLE REGIONAL HEALTH CAMPUS IN ELIZABETH CITY, NC. THE CAMPUS INCLUDES AN 80-BED HOSPITAL UNDER CONSTRUCTION AND THREE ACRES FOR THE PASQUOTANK/CAMDEN EMS PROGRAM TO BUILD A NEW STATION. THE $200 MILLION CAMPUS IS THE LARGEST CONSTRUCTION PROJECT IN THE REGION SINCE THE CURRENT HOSPITAL OPENED MORE THAN 60 YEARS AGO. I. THE MOB WILL CONSOLIDATE CANCER SERVICES UNDER THE NAME SENTARA CANCER CARE CENTER. THE CENTER WILL INCLUDE A STATE-OF-THE-ART LINEAR ACCELERATOR FOR RADIATION ONCOLOGY AND STEREOTACTIC RADIOSURGERY, PLUS CHEMOTHERAPY AND SUPPORTIVE PATIENT SERVICES. II. THE MOB WILL ALSO HOUSE A SENTARA FAMILY MEDICINE PRACTICE AND CARDIAC REHABILITATION PROGRAM. OTHER PRACTICES CONNECTED TO THE CURRENT HOSPITAL WILL MOVE INTO THE MOB WHEN THE NEW HOSPITAL OPENS IN 2025. PLANS CALL FOR A DIGITAL HUB CONNECTING PATIENTS VIRTUALLY WITH SENTARA MEDICAL SPECIALISTS IN THE HAMPTON ROADS, VIRGINIA AREA. O. SENTARA MEDICAL GROUP OPENED THE FOLLOWING NEW PRACTICES: I. SENTARA MIDWIFERY SPECIALISTS IN HAMPTON, VA II. SENTARA FAMILY MEDICINE PHYSICIANS IN CHESAPEAKE, VA III. SENTARA ENDOCRINOLOGY SPECIALISTS IN CHESAPEAKE, VA IV. SENTARA BREAST SURGERY SPECIALISTS IN CHARLOTTESVILLE, VA V. SENTARA UROLOGY SPECIALISTS IN CHARLOTTESVILLE, VA VI. SENTARA OBSTETRICS AND GYNECOLOGY SPECIALISTS IN CHARLOTTESVILLE, VA VII. SENTARA FAMILY MEDICINE PHYSICIANS IN LORTON, VA VIII. THE CENTER FOR PLASTIC SURGERY AT SENTARA FORT NORFOLK IN NORFOLK,VA P. SENTARA THERAPY SERVICES OPENED OR EXPANDED THE FOLLOWING PRACTICES: I. SENTARA PEDIATRIC THERAPY IN VIRGINIA BEACH, VA II. SENTARA THERAPY SPORTS & SPINE IN VIRGINIA BEACH, VA III. EXPANDED SENTARA THERAPY HEALTHY WAY IN VIRGINIA BEACH, VA IV. EXPANDED SENTARA THERAPY RED MILL IN VIRGINIA BEACH, VA Q. SENTARA EXPANDED THE SENTARA MEDICAL GROUP NURSE ADVICE LINE SERVICES TO SUPPORT PATIENTS 24/7. R. TO IMPROVE ACCESS TO CARE AND GET CONSUMERS TO THE RIGHT CARE AT THE RIGHT TIME, SENTARA LAUNCHED A CENTRALIZED "CLINICAL ACCESSCENTER", WHICH STREAMLINES CARE NAVIGATION AND THE APPOINTMENT SCHEDULING EXPERIENCE FOR PRIMARY AND SPECIALTY CARE, IMAGING, THERAPY, AND OUTPATIENT PROCEDURES. S. SENTARA DEPLOYED 108 REMOTE CAMERAS IN ALL 12 HOSPITALS TO PROVIDE 24-HOUR MONITORING OF AT-RISK PATIENTS. THE INVESTMENT FOLLOWED A PILOT AT TWO SENTARA HOSPITALS WHICH DEMONSTRATED THE TECHNOLOGY'S VALUE IN PREVENTING PATIENT HARM. V. BY THE NUMBERS: 1.5 MILLION PATIENTS; 1.2 MILLION HEALTH PLAN MEMBERS; 8,500 NEW COLLEAGUES; 129,000 ADULT HOSPITAL ADMISSIONS; 813,389 EMERGENCY DEPARTMENT VISITS; 16,036 BABIES DELIVERED; 820 LIFE-SAVING TRIPS FROM THE NIGHTINGALE REGIONAL AIR AMBULANCE; AND 145,816 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VI. DIGITAL INITIATIVES AND INVESTMENTS A. SENTARA FINALIZED THE SCOPE AND PLAN FOR A 3-YEAR (2023-2026) $400M INCREMENTAL IT INVESTMENT IN SUPPORT OF IT FOUNDATIONAL NEEDS AND 400 BUSINESS INITIATIVES REQUIRING IT ENABLEMENT. B. SENTARA LAUNCHED NEARLY 20 PLATFORMS AND SOLUTIONS THIS YEAR, INCLUDING TWO FOR OUR CONSUMER ASSISTANCE PROGRAM ON THE HEALTH PLAN SIDE, OUR ENTERPRISE RESOURCE PLANNING TOOL, WORKDAY, AND A MOBILE PLATFORM TO FACILITATE THE ABILITY FOR NURSES TO EASILY PICK UP AND TRADE WORK SHIFTS. FORM 990, PART III, LINE 4A SENTARA HOSPITALS PROVIDES ACUTE AND TERTIARY INPATIENT AND OUTPATIENT MEDICAL SERVICES THROUGH THE OPERATION OF SEVEN HOSPITALS IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN CAROLINA--SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AND SENTARA ALBEMARLE MEDICAL CENTER. THE SEVEN HOSPITALS COMBINED OFFERED 1,798 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 1,110,946 ADJUSTED PATIENT DAYS OF CARE DURING 2023. SERVICES INCLUDE DAILY ROUTINE NURSING, WELLNESS PROGRAMS, LEVEL I AND II TRAUMA SERVICES, NIGHTINGALE AIR AMBULANCE, CARDIAC CATHERIZATION, ANGIOGRAPHY, NEONATAL INTENSIVE CARE, COMMUNITY EDUCATION PROGRAMS FOR THE DISADVANTAGED, AND VARIOUS OTHER COMMUNITY ACTIVITIES. SENTARA HOSPITALS ALSO PROVIDES MEDICAL EDUCATION PROGRAMMING IN CONJUNCTION WITH THE EASTERN VIRGINIA MEDICAL AUTHORITY OFFERING SPECIALTY SERVICES SUCH AS CARDIOLOGY, IN-VITRO FERTILIZATION AND UROLOGY. THE HOSPITAL PROVIDES FREE COMMUNITY HEALTH SCREENINGS AND HEALTH EDUCATION THROUGHOUT HAMPTON ROADS. COSTS INCURRED FOR THESE ACTIVITIES ARE NOT SPECIFICALLY ACCUMULATED, BUT INCLUDE SALARIES AND OTHER OPERATING EXPENSES. THE FOLLOWING IS A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTH SYSTEM FOR 2023. FORM 990, PART III, LINE 4A VII. EXPANDING RESEARCH OPPORTUNITIES A. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA AND IN OUR COMMUNITIES. LOCATED IN ONE OF THE MOST CULTURALLY DIVERSE REGIONS OF THE UNITED STATES, SENTARA HEALTH RESEARCH CENTER SERVES AS A PREMIER RESEARCH PARTNER. SENTARA IS UTILIZING THE RESEARCH CAPABILITY AND SCOPE OF OUR HEALTHCARE SYSTEM TO ADVANCE HEALTH THROUGHOUT THE COMMUNITIES WE SERVE. B. IN 2023, THE SENTARA HEALTH RESEARCH CENTER DEVELOPED THE SENTARA OUTCOMES RESEARCH CENTER, FURTHER ENABLING ORIGINAL RESEARCH THAT ADDRESSES ISSUES IN THE COMMUNITIES THAT WE SERVE. THE SENTARA OUTCOMES RESEARCH CENTER IS COMMITTED TO IMPROVING QUALITY, ACCOUNTABILITY AND MOST IMPORTANTLY IMPROVING THE HEALTH OF OUR COMMUNITY. C. SENTARA, IN PARTNERSHIP WITH YALE, MASSACHUSETTS GENERAL HOSPITAL AND HOUSTON METHODIST, WAS AWARDED A $3.4 MILLION DOLLAR GRANT BY THE PATIENT CENTERED OUTCOMES RESEARCH CENTER (PCORI) TO STUDY HYPERTENSION IN OUR UNDERSERVED POPULATIONS. THE STUDY IS OVER 5 YEARS AND HAS ENORMOUS OPPORTUNITY TO BETTER UNDERSTAND OUR COMMUNITY RELATED TO HYPERTENSION AND HOW TO BETTER CARE FOR THOSE INDIVIDUALS. D. SENTARA BECAME A FOUNDING MEMBER OF THE VIRGINIA COORDINATED CLINICAL RESEARCH NETWORK (VCCRN), WHICH WAS ESTABLISHED WITH INITIAL SUPPORT FROM THE VIRGINIA GENERAL ASSEMBLY. VCCRN IS A COALITION OF HEALTH CARE SYSTEMS, INSTITUTIONS OF HIGHER EDUCATION, AND OTHER ORGANIZATIONS. ITS MISSION IS TO STRENGTHEN COLLABORATION AMONG CLINICAL, ACADEMIC, AND BIOTECHNOLOGY AND LIFE SCIENCES ORGANIZATIONS TO ACCELERATE CLINICAL RESEARCH AND TRIALS ACROSS THE COMMONWEALTH TO ADDRESS HEALTH DISPARITIES, IMPROVE OUTCOMES, AND SUPPORT ECONOMIC GROWTH. E. SENTARA CREATED A NEW DEDICATED CHIEF ACADEMIC OFFICER POSITION, WHICH HAS OVERSIGHT OVER SENTARA'S RESEARCH INITIATIVES, PARTICIPATION IN AND SUPPORT OF ACADEMIC TRAINING PROGRAMS, AND CONTINUING MEDICAL EDUCATION (CME) ACTIVITIES. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS AS ALWAYS, SENTARA IS PROUD AND HUMBLED BY THE VARIOUS AWARDS AND RECOGNITIONS THE COMPANY RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS "WE IMPROVE HEALTH EVERY DAY". TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION-DRIVEN WORK. HERE ARE A FEW OF THE 2023 AWARDS AND RECOGNITIONS: A. SENTARA REMAINED IN THE TOP QUARTILE FOR CLINICAL QUALITY AND SAFETY PERFORMANCE AGAINST OUR INTEGRATED DELIVERY NETWORK (IDN) PEERS. B. SENTARA IS IN THE TOP 10% OF IDNS/PEER ORGANIZATIONS WHEN IT COMES TO ED THROUGHPUT, STANDARDIZED INFECTION RATIO, MEDICARE SPEND PER BENEFICIARY (MSPB), INDIVIDUAL MEDICAL LOSS RATIO (MLR), AND COMMERCIAL NCQA CUSTOMER SATISFACTION. WE RANK TOP QUARTILE FOR COMPLICATIONS, MORTALITY, LARGE GROUP MLR, AND MEDICAID NCQA CUSTOMER SATISFACTION. C. SENTARA WAS NAMED AMONG "THE BEST EMPLOYERS FOR VETERANS" BY FORBES IN 2023. THIS IS THE SECOND YEAR IN A ROW SENTARA HAS RECEIVED THIS RECOGNITION. D. TWO SENTARA PROJECT TEAMS AND TWO SENTARA TEAM MEMBERS WERE HONORED WITH 2023 "HEALTH CARE HEROES" AWARDS BY INSIDE BUSINESS IN THE FOLLOWING CATEGORIES: I. COMMUNITY SERVICE II. CORPORATE ACHIEVEMENT IN HEALTH CARE III. HEALTH CARE SCIENTIST IV. NURSE: INNOVATOR E. SENTARA WAS ONCE AGAIN ACKNOWLEDGED AS THE LEADING COMPANY IN THE ANNUAL "GENEROUS VIRGINIANS" REPORT PUBLISHED BY VIRGINIA BUSINESS MAGAZINE FOR THE 4TH YEAR IN A ROW. F. SENTARA COLLEGE OF HEALTH SCIENCES WON THE "BEST OF COASTAL VIRGINIA" MAGAZINE'S READERS' POLL FOR THE SEVENTH CONSECUTIVE YEAR AND IN THREE CATEGORIES: BEST PRIVATE COLLEGE/UNIVERSITY, BEST TECHNICAL SCHOOL, AND BEST SPECIALTY SCHOOL. THE COLLEGE HAS BEEN SELECTED AS ONE OF THE "2023 GREAT COLLEGES TO WORK FOR" BY MODERNTHINK, WITH DESIGNATION AS AN "HONOR ROLL INSTITUTION" BY EXCELLING IN ALL 10 CATEGORIES MEASURED IN THE SURVEY. G. FOUR SENTARA HOSPITALS WERE RECOGNIZED BY U.S. NEWS & WORLD REPORT AS AMONG THE BEST HOSPITALS IN VIRGINIA FOR MATERNITY CARE: I. SENTARA LEIGH HOSPITAL - NORFOLK, VA II. SENTARA MARTHA JEFFERSON HOSPITAL - CHARLOTTESVILLE, VA III. SENTARA RMH MEDICAL CENTER - HARRISONBURG, VA IV. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER - WILLIAMSBURG, VA H. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VA RECEIVED THE "IBCLC CARE AWARD FOR EXCELLENCE" IN PROVIDING A LACTATION PROGRAM FOR BREASTFEEDING FAMILIES AND IN RECOGNITION OF ITS STAFFING PROFESSIONALS WHO HOLD THE PRESTIGIOUS INTERNATIONAL BOARD - CERTIFIED LACTATION CONSULTANT (IBCLC) CREDENTIAL. I. TWELVE SENTARA HOSPITALS RECEIVED AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S JOINT "GET WITH THE GUIDELINES" (GWTG) AWARDS FOR PROVIDING EXCELLENT STROKE CARE, ULTIMATELY LEADING TO MORE LIVES SAVED AND SHORTER RECOVERY TIMES. GWTG RECOGNIZES HOSPITALS COMMITTED TO DELIVERING THE MOST APPROPRIATE TREATMENT FOR STROKE PATIENTS AND MEET CERTAIN CRITERIA, INCLUDING THE TIME IT TAKES TO GIVE "CLOT BUSTER" MEDICATION TO ACHIEVE THE BEST OUTCOMES. J. ELEVEN SENTARA HOSPITALS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S "NCDR CHEST PAIN - MI REGISTRY PERFORMANCE ACHIEVEMENT AWARD AND THE "GET WITH THE GUIDELINES (GWTG) MISSION LIFELINE AWARD" FOR 2023. BOTH AWARDS RECOGNIZE SENTARA'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. EACH HOSPITAL REACHED AN AGGRESSIVE GOAL OF TREATING PATIENTS WITH A STANDARD LEVEL OF CARE OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION. CONCLUSION: SENTARA HEALTH REMAINS COMMITTED TO OUR MISSION - WE IMPROVE HEALTH EVERY DAY. WE PROVIDE QUALITY CARE THROUGH EXPERT PROVIDERS USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE ALL WITH A CONSTANT FOCUS ON INNOVATION. WE ARE COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT PROGRAM, CREATING A VIBRANT PLACE OF EMPLOYMENT, AND PROVIDING SOLUTIONS TO HEALTH INEQUITIES THROUGH VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND PARTNERSHIPS. FORM 990, PART V, LINE 1A SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, LINE 1B THE BOARD OF DIRECTORS IS ELECTED ANNUALLY BY SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARA HEALTH IS A COMMUNITY-BASED BOARD COMPRISED OF 16 VOTING MEMBERS, 15 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS IN WHICH SENTARA HEALTH OR ITS SUBSIDIARIES HAVE AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NON-STOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT, HAS THE FOLLOWING RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION: THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY; APPROVE ANY ALTERATION, AMENDMENT OR REPEAL OF ITS GOVERNING DOCUMENTS; APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET AND ALL FORMAL LONG-RANGE PLANS; APPROVE ANY SINGLE CAPITAL EXPENDITURE EXCEEDING $1 MILLION; APPROVE ALL BORROWING OR INDEBTEDNESS WHICH IN ANY ONE TRANSACTION OR RELATED SERIES OF TRANSACTIONS EXCEEDS $500,000; APPROVE ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION, OR REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; REVIEW THE BOOKS AND RECORDS, CONDUCT AUDITS, AND APPROVE THE SELECTION OF AUDITORS CHOSEN TO CONDUCT AUDITS OF THE ORGANIZATION; AND APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OF THE ORGANIZATION, OR THE CREATION OF ANY OTHER CORPORATION OF WHICH THE ORGANIZATION IS TO BE A MEMBER, AND TO APPROVE ANY DISSOLUTION OR OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY SENTARA HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION WAS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. THE PARENT OF THE SYSTEM IS SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. ADDITIONALLY, EACH ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE BODY MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS' REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON EACH SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 26 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 37 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS THAT ARE COMPARABLE IN SIZE TO SENTARA'S HEALTH PLAN, BASED ON NET REVENUE GROWTH, OPERATING MARGIN, VARIOUS CLINICAL QUALITY METRICS AND PATIENT SATISFACTION. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE SYSTEM'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A) ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S CHAIRMAN AND TREASURER. THE CHAIRMAN AND TREASURER ALSO SERVED AS PRESIDENT AND CEO AND EXECUTIVE VICE PRESIDENT AND CFO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR ALL POSITIONS LISTED. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S INTERIM PRESIDENT. THE PRESIDENT IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION. RESULTS WERE PRESENTED TO THE PRESIDENT AND CEO OF THE SYSTEM FOR REVIEW AND APPROVAL RATHER THAN THE SYSTEM'S COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTH AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G NON-EMPLOYEE HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 390,859,764. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 390,859,764. OTHER: PROGRAM SERVICE EXPENSES 6,156,576. MANAGEMENT AND GENERAL EXPENSES 1,368,881. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,525,457. FORM 990, PART XI, LINE 9: BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY: -283,246,622. PARTNERSHIP INCOME TAX > BOOK: -214,335. SECTION 351 TRANSFER FROM PARENT 5,950,301. 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