2023-11-09T11:33:57-06:00 2022-12-31 990 2022-01-01 540506331 SENTARA RMH MEDICAL CENTER SENT 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ROBERT A BROERMANN TREASURER 7574557020 2023-11-09 ROBERT BROERMANN XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X DOUGLAS J MOYER 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 517876058 0 X WWW.SENTARA.COM X 1908 VA AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 10 5 2144 78 0 0 14552298 5994193 459432209 497473533 6087084 605641 727900 233311 480799491 504306678 2206644 3626001 0 0 200968992 215654152 0 0 1022073 243252488 284178794 446428124 503458947 34371367 847731 254053067 280838524 40693162 77126430 213359905 203712094 X SEE SCHEDULE O 0 0 392623167 3626001 497473533 SEE SCHEDULE O 392623167 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 1 0 0 0 1 1 1 1 1 0 1 X 97 0 1 2144 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 5 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 MICHAEL V GENTRY DIRECTOR 1.00 49.00 X 0 3479384 -40215 DOUGLAS J MOYER DIRECTOR/PRESIDENT 40.00 2.00 X X 705451 0 64998 MORRIS FENDLEY MD DIRECTOR 40.00 0.40 X 488604 0 -32125 DEVON ANDERS DIRECTOR 1.00 0.40 X 0 0 0 A JERRY BENSON PHD DIRECTOR 1.00 0.40 X 0 0 0 JOSEPH K FUNKHOUSER II DIRECTOR/CHAIR 1.00 3.10 X 0 40000 0 C WAYNE GATES MD DIRECTOR 1.00 0.40 X 0 0 0 PAUL A GADEN DIRECTOR 1.00 45.40 X 0 985869 123015 ARTHUR DEAN II DIRECTOR 1.00 0.00 X 0 0 0 RITA A BUNCH DIRECTOR 1.00 41.65 X 9569 464082 51327 ROBERT A BROERMANN TREASURER 1.00 50.00 X 0 2401429 -86268 SAMUEL J HAWLEY ASST SECRETARY (THROUGH 6/22) 1.00 45.00 X 0 229108 -41470 EARL J BARNES II SECRETARY (EFF 6/22) 1.00 46.00 X 0 502537 73874 DONNA S HAHN KE (VP ACUTE CARE/CNE) 40.00 0.00 X 366974 0 -138110 EDWARD A SANDY KE (EXEC DIRECTOR) 40.00 0.00 X 423476 0 36191 JAMIN C ENGEL KE (REGIONAL DIRECTOR PHARMACY OPS) 40.00 0.00 X 217082 0 -5957 ROBERT GARWOOD KE (VP/CMO) 40.00 0.00 X 398143 0 10395 CLARK BAUMBUSCH PHYSICIAN 40.00 0.00 X 293354 591151 -30237 YURIY O ZHUKOV MD PHYSICIAN 40.00 0.00 X 857192 0 254 CHRISTOPHER J HESS MD PHYSICIAN 40.00 0.00 X 838350 0 -27513 ROBERT LANCEY MD PHYSICIAN 40.00 1.00 X 799250 0 56348 FOUZIA SIDDIQUI MD PHYSICIAN 40.00 0.00 X 778218 0 -38139 LOUIS PATALANO IV FORMER OFFICER 0.00 0.00 X 0 1103191 -16296 RICHARD L HAUSHALTER FORMER KE 0.00 0.00 X 0 208885 11 GINA F YOST FORMER KE 40.00 0.00 X 179747 0 -22104 6355410 10005636 -62021 368 1 1 0 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING SOLUTIONS 9219784 TRIMEDX 5451 LAKEVIEW PARKWAY SOUTH DRIVE INDIANAPOLIS IN 46268 CLINICAL ASSET MANAGEMENT 5707671 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 HEALTHCARE STAFFING SOLUTIONS 5185130 LANTZ CONSTRUCTION COMPANY 539 S MAIN STREET BROADWAY VA 22815 CONSTRUCTION 3914909 MORRISON HEALTHCARE PO BOX 160266 MOBILE AL 36625 FOOD AND FACILITIES MANAGEMENT 1429309 40 1183678 4810515 1318445 5994193 NET PATIENT SRVC REV 621300 495155862 495155862 OTHER PROGRAM SERVICES 621300 2112066 2112066 PREMIUM & CAPITATION REVENUE 621300 205605 205605 497473533 765301 765301 69450 165336 -95886 -95886 -95886 12956000 285430 13113508 287582 -157508 -2152 -159660 -159660 5030 2954 2076 2076 SALES OF NON-MEDICAL GOODS 900099 318659 318659 DIETARY SALES 722210 8462 8462 327121 504306678 497473533 0 838952 3243051 3243051 382950 382950 2545711 2124650 421061 169454604 140901151 27923617 629836 14339808 11968004 2371804 18244762 15177319 3007822 59621 11069267 9201571 1823556 44140 70307 58678 11629 103854 86677 17177 29684013 29579290 104723 173958 128792 25524 19642 10455394 8569765 1698346 187283 450048 316261 62676 71111 10559085 8812612 1746473 581713 480599 95244 5870 103274 86192 17082 7058178 5890755 1167423 12989456 10840457 2148349 650 2745268 2291201 454067 MEDICAL SUPPLIES 101191987 101191987 UBI TAXES -24008 -24008 0 SENTARA SERVICE EXPENSE 64335568 0 64335568 TAXES & LICENSES 29489519 29457784 31735 14211180 11857429 2349831 3920 503458947 392623167 109813707 1022073 12960624 15470088 280262 180815 57603391 63288420 138846 56245 7711408 8307596 1444136 4423525 260112976 147315587 108412505 112797389 45848218 40165709 15007287 13287556 4646390 22861181 254053067 280838524 16767339 31136951 154758 23925823 45834721 40693162 77126430 X 165534902 160628377 47825003 43083717 213359905 203712094 254053067 280838524 X 847731 12561793 -23057335 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 47825003 4692844 -5616409 3817721 43083717 42408736 3299693 5021134 2904560 47825003 39720776 3200913 3260362 3773315 42408736 35948630 3624390 5271226 5123470 39720776 36530817 6702284 -1699895 5584576 35948630 0.37510 0.62490 0 0 6129016 13245350 19374366 50623578 12209921 38413657 94738 86343 8395 169571957 130536651 39035306 20448337 4482672 15965665 112797389 INVESTMENT IN AFFILIATES 87600 BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS 245099 OTHER 1316380 DUE FROM AFFILIATES 21212102 22861181 DUE TO AFFILIATES 21346443 DUE TO THIRD PARTIES 3012857 OTHER LIABILITIES 6669846 GENERAL RESERVE 908271 ROU LIABILITY 13897304 45834721 PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR VARIOUS EQUIPMENT, PROGRAMS, AND OPERATING EXPENSES IN ACCORDANCE WITH DONOR RESTRICTIONS. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 7580132 7580132 0.01510 84690268 75795907 8894361 0.01770 92270400 75795907 16474493 0.03280 2148355 2148355 0.00430 3720096 1906032 1814064 0.00360 76335639 43432678 32902961 0.06540 501070 501070 0.00100 82705160 45338710 37366450 0.07430 174975560 121134617 53840943 0.10710 123296 123296 0.00020 11375 11375 0.00000 75481 75481 0.00010 9118 9118 0.00000 15083 15083 0.00000 1092 1092 0.00000 271097 271097 0.00050 389722 389722 0.00080 346206 346206 0.00070 1242470 1242470 0.00230 1 14271001 0 119003930 138833772 -19829842 X 1 1 1 1 SENTARA RMH MEDICAL CENTER 2010 HEALTH CAMPUS DR HARRISONBURG VA 22801 WWW.SENTARA.COM H1891 X X X OTHER MENTAL HEALTH AND SUBSTANCE ABUSE SENTARA RMH MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE SECTION C BELOW. 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 RMH MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SENTARA RMH MEDICAL CENTER (SRMC) 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 THROUGH FOCUS GROUPS AND INTERVIEWS.1) SRMC CONVENED A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. THE COMMITTEE 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. AN EXAMPLE IS THE HEALTHY COMMUNITY ASSESSMENT CONDUCTED BY THE HEALTHY COMMUNITY COUNCIL. 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. MEMBERS OF THE STEERING COMMITTEE PROVIDED INPUT BASED UPON THEIR INVOLVEMENT IN COMMUNITY COALITIONS AND COMMUNITY HEALTH INITIATIVES AND THEIR COMMUNICATIONS WITH INDIVIDUALS IN THE COMMUNITY. IN ADDITION, HOSPITAL STAFF CONDUCTED FOCUS GROUPS TO RECEIVE INPUT FROM SAFETY NET PROVIDERS, A COMMUNITY FOUNDATION, AND OTHERS.4) IN ADDITION TO THE ONLINE SURVEYS FOR COMMUNITY INSIGHT, SNVMC 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. SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS.THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 11: THE SRMC 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 THE COUNTY-WIDE COLLABORATIVE, THE HEALTHY COMMUNITY COUNCIL (OF HARRISONBURG AND ROCKINGHAM COUNTY). 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. SENTARA RMH MEDICAL 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. PART V, LINE 3E: 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. 27 1 - HAHN CANCER CENTER 2008 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 OUTPATIENT CANCER CENTER 2 - SENTARA RMH ORTHO & SPORTS MED 2509 PLEASANT RUN DRIVE HARRISONBURG VA 22801 REHAB & IMAGING & ORTHOPEDIC CENTER & SPECIALTY PHYSICIAN OFFICE 3 - SENTARA CARDIOLOGY SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 4 - SENTARA EVELYN BYRD HEALTH CENTER 1871 EVELYN BYRD AVENUE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES, LAB 5 - SENTARA NEUROLOGY SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 6 - SENTARA TIMBER WAY HEALTH CENTER 13892 TIMBER WAY BROADWAY VA 22815 FAMILY PRACTICE, LAB, IMAGING & REHAB 7 - REHAB SERVICES-PAVILION 2500 WELLNESS DRIVE HARRISONBURG VA 22801 REHABILITATION SERVICES 8 - SENTARA SOUTH MAIN HEALTH CENTER 1661 SOUTH MAIN STREET 1ST FLOOR HARRISONBURG VA 22801 FAMILY PRACTICE, LAB, IMAGING & SPECIALTY PHYSICIAN OFFICE 9 - SENTARA E ROCKINGHAM HEALTH CTR 13737 SPOTSWOOD TRAIL ELKTON VA 22827 FAMILY PRACTICE, LAB, IMAGING & REHAB 10 - SENTARA VASCULAR SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 11 - SENTARA SURGERY SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 12 - SENTARA SLEEP MEDICINE SPECIALISTS 1661 SOUTH MAIN STREET 2ND FLOOR HARRISONBURG VA 22801 SLEEP CLINIC, SLEEP LAB 13 - SENTARA CARDIOTHORACIC SURGERY SPEC 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 14 - SENTARA RHEUMATOLOGY SPECIALISTS 2509 PLEASANT RUN DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 15 - SENTARA PULMONARY AND CC SPEC 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 16 - SENTARA BEHAVIORAL HEALTH SPECIALISTS 136 W ELIZABETH ST SUITE 201 HARRISONBURG VA 22801 MENTAL HEALTH CLINIC, MENTAL HEALTH SERVICES 17 - SENTARA EAST MARKET STREET HEALTH CTR 1790-64B EAST MARKET STREET HARRISONBURG VA 22801 FAMILY PRACTICE, IMAGING, OUTPATIENT LAB, & OCCUPATIONAL HEALTH 18 - REHAB SERVICES-INDUSTRIAL 1790 E MARKET ST 64B HARRISONBURG VA 22801 FAMILY PRACTICE, IMAGING, OUTPATIENT LAB, & OCCUPATIONAL HEALTH 19 - SENTARA MOUNT JACKSON HEALTH CENTER 120 MEDICAL AVENUE MOUNT JACKSON VA 22842 FAMILY PRACTICE 20 - SENTARA RMH BEHAVIORAL HEALTH 136 W ELIZABETH ST SUITE 201 HARRISONBURG VA 22801 MENTAL HEALTH CLINIC, MENTAL HEALTH SERVICES 21 - SENTARA INTEGRATIVE MED PHYSICIANS 1931 MEDICAL AVENUE HARRISONBURG VA 22801 INTEGRATIVE MEDICINE & SPECIALTY PHYSICIAN OFFICES 22 - SENTARA RMH FUNKHOUSER WOMENS CTR 2275 HEALTH CAMPS DRIVE HARRISONBURG VA 22801 MAMMOGRAPHY SERVICES, IMAGE RECOVERY 23 - SENTARA THERAPY CTR EAST ROCKINGHAM 14171 SPOTSWOOD TRAIL ELKTON VA 22827 THERAPY CENTER 24 - SENTARA PALLIATIVE CARE SPECIALISTS 1931 MEDICAL AVENUE HARRISONBURG VA 22801 INTEGRATIVE MEDICINE & SPECIALTY PHYSICIAN OFFICES 25 - SENTARA INFECTIOUS DISEASE SPEC 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 26 - SENTARA OCCUPATIONAL HEALTH SPEC 1790-64B EAST MARKET STREET HARRISONBURG VA 22801 FAMILY PRACTICE, IMAGING, OUTPATIENT LAB, & OCCUPATIONAL HEALTH 27 - SENTARA PRIM CARE & THER CTR-STAUNTON 103 COMMUNITY WAY STAUNTON VA 24401 THERAPY CENTER 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: CB REPORT PREPARED BY A RELATED ORG: 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 I, LINE 7G: $30,972,302 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS. 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. -OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS AND VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY. ADDITIONALLY, THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO WORK WITH COMMUNITY PARTNERS GRANTED FUNDS THROUGH SENTARA CARES ON COMMUNITY BUILDING ACTIVITIES WHICH INCLUDE THE FOLLOWING PARTNERS FOR THE SRMC SERVICE AREA: ADAGIO HOUSE, AVA CARE OF HARRISONBURG, BLUE RIDGE CASA FOR CHILDREN, BLUE RIDGE COMMUNITY COLLEGE EDUCATIONAL FOUNDATION, INC., BLUE RIDGE FREE CLINIC, BRIDGE OF HOPE HARRISONBURG-ROCKINGHAM, CENTRAL VALLEY HABITAT FOR HUMANITY, CITY OF HARRISONBURG FIRE DEPARTMENT, ON THE ROAD COLLABORATIVE, OPEN DOORS INC., OUR COMMUNITY PLACE, ROCKINGHAM COUNTY, SHENANDOAH HOUSING CORPORATION, SHENANDOAH LGBTQ CENTER, SHENANDOAH VALLEY SCHOLARS LATINO INITIATIVE INC., THE ARC OF HARRISONBURG AND ROCKINGHAM, THE COMMUNITY FOUNDATION OF HARRISONBURG AND ROCKINGHAM COUNTY, AND VALLEY PROGRAM FOR AGING SERVICES. PART III, LINE 2: FOR SCHEDULE H PART III LINE 2 PURPOSES, THE ORGANIZATION REPORTS WHAT WOULD'VE 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 17-21 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 4: SEE FOOTNOTE 4 ON PAGES 17-21 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 THE LOCAL HEALTH DISTRICTS AND OTHER ORGANIZATIONS. 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 TOLL-FREE AND 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: THE HOSPITAL ORGANIZATION SERVES RESIDENTS OF THE CITIES OF HARRISONBURG, STAUNTON AND THE COUNTIES OF AUGUSTA, PAGE, ROCKINGHAM, AND SHENANDOAH. THE 2022 POPULATION OF THE SERVICE AREA IS 307,607 AND IS EXPECTED TO GROW OVER THE NEXT TEN YEARS, GROWING BY 6.7% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 5.7%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A HIGHER PERCENT OF THE POPULATION 65+ (19.1% VS. 16.8%) AND A SLIGHTLY LOWER PERCENT OF THE POPULATION YOUNGER THAN 19 YEARS (19.8% VS. 22.2%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 87.2% VS. 88.9% FOR THE US OVERALL, WITH ONLY 25.7% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 33.7% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $58,739 VS. $69,021 FOR THE US, AND A HIGHER PERCENT OF HOUSEHOLDS, 12.2% VS. 11.6%, LIVE IN POVERTY. RACIALLY, THE SERVICE AREA IS HOME TO 89.0% WHITES (VS. 75.8% FOR THE US), 4.8% BLACK/AFRICAN AMERICANS (VS. 13.6% US), 1.3% ASIANS (VS. 6.1% US), WITH 3.7% REPORTING TWO OR MORE RACES VS. 2.9% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 8.3% HISPANICS VS. 18.9% NATIONALLY, AND 83.5% NON-HISPANICS, VS. 59.3% NATIONALLY. PART VI, LINE 5: THE ORGANIZATION'S BOARD MEMBERSHIP IS DETERMINED ANNUALLY THROUGH APPOINTMENT OR RATIFICATION BY ITS SOLE MEMBER, SENTARA HOSPITALS, A 501(C)(3) SUBSIDIARY OF SENTARA HEALTH. A 501(C)(3) VIRGINIA NONSTOCK CORPORATION. SENTARA HEALTH'S 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 INPATIENT 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.") RECOGNIZED BY FORBES IN 2022 AS A "BEST EMPLOYER FOR NEW GRADS", "VETERANS, AND "AMERICA'S BEST EMPLOYER," SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT SYSTEM OF 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. THE SENTARA FAMILY ALSO INCLUDES FOUR MEDICAL GROUPS, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND THE SENTARA HEALTH PLANS DIVISION SERVING OVER 1,000,000 MEMBERS IN VIRGINIA, NORTH CAROLINA 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 ITS PATIENTS AND MEMBERS. 1 EASTERN MENNONITE UNIVERSITY 1200 PARK ROAD HARRISONBURG VA 22802 540575812 501(C)(3) 0 10000 CLINICAL PASTORAL EDUCATION PROGRAM SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 521271901 501(C)(3) 0 3155601 CORPORATE ALLOCATION TO PARENT JAMES MADISON UNIVERSITY MSC 3516 738 S MASON ST ROOM 5100 HARRISONBURG VA 22807 546001756 501(C)(3) 0 64000 SUITCASE CLINIC AMERICAN HEART ASSOCIATION PO BOX 4002012 DES MOINES IA 50340 135613797 501(C)(3) 0 10000 SPONSORSHIP 4 0 EMPLOYEE RELIEF FUND 14 24950 BUSINESS OFFICE INDIGENT PT 12 293046 MAMMOGRAMS FOR INDIGENT 136 21470 WELLNESS SCHOLARSHIP 59 21766 MELTON SCHOLARSHIPS 2 6700 SHOWALTER SCHOLARSHIPS 1 500 STEGER SCHOLARSHIPS 7 3500 MEDICATIONS FOR CANCER PATIENTS 3295 CARDIAC PRO EX SCHOLARSHIPS 3060 HIGH DOSE RADIATION PT HOTEL STAYS 361 CANCER PRO EX SHOLARSHIPS 540 PATIENT CARE TECHNICIANS SCHOLARSHIPS 2 3762 PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO SENTARA HEALTH, THE 501(C)(3) PARENT ORGANIZATION OF THE SYSTEM, 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. SENTARA RMH MEDICAL CENTER HAS A CAREFUL SCREENING PROCESS IN REVIEWING GRANT APPLICANTS. THE APPLICATIONS ARE FIRST REVIEWED BY A SMALL COMMITTEE USING ESTABLISHED CRITERIA SUCH AS: 1) WHAT COMMUNITY NEED IS BEING ADDRESSED, 2) THE ROLE OF PARTNERS IN THE INITIATIVE, 3) AN ACTION PLAN WITH SPECIFIC ACTIVITIES, 4) MEASURABLE GOALS OR OUTCOMES, 5) BUDGET, AND 6) SUSTAINABILITY FOR THE PROJECT IN THE FUTURE. IF AWARDED THE GRANT, THE APPLICANT IS REQUIRED TO SUBMIT A WRITTEN REPORT OF THE OUTCOME WITHIN 12 MONTHS. NO GRANTS ARE MADE OUTSIDE OF THE UNITED STATES. 1 1 0 0 0 0 0 1 0 MICHAEL V GENTRY DIRECTOR 0 1135214 0 943662 0 1400508 0 -71826 0 31611 0 3439169 0 904144 ROBERT A BROERMANN TREASURER 0 1136501 0 969392 0 295536 0 -115045 0 28777 0 2315161 0 0 PAUL A GADEN DIRECTOR 0 573520 0 362393 0 49956 0 89920 0 33095 0 1108884 0 0 LOUIS PATALANO IV FORMER OFFICER 0 0 0 0 0 1103191 0 -17502 0 1206 0 1086895 0 0 YURIY O ZHUKOV MD PHYSICIAN 770552 0 40000 0 46640 0 -12418 0 12672 0 857446 0 0 0 ROBERT LANCEY MD PHYSICIAN 759659 0 7280 0 32311 0 18300 0 38048 0 855598 0 0 0 CLARK BAUMBUSCH PHYSICIAN 293354 590131 0 0 0 1020 0 -33129 0 2892 293354 560914 0 0 CHRISTOPHER J HESS MD PHYSICIAN 734310 0 82573 0 21467 0 -63321 0 35808 0 810837 0 0 0 DOUGLAS J MOYER DIRECTOR/PRESIDENT 482462 0 174120 0 48869 0 22447 0 42551 0 770449 0 27271 0 FOUZIA SIDDIQUI MD PHYSICIAN 714928 0 61501 0 1789 0 -62560 0 24421 0 740079 0 0 0 EARL J BARNES II SECRETARY (EFF 6/22) 0 339835 0 116099 0 46603 0 62617 0 11257 0 576411 0 0 RITA A BUNCH DIRECTOR 9556 303710 0 103163 13 57209 578 38897 442 11410 10589 514389 0 0 EDWARD A SANDY KE (EXEC DIRECTOR) 359802 0 57733 0 5941 0 6373 0 29818 0 459667 0 0 0 MORRIS FENDLEY MD DIRECTOR 425872 0 41404 0 21328 0 -34835 0 2710 0 456479 0 0 0 ROBERT GARWOOD KE (VP/CMO) 357756 0 37791 0 2596 0 -21209 0 31604 0 408538 0 0 0 DONNA S HAHN KE (VP ACUTE CARE/CNE) 270099 0 95031 0 1844 0 -151152 0 13042 0 228864 0 0 0 JAMIN C ENGEL KE (REGIONAL DIRECTOR PHARMACY OPS) 181382 0 27551 0 8149 0 -37191 0 31234 0 211125 0 0 0 RICHARD L HAUSHALTER FORMER KE 0 0 0 0 0 208885 0 0 0 11 0 208896 0 0 SAMUEL J HAWLEY ASST SECRETARY (THROUGH 6/22) 0 100573 0 37816 0 90719 0 -51443 0 9973 0 187638 0 50475 GINA F YOST FORMER KE 150571 0 22421 0 6755 0 -54904 0 32800 0 157643 0 0 0 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 THROUGH THE USE OF 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 $1,103,191 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. RICHARD L. HAUSHALTER RECEIVED $208,885 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. ROBERT BROERMANN, MICHAEL GENTRY, DOUGLAS MOYER, PAUL GADEN, EARL BARNES AND RITA BUNCH 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 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. 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). DURING 2022, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($202,592); MICHAEL GENTRY ($172,528); AND DOUGLAS MOYER ($44,163). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. PART I, LINE 7 DURING THE CURRENT TAX 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. 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 AS DETERMINED BY THE BOARD; BUSINESS UNIT RESULTS FOR FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE; 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. PHYSICIAN PERFORMANCE INCENTIVE AN INCENTIVE DESIGNED TO ENCOURAGE AND RECOGNIZE THE CONTRIBUTIONS AND STEWARDSHIP OF PHYSICIANS IN SENTARA'S INTEGRATED DELIVERY SYSTEM. AWARDS ARE BASED ON THE ACHIEVEMENT OF CLINICAL QUALITY, PATIENT SATISFACTION, FISCAL RESPONSIBILITY AND SYSTEM ALIGNMENT GOALS. LINDY YOST FAMILY MEMBER OF FORMER KEY EMPLOYEE GINA F. YOST 25313 EMPLOYMENT 0 X 8500 FMV X 2 6771 FMV X 1 1301224 FMV X 160 1850 FMV X GIFT BASKETS 1 100 FMV 0 1 1 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. PART I, LINE 32B: SENTARA RMH MEDICAL CENTER USES EXTERNAL PARTIES TO COORDINATE AN ARMS-LENGTH SALE OF NON-CASH CONTRIBUTIONS. FOR EXAMPLE, A LICENSED STOCK BROKER WAS USED THIS YEAR TO SELL NON-CASH CONTRIBUTIONS OF STOCK. FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH CONDUCTING AND MAINTAINING AN INSTITUTION FOR PERSONS IN NEED OF MEDICAL AND SURGICAL ATTENTION; CARRYING ON EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO SICK AND INJURED OR TO THE PROMOTION OF HEALTH; PROMOTING AND CARRYING ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; AND PARTICIPATING IN ACTIVITIES DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTH I. SENTARA HEALTH YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTH CELEBRATES 134 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEM WITH MORE THAN 29,000 EMPLOYEES (INCLUDING 1,375 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES OVER 1,000,000 MEMBERS IN VIRGINIA, NORTH CAROLINA, 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 WAS RECOGNIZED AS A "BEST EMPLOYER FOR NEW GRADS", "VETERANS AND "AMERICA'S BEST EMPLOYER" BY FORBES IN 2022. SENTARA HAS A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE (MADE 863 LIFE-SAVING TRIPS IN 2022 ALONE), HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, AND THE SENTARA COLLEGE OF HEALTH SCIENCES. EFFORTS ARE CENTERED ON PROVIDING THE RIGHT CARE IN THE RIGHT SETTING AT THE RIGHT TIME 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 2022 VALUE OF COMMUNITY BENEFIT TOTALED $260.2 MILLION. SENTARA PROVIDED $157 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $48.5 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $48 MILLION IN COMMUNITY GIVING; AND $6.7 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED $1.9 MILLION THROUGH DIRECT CONTRIBUTION AND EMPLOYEE MATCHING TO UNITED WAYS IN VIRGINIA AND NORTH CAROLINA. A. SENTARA CONTINUES ITS EFFORTS THROUGH THE COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. SENTARA AWARDED 86 GRANTS TOTALING $8,609,557 FOR OUR COMMUNITIES AS WELL AS $1,069,683 IN MICROGRANTS REACHING THE DEEPEST LEVELS IN OUR COMMUNITIES. SENTARA INVESTED $3,850,300 FOR SENTARA SCHOLARS AND SENTARA CHOICE, WHICH ARE PROGRAMS TO SUPPORT STUDENTS WITH A VISION AND PATHWAY FOR SUCCESS THAT INCLUDES SUPPORT AND REMOVES BARRIERS TO HIGHER PAYING, MEANINGFUL HEALTHCARE CAREERS. SENTARA DONATED NEARLY $3.5 MILLION IN MEDICAL SUPPLIES TO SUPPORT CHARITIES ADDRESSING HUMANITARIAN CRISES IN UKRAINE, POLAND, HAITI, AND THE PHILIPPINES. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIROMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASES OUR COMMUNITY CONNECTION. IT BUILDS ON SENTARA RECOGNIZED LEADERSHIP AND COMMITMENT TO THE COMMUNITIES WE SERVE. B. IN 2022, SENTARA LAUNCHED SENTARA COMMUNITY CARE, A NEW MODEL OF CARE WHICH INCLUDES SENTARA COMMUNITY CARE CENTERS AND SENTARA MOBILE CARE. SENTARA OPENED THE FIRST SENTARA COMMUNITY CARE CENTER AT UNION MISSION (HOMELESS SHELTER) IN NORFOLK, VIRGINIA FOLLOWED BY A CENTER IN THE BERKLEY NEIGHBORHOOD OF NORFOLK. ADDITIONALLY, SENTARA MOBILE CARE LAUNCHED, DELIVERING CARE IN A NUMBER OF COMMUNITIES WHO ARE UNDERSERVED AND LACKING ACCESS TO HEALTHCARE. 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 FORMED SEVERAL PARTNERSHIPS WITH KEY DIVERSITY-FOCUSED ORGANIZATIONS. WE CONTINUE THE WORK OF THE DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS. AND WE CONTINUE TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. ADDITIONALLY, SENTARA CONTINUED THE EXCELLENT WORK IN IDENTIFYING AND REDUCING BARRIERS SO PEOPLE CAN RECEIVE THE CARE THEY NEED. THE TEAM IDENTIFIES HEALTH DISPARITIES AND RESEARCH POSSIBLE CAUSES. THIS INCLUDES CHRONIC HEALTH ISSUES SUCH AS HYPERTENSION, DIABETES, AND THE HIGH RATES OF CANCER DEATHS IN MINORITY COMMUNITIES. ADDITIONALLY, WE HAVE POLICIES AND GUIDELINES TO ENSURE PROTECTION OF LGBTQ PATIENTS' RIGHTS AND IN 2022, IMPLEMENTED SOGI (SEXUAL ORIENTATION, GENDER IDENTITY) QUESTIONS INTO OUR EPIC EMR (ELECTRONIC MEDICAL RCORD) TO FURTHER OUR ABILITY TO CARE FOR PATIENTS AND CREATE TRUSTING RELATIONSHIPS WITH THEM. SENTARA ALSO PARTNERED WITH NUMEROUS COMMUNITY AND FAITH-BASED GROUPS TO PROVIDE EDUCATION AND EARLY DETECTION FOR COLORECTAL AND BREAST CANCERS. ELEVEN SENTARA HOSPITALS WERE NAMED A "TOP PERFORMER" IN THE 2022 LGBTQ HEALTHCARE EQUALITY INDEX (HEI), WHICH IS AWARDED TO THOSE SURVEYED ORGANIZATIONS THAT EARN HIGH SCORES BETWEEN 80 AND 95 IN THE 2022 HEI SURVEY. D. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED $11,458,852 MILLION TO SUPPORT THE CLINICAL NEEDS OF THE SYSTEM AND PROVIDED FUNDING THROUGH GRANTS AND DIRECT CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT HAVE SIMILAR INTERESTS IN SUPPORTING COMMUNITY HEALTH NEEDS. E. SEVERAL YEARS AGO, SENTARA ESTABLISHED THE HOPE (HELPING OVERCOME PERSONAL EMERGENCY) FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE HOPE FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2022, EMPLOYEES DONATED $274,078 TO THE HOPE FUND AND WE AWARDED $820,353 TO SENTARA EMPLOYEES IN CRISES ACROSS THE COMPANY. F. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA CONTRIBUTED SIGNIFICANTLY TOWARD THE FUTURE OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) INTEGRATION. AND SEPARATELY, SENTARA DONATED TO OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL IN SUPPORT OF ADDRESSING HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES. G. SENTARA IS DEEPLY COMMITTED TO DEEPENING THE ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND OUR HEALTH PLANS. WE UNDERSTAND THAT IMPROVING OVERALL COMMUNITY HEALTH AT ALL LEVELS IS CRITICAL TO OUR EFFORTS FOR IMPROVING HEALTH ESPECIALLY FOR UNDERSERVED COMMUNITY MEMBERS. THROUGH OUR TRUSTED PARTNERSHIPS WITH ORGANIZATIONS, WE WORKED TO ENSURE GREATER ACCESS TO BEHAVIORAL HEALTH, SECURE, CONSISTENT, AND EQUITABLE ACCESS TO NUTRITIOUS FOOD, SUPPORT TARGETED TRAINING FOR SKILLED CAREERS IN HIGH-DEMAND FIELDS, DEVELOP EMERGENCY AND DIVERSE HOUSING SOLUTIONS AND ELIMINATE BARRIERS TO CARE AND STRENGTHEN THE CULTURAL FABRIC OF OUR COMMUNITIES. H. TO SUPPORT REDUCING HEALTH DISPARITIES WE HAVE ONGOING PARTNERSHIPS WITH THE UNIVERSITIES IN HAMPTON ROADS WHICH ARE OPERATIONALIZING A $3M COMMITMENT MADE IN 2021 TO LEVERAGE OUR INITIAL INVESTMENT TO BUILD COMMUNITY ENGAGEMENT AROUND CRITICAL ISSUES IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SUCH AS MATERNAL HEALTH AND SUBSTANCE USE DISORDER, CHILDREN'S BEHAVIORAL HEALTH, AND WORKING WITH MINORITY COMMUNITIES TO LEARN HOW TO ACCESS CRUCIAL SOCIAL SERVICES AND RESOURCES. I. SENTARA CONTRIBUTED $500,000 TO THE VIRGINIA FEDERATION OF FOOD BANKS TO BREAK DOWN BARRIERS WITH A 3-YEAR PLAN THAT AIMS TO DEEPEN FOOD BANK AND HEALTHCARE PARTNERSHIPS. THIS EFFORT WAS A HEALTH-FOCUSED, NEIGHBOR-CENTERED TRANSFORMATION OF VIRGINIA'S PANTRY NETWORK THAT IS A MOVEMENT GUIDING ALL INTERESTED PANTRIES TO IMPLEMENT MORE HEALTH-FOCUSED AND NEIGHBOR CENTERED PRACTICES. THIS COMMITMENT TO FOOD SECURITY EXTENDS DEEPER INTO OUR COMMUNITIES AS WE PARTNER WITH LOCAL FOOD PANTRIES AND OTHER COMMUNITY-BASED ORGANIZATIONS THAT SERVE MARGINALIZED POPULATIONS THAT WAS SHARED WITH OVER 30 ORGANIZATIONS. FORM 990, PART III, LINE 4A J. SENTARA CONTINUES TO RECOGNIZE THE NEED FOR HOUSING ALONG THE CONTINUUM TO INCLUDE SUPPORTING EMERGENCY, AFFORDABLE AND SUPPORTIVE HOUSING SERVICES IN CONNECTION WITH CITIES, COMMUNITY SERVICE BOARDS AND MENTAL HEALTH PROVIDERS ACROSS VIRGINIA. SENTARA ANNOUNCED AN $11M INVESTMENT IN THE MARSHALL-RIDLEY CHOICE NEIGHBORHOOD REVITALIZATION INITIATIVE IN NEWPORT NEWS, VIRGINIA. THIS PROJECT IS PART OF THE CHOICE NEIGHBORHOOD INITIATIVE, WHICH LEVERAGES PUBLIC AND PRIVATE INVESTMENTS TO REPLACE DISTRESSED PUBLIC HOUSING AND TRANSFORM NEIGHBORHOODS OF CONCENTRATED POVERTY INTO NEIGHBORHOODS OF OPPORTUNITY. IN 2022, SENTARA FUNDED A CAPITAL GRANT TO JUDEO CHRISTIAN OUTREACH CENTER (JCOC) IN SUPPORT OF AN AMBITIOUS CAMPUS REBUILD PROJECT THAT WILL DRAMATICALLY INCREASE OUR ABILITY TO LEAD PEOPLE OUT OF HUNGER AND HOMELESSNESS. THE NEW 20,644 SQ FT. FACILITY IN VIRGINIA BEACH WILL CREATE 38 SINGLE ROOM OCCUPANCY (SRO) AFFORDABLE-HOUSING UNITS. ALL RESIDENTS WILL HAVE ACCESS TO THE SUPPORT SERVICES PROVIDED BY JCOC AND OUR CONTINUUM OF CARE PARTNERS. THE COMPLEX WILL HOUSE OUR COMMUNITY DINNER, FOOD PANTRY AND FAMILY FOOD BOX PROGRAMS, WHICH SERVE MORE THAN 110,000 FREE MEALS WORTH OF FOOD A YEAR INCLUDING THE DISTRIBUTION OF MEAT AND NONPERISHABLES TO APPROXIMATELY 4,000 INDIVIDUALS ANNUALLY. SENTARA FUNDED 32 ORGANIZATIONS ACROSS VIRGINIA RANGING FROM $10,000-$500,000 THAT SUPPORT PROGRAMS AND PROJECTS WHO WORK IN THE AREA OF DISTRESSED PUBLIC HOUSING, TRANSFORMING NEIGHBORHOODS OF CONCENTRATED POVERTY INTO NEIGHBORHOODS OF OPPORTUNITY. K. COMMUNITY HEALTH INITIATIVES SENTARA AND SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTH COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2022: SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. SENTARA HOSTS SEVERAL COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THROUGH THE PROMOTION OF "28 DAYS OF HEART" IN FEBRUARY 2022 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, VIDEOS, SCREENINGS, AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. ADDITIONALLY, 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. III. COMMITMENT TO OUR TEAM MEMBERS A. SENTARA INVESTING IN OUR PEOPLE IS ALWAYS A TOP PRIORITY AND IN LINE WITH OUR MISSION TO IMPROVE HEALTH EVERY DAY. IN 2022 ALONE, SENTARA INVESTED MORE THAN $125M IN PAY INCREASES AND ENHANCED BENEFITS FOR OUR COLLEAGUES. THE PAY INCREASES TOTALED $110M AND $15M CONSTITUTED ENHANCED OR NEW BENEFITS INCLUDING - REIMBURSEMENT PROGRAMS TO ASSIST WITH ADOPTION EXPENSES; INFERTILITY CARE EXPENSES AND SURROGACY AND GESTATIONAL CARRIER EXPENSES; SHORT TERM DISABILITY ELIGIBILITY AT 7 DAYS; INCREASED PAID TIME OFF; PAID PARENTAL LEAVE; ENHANCED SICK TIME ELIGIBILITY; ADDITIONAL SUPPORT FOR FAMILY CAREGIVER; AND INCREASED EDUCATIONAL ASSISTANCE TO SUPPORT CAREER ADVANCEMENT. B. WORKPLACE SAFETY FOR OUR SENTARA COLLEAGUES IS PARAMOUNT. WE MUST KEEP OUR COLLEAGUES SAFE FOR THEM TO BE ABLE TO CARE FOR OUR MEMBERS, PATIENTS, AND THE COMMUNITIES WE SERVE. IN THE INTEREST OF EMPLOYEE, PATIENT AND VISITOR SAFETY, SENTARA IMPLEMENTED A VISITOR BADGING SYSTEM AT OUR HOSPITALS. ADDITIONALLY, PERSONAL SAFETY DEVICES WERE DISTRIBUTED TO THE HOME VISITING STAFF WHO WORK IN THE AREAS OF HOME HEALTH, INFUSION SERVICES, AND SENTARA PACE. THESE DEVICES ATTACH TO A SMART PHONE AND SUMMON HELP FOR A SAFETY RESPONSE TEAM AT A TOUCH OF A BUTTON. ALSO, SENTARA IMPLEMENTED A "BE KIND" MARKETING CAMPAIGN TO EMPHASIZE THE IMPORTANCE OF COMPASSION AND RESPECT, ESPECIALLY TOWARD HEALTH CARE EMPLOYEES. IV. GROWTH IN SENTARA HEALTH OUR GROWTH IN 2022 INCLUDED THE FOLLOWING: A. SENTARA BROKE GROUND ON ITS NEW SENTARA ALBEMARLE MEDICAL CENTER, A STATE-OF-THE-ART 88 BED HOSPITAL TO REPLACE THE CURRENT 60-YEAR-OLD FACILITY ALSO LOCATED IN ELIZABETH CITY, NC. THE NEW HOSPITAL WILL ADJOIN A 60,000 SQUARE FOOT MEDICAL OFFICE BUILDING THAT IS SLATED TO OPEN IN SPRING 2023. THIS CAMPUS REFLECTS THE MOST SIGNIFICANT INVESTMENT IN HEALTH CARE IN NORTHEAST NORTH CAROLINA SINCE THE CURRENT SENTARA ALBEMARLE MEDICAL CENTER WAS OPENED MORE THAN 60 YEARS AGO. B. SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, CONTINUED TO COLLECTIVELY SERVE OVER 737,000 ELIGIBLE VIRGINIANS WHO QUALIFIED FOR MEDICAID. C. SENTARA ACQUIRED AVMED, INC., A NOT-FOR-PROFIT HEALTH PLAN IN FLORIDA. AVMED PROVIDES COMMERCIAL GROUP, INDIVIDUAL, AND MEDICARE ADVANTAGE COVERAGE TO ABOUT 200,000 MEMBERS. D. THE SENTARA BROCK CANCER CENTER IN NORFOLK, VIRGINIA, BEGAN ITS THIRD YEAR SERVING AS A PATIENT-CENTERED FACILITY THAT IS TRANSFORMING CANCER CARE IN SOUTHEAST VIRGINIA/NORTHEAST NORTH CAROLINA. THE SENTARA BROCK CANCER CENTER SERVES 700-1,000 PATIENTS PER DAY. ADDITIONALLY, SENTARA FORMED THE LUKE HILLIER CANCER RESEARCH ALLIANCE, AND DEDICATED THE LOBBY OF THE SENTARA BROCK CANCER CENTER IN HONOR OF KAY MORGAN STOCKWELL. ALSO, WITHIN THE CANCER CENTER, SENTARA OPENED THE CARILLO KERN CENTER FOR INTEGRATIVE THERAPIES. E. IN HAMPTON ROADS, SENTARA OPENED A NEW PLASTIC SURGERY PRACTICE; A NEW GASTROENTEROLOGY PRACTICE; A NEW WEIGHT LOSS PRACTICE AND OPENED A NEW COMPREHENSIVE CARE PRACTICE. ADDITIONALLY, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WAS AWARDED THE HIGHEST RATING FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS FOR SENIOR EMERGENCY CARE. F. IN THE BLUE RIDGE REGION (HARRISONBURG AND CHARLOTTESVILLE), SENTARA LAUNCHED A NEW PRIMARY CARE AND THERAPY CENTER IN STAUNTON AND OPENED A NEW OUTPATIENT CARE CENTER IN CHARLOTTESVILLE. G. IN THE HALIFAX REGION, SENTARA HALIFAX REGIONAL HOSPITAL INTRODUCED A DIALECTICAL BEHAVIOR THERAPY PROGRAM, WHICH IS COGNITIVE BEHAVIORAL THERAPY DESIGNED TO TREAT BORDERLINE PERSONALITY DISORDER AND FOR TREATMENT OF OTHER MENTAL HEALTH ISSUES. H. IN NORTHERN VIRGINIA, SENTARA OPENED A NEW FAMILY AND INTERNAL MEDICINE PRACTICE. I. THE VB STRONG CENTER, A PARTNERSHIP BETWEEN SENTARA AND THE CITY OF VIRGINIA BEACH, HAS RECEIVED FUNDING TO EXTEND ITS SERVICE TO THE COMMUNITY. THE CENTER IS COMMITTED TO EMPOWERING AND UPLIFTING THOSE AFFECTED BY THE VIRGINIA BEACH MUNICIPAL CENTER SHOOTING ON MAY 31, 2019. V. DIGITAL INITIATIVES AND INNOVATION SUCCESS A. SENTARA IMPLEMENTED KEY INFRASTRUCTURE TECHNOLOGIES TO IMPROVE ORGANIZATIONAL PERFORMANCE TO INCLUDE WORKDAY (FINANCE AND HR PLATFORM) AND STRATA (PRODUCTIVITY PERFORMANCE PLATFORM). B. SENTARA CONTINUED ITS FOCUS ON ENHANCING THE CONSUMER DIGITAL EXPERIENCE AND PROVIDING IMPROVED EFFICIENCIES BY CONVERTING FROM THE SENTARA APP TO THE SENTARA BRANDED EPIC MYCHART APP. C. THE VOICE OF THE CUSTOMER MODEL WAS HEAVILY UTILIZED TO UNDERSTAND MORE FROM OUR CONSUMERS. THE MODEL ENABLES SENTARA TO INTEGRATE THE VOICE OF THE CUSTOMER INTO ALL FACETS OF BUSINESS DECISION-MAKING AND PRODUCT DEVELOPMENT BOTH IN THE BRICK-AND-MORTAR WORLD AND IN THE WORLD OF VIRTUAL CARE. D. SENTARA HEALTH PLANS MIGRATED TO A NEW PHARMACY BENEFIT PLATFORM TO BETTER MANAGE PHARMACY SPEND AND OFFER COMPETITIVE PRICING AND ENHANCED SERVICES TO OUR CURRENT AND FUTURE CONSUMERS. E. SENTARA CREATED AN ENVIRONMENTAL STEWARDSHIP COUNCIL TO BETTER ALIGN THE COMPANY WITH COMMON ENVIRONMENTAL, SOCIAL AND GOVERNANCE (ESG) STANDARDS. THE COUNCIL SHARES BEST PRACTICES AND POLICIES WITHIN THE COMPANY AS WELL AS REVIEWS THE ACCOMPLISHMENTS FROM OTHER HEALTH SYSTEMS AND COMMUNITIES TO INTEGRATE INTO SUCCESSES FOR SENTARA. FORM 990, PART III, LINE 4A VI. BY THE NUMBERS: A. 786,063 EMERGENCY ROOM VISITS; 16,036 BABIES DELIVERED, 14 HEART TRANSPLANTS, 66 KIDNEY TRANSPLANTS, 2 PANCREAS TRANSPLANTS, 130 COVID-19 VACCINE CLINICS, 261,000 SENTARA LAB COVID-19 TESTS, 25,000 COVID-19 BOOSTERS AND FLU VACCINES BY SENTARA EMPLOYEE HEALTH, 863 LIFE-SAVING TRIPS FROM THE NIGHTINGALE AIR AMBULANCE, AND 157,967 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VII. EXPANDING EDUCATIONAL AND RESEARCH OPPORTUNITIES A. EDUCATION: 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 2022, SENTARA REACHED 78.1% OF SENTARA NURSES HAVING EARNED OR ARE UNDER CONTRACT TO EARN A BSN. SENTARA HAD 71.6% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 6.5% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. B. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. IN 2022, SENTARA EXPERIENCED A 16.5% INCREASE IN CLINICAL TRIALS AND 31.5% INCREASE IN PRINCIPAL INVESTIGATORS COMPARED TO 2021. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA HEALTH AND IN OUR COMMUNITIES. THE SENTARA HEALTH RESEARCH CENTER STRIVES TO IMPROVE TREATMENT OPTIONS, MEDICAL TECHNOLOGY, AND HEALTH EQUITIES WITH OUR DEDICATED TEAM OF EXPERTS AND STATE-OF-THE-ART TECHNOLOGY. OUR RESEARCH TAKES PLACE INSIDE AND OUTSIDE OF THE HOSPITAL. WE ALSO CONDUCT RESEARCH IN OUR COMMUNITY AND PARTNER WITH MANY COMMUNITY PRACTICES. OUR RESEARCH HELPS TO ADVANCE SCIENTIFIC UNDERSTANDING OF DISEASES AND ADVANCE KNOWLEDGE THAT LEADS TO BETTER AND MORE EFFECTIVE TREATMENTS THAT IMPROVE THE HEALTH IN OUR COMMUNITIES. OUR AREAS OF RESEARCH INCLUDE: CANCER CARDIOVASCULAR HEALTHCARE DELIVERY AND HEALTH EQUITY INTERNAL MEDICINE NEUROSCIENCES ORTHOPEDICS PULMONARY CRITICAL CARE WITH HEALTH CARE FACILITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA, SENTARA TREATS A DIVERSE POPULATION OF PATIENTS. BECAUSE OF OUR WEALTH OF EXPERTISE, CUTTING-EDGE TECHNOLOGY AND CENTRALIZED AND COHESIVE RESEARCH DEPARTMENT, SENTARA CONTINUES TO BE A PREMIER HEALTH RESEARCH PARTNER. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. AWARD-WINNING CARE - 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 2022 AWARDS AND RECOGNITIONS: I. SENTARA HEALTH WAS NAMED BEST EMPLOYER - NEW GRADS, BEST EMPLOYER - VETERANS, AND AMERICA'S BEST EMPLOYER - ALL BY FORBES. II. ELEVEN SENTARA HOSPITALS EARNED A "TOP PERFORMER IN LGBTQ HEALTHCARE EQUALITY" IN THE 2022 TIMEFRAME FOR THE HEALTHCARE EQUALITY INDEX (HEI), A NATIONAL LGBTQ BENCHMARKING TOOL FROM THE HUMAN RIGHTS CAMPAIGN. III. SENTARA WAS ACKNOWLEDGED AS A LEADING COMPANY IN THE "GENEROUS VIRGINIANS" REPORT PUBLISHED IN VIRGINIA BUSINESS IN MAY 2022. SENTARA PROVIDED $18 MILLION TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND $2 MILLION TO THE EASTERN VIRGINIA MEDICAL SCHOOL'S SCHOOL OF PUBLIC HEALTH IN 2021. AND, IN THE CATEGORY OF TOTAL CORPORATE DONATIONS TO VIRGINIA NONPROFITS IN 2021, SENTARA WAS TOP OF THE LIST WITH DONATIONS TOTALING $35 MILLION. IV. SENTARA WAS NAMED DIGITAL HEALTH MOST WIRED HEALTH SYSTEM BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME). THE DIGITAL HEALTH MOST WIRED PROGRAM CONDUCTS AN ANNUAL SURVEY TO ASSESS HOW EFFECTIVELY HEALTHCARE ORGANIZATIONS APPLY CORE AND ADVANCED TECHNOLOGIES INTO THEIR CLINICAL AND BUSINESS PROGRAMS TO IMPROVE HEALTH AND CARE IN THEIR COMMUNITIES. V. SENTARA WAS AWARDED THE REGIONAL CORPORATION OF THE YEAR - CAROLINAS - VIRGINIA MINORITY SUPPLIERS DEVELOPMENT COUNCIL. THE AWARD RECOGNIZES A MEMBER COMPANY WHO HAS EVIDENCED THE MOST COMMITMENT TO MINORITY BUSINESS DEVELOPMENT DURING THE PREVIOUS YEAR. VI. SENTARA COLLEGE OF HEALTH SCIENCES WAS AWARDED THE BEST OF COASTAL VIRGINIA - PRIVATE COLLEGE/UNIVERSITY; BEST OF COASTAL VIRGINIA - SPECIALTY SCHOOL; BEST OF COASTAL VIRGINIA - TECHNICAL SCHOOL. IX. HEALTH PLANS A. GROWTH SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, CONTINUES TO SEE GROWTH AND ALONG WITH AVMED, SERVES OVER ONE MILLION MEMBERS IN VIRGINIA, NORTH CAROLINA, AND FLORIDA. OPTIMA HEALTH MEDICARE STAR RATING INCREASED TO 4.0 FROM 3.5 AND SENTARA HEALTH PLANS CONTINUES TO PRESS FORWARD ON ITS QUALITY, AFFORDABILITY, ACCESSIBILITY, HEALTH AND WELLNESS, VIRTUAL CARE, AND CUSTOMER EXPERIENCE. X. COVID-19 A. THE THIRD YEAR OF THE PANDEMIC PRESENTED MANY CHALLENGES, YET MUCH HOPE GIVEN THE DISTRIBUTION OF THE COVID-19 VACCINES AND BOOSTERS. SENTARA LEADERS AND TEAM MEMBERS CONTINUED TO RISE TO NEW HEIGHTS WITH THEIR HARD WORK AND PERSEVERANCE IN TAKING CARE OF EACH OTHER AS WELL AS OUR MEMBERS AND PATIENTS. HERE ARE A FEW HIGHLIGHTS: I. SAFETY FOR OUR PATIENTS AND VISITORS: SENTARA CONTINUED ITS DILIGENCE FOR CLEANING/SANITIZING PATIENT CARE AREAS, MANDATORY MASKING, AND SOCIAL DISTANCING. II. VACCINE EDUCATION: SENTARA IMPLEMENTED SEVERAL MARKETING CAMPAIGNS TO EDUCATE ALL IN THE COMMUNITY THE NEED TO GET VACCINATED AND BOOSTED. III. PROTECTING OUR TEAM MEMBERS: SENTARA CONTINUED ITS RIGOROUS SCREENING PROCEDURES AT ALL OUR FACILITIES AND WORK LOCATIONS. IV. SUPPORTING OUR TEAM MEMBERS: SENTARA CONTINUED WITH THE PROGRAM, "YOU MATTER" TO HELP TEAM MEMBERS WITH THEIR SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH NEEDS DURING THIS DIFFICULT PANDEMIC PERIOD. "YOU MATTER" HAS AN ABUNDANCE OF RESOURCES FOR STRESS MANAGEMENT, MINDFULNESS, RESILIENCE, MENTAL WELLNESS, AND CARE GIVER STRESS. SENTARA STRESSED THE NEED FOR TEAM MEMBERS TO TAKE CARE OF THEMSELVES AND EACH OTHER. SENTARA COVID-19 STEERING COMMITTEE: SENTARA CONTINUED TO DILIGENTLY MONITOR THE PANDEMIC CRISIS WITH THE ONGOING WORK OF THE COVID-19 STEERING COMMITTEE. LEADERS MET FREQUENTLY AND THIS ALLOWED SENTARA TO SUCCESSFULLY RESPOND, PIVOT, PLAN, AND COORDINATE ACTIONS IN RESPONSE TO THE UNPRECEDENTED PANDEMIC. SENTARA LEADERS FREQUENTLY WERE IN COMMUNICATION WITH FEDERAL, STATE, REGIONAL AND LOCAL ELECTED OFFICIALS, AND OTHER KEY STAKEHOLDERS TO COLLECTIVELY LEARN AND ADVISE OTHERS OF NEEDS AND ISSUES. CONCLUSION: SENTARA HEALTH IS 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. AND WE ARE COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT PROGRAM, SERVING DIVERSITY AND EXPLORING HEALTH EQUITIES, VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND SUPPORTING INITIATIVES THAT LIFT OUR COMMUNITIES. WE LOOK FORWARD TO ANOTHER YEAR OF COMMUNITY SUCCESS, GROWTH, AND INNOVATION IN 2023. FORM 990, PART III, LINE 4A THE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE TO THE COMMUNITY BY OFFERING THE LATEST TECHNOLOGY AND THE BEST TECHNICAL EXPERTISE. THE HOSPITAL SERVES A SEVEN-COUNTY AREA WITH A POPULATION AROUND 307,000, ADMITTING MORE THAN 19,000 INPATIENTS IN 2022. THE HOSPITAL IS LICENSED AS A 238-BED HOSPITAL AND PROVIDES AN APPROPRIATE ARRAY OF REGIONAL COMMUNITY HOSPITAL SERVICES INCLUDING ONCOLOGY, CARDIOLOGY INCLUDING CARDIAC SURGERY, BEHAVIORAL HEALTH, OBSTETRICS AND WOMEN'S SERVICES, OUTPATIENT AND INPATIENT SURGERY, SLEEP MEDICINE, EMERGENCY CARE, SENIOR SERVICES, HOME AND HOSPICE CARE, PHYSICIAN PRACTICES AND A VARIETY OF OTHER OUTPATIENT SERVICES AS WELL AS EDUCATION AND OUTREACH. THE HOSPITAL IS HOME TO SCHOOLS OF RADIOLOGICAL TECHNOLOGY AND MEDICAL TECHNOLOGY. ALONG WITH TRADITIONAL HEALTH SERVICES, THE HOSPITAL MAKES ITS RESOURCES AVAILABLE TO SUPPORT MANY COMMUNITY HEALTH INITIATIVES AND PROGRAMS. FORM 990, PART V, LINE 1A, FORM 1096: 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, SECTION A, LINE 2 BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC.: THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD 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 HOSPITALS, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY: A BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION, AND A CLASS OF DIRECTORS NOMINATED BY ROCKINGHAM HEALTH CARE, INC., A VIRGINIA NONSTOCK CORPORATION, AND RATIFIED BY SENTARA HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7B SENTARA HOSPITALS IS THE ORGANIZATION'S SOLE MEMBER ("MEMBER"). IN ACCORDANCE WITH THE AFFILIATION AGREEMENT, BY AND AMONG SENTARA HEALTH ("SHC"), A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ROCKINGHAM HEALTH CARE, INC., A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY, AND THE ORGANIZATION DATED DECEMBER 6, 2010, AS AMENDED (THE "AFFILIATION AGREEMENT"), WHICH CONSTITUTES A MEMBER AGREEMENT AS PROVIDED IN VA. CODE 13.1-852.1, SHC SHALL HAVE EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO THE OVERSIGHT OF THE ORGANIZATION'S BOARD OF DIRECTORS (THE "BOARD") TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S GOVERNANCE DOCUMENTS. IN ADDITION TO MEMBER APPROVAL OR OTHER CONSENT RIGHTS PROVIDED IN THE ORGANIZATION'S GOVERNANCE DOCUMENTS, MEMBER SHALL HAVE THE FOLLOWING EXCLUSIVE RESERVED POWERS, SUCH THAT THE ORGANIZATION SHALL NOT TAKE OR ALLOW, AND SHALL NOT PERMIT ANY OF ITS CURRENT OR FUTURE CONTROLLED SUBSIDIARIES ("CONTROLLED AFFILIATE") TO TAKE THE FOLLOWING ACTIONS WITHOUT THE WRITTEN CONSENT OF THE MEMBER: (I) SUBJECT TO THE RIGHTS SET FORTH IN THE AFFILIATION AGREEMENT, APPROVE OR ADOPT 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 AND/OR A CONTROLLED AFFILIATE, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION AND/OR A CONTROLLED AFFILIATE, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION AND/OR CONTROLLED AFFILIATE; (II) APPROVE THE STRATEGIC OR LONG-RANGE BUSINESS PLANS, ANNUAL OPERATING OR CAPITAL BUDGET, OTHER STRATEGIC OR OPERATIONAL PLANS OF THE ORGANIZATION, ANY MODIFICATION OR AMENDMENT THERETO, AND ANY ACTION TO BE TAKEN INCONSISTENT WITH SUCH PLAN; (III) CREATE OR ACQUIRE ANY DIRECT OR INDIRECT SUBSIDIARY, OR INTERESTS OF ANY KIND IN OR OF ANY OTHER CORPORATION OF WHICH IT IS TO BE A MEMBER, OR ENTER INTO ANY JOINT VENTURE, PARTNERSHIP OR SIMILAR ARRANGEMENT WITH ANY OTHER ENTITY OR PERSON, OR DISSOLVE, TERMINATE OR OTHERWISE CHANGE ANY SUCH ENTITY OR PERSON OR LEGAL RELATIONSHIP EXISTING AS OF THE AFFILIATION DATE; (IV) HIRE, TERMINATE, OR ENTER INTO, TERMINATE, RENEW OR CHANGE ANY AGREEMENT, COMMITMENT OR OBLIGATION (WHETHER WRITTEN OR NOT) RELATING TO THE EMPLOYMENT OF THE PRESIDENT OF THE ORGANIZATION, SET THE COMPENSATION OF THE CORPORATE EXECUTIVES OF THE ORGANIZATION, INCLUDING THE PRESIDENT OF THE ORGANIZATION; (V) CHANGE THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS OR AUDITORS, TAX YEAR, ACCOUNTING METHODS OR PRACTICES, PROCEDURES OR POLICIES, EXCEPT TO THE EXTENT MANDATED BY A CHANGE IN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES; (VI) ENTER INTO ANY TRANSACTION, AGREEMENT OR COMMITMENT, WHETHER WRITTEN OR NOT, WITH ANY OFFICER, MANAGER OR DIRECTOR OF THE ORGANIZATION OR A CONTROLLED AFFILIATE, ANY MEMBER OF THE MEDICAL STAFF OF THE ORGANIZATION, ANY FAMILY MEMBER OF ANY OF THE FOREGOING, OR ANY ENTITY OF WHICH ANY OF THE EQUITY, RIGHT TO RECEIVE PROFITS OR VOTING INTERESTS ARE OWNED BY ANY OF THE FOREGOING; (VII) APPROVE ANY UNBUDGETED CAPITAL EXPENDITURE(S) FOR THE ORGANIZATION THAT IN THE AGGREGATE ON A CONSOLIDATED BASIS FOR THE ORGANIZATION AND ITS FACILITIES EXCEEDS $500,000 DURING ANY FISCAL YEAR; (VIII) INCUR INDEBTEDNESS OR OTHER FINANCIAL OBLIGATIONS, OR GUARANTY THE INDEBTEDNESS OF ANY THIRD PARTY, WHETHER SECURED OR UNSECURED, NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER, AND INCLUDING, BUT NOT LIMITED TO, LEASES, WITH RESPECT TO THE ORGANIZATION OR ITS CONTROLLED AFFILIATES; (IX) COMMENCE OR SETTLE ANY LITIGATION OR ARBITRATION OR OTHER PROCEEDING, OR CONFESS A JUDGMENT AGAINST THE ORGANIZATION OR ITS CONTROLLED AFFILIATES; (X) COMMENCE OR SETTLE ANY LITIGATION OR ARBITRATION OR OTHER PROCEEDING RELATED TO THE ORGANIZATION WHILE THE ORGANIZATION IS INSURED THROUGH SENTARA'S CAPTIVE INSURANCE COMPANY; (XI) ENTER INTO, TERMINATE OR CHANGE ANY THIRD PARTY PAYOR CONTRACT; OR (XII) AGREE OR COMMIT TO DO OR ALLOW ANY OF THE FOREGOING. DURING THE COVENANT PERIOD, THE AFOREMENTIONED ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF A MAJORITY OF THE CLASS A DIRECTORS OF THE BOARD, VOTING AS A SEPARATE CLASS, AND THE MEMBER. UPON THE EXPIRATION OF THE COVENANT PERIOD, THE MEMBER SHALL HAVE THE AUTHORITY TO TAKE SUCH ACTIONS WITHOUT THE APPROVAL OF THE CLASS A DIRECTORS. 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 TO 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 ORGANIZATION IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, 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 ORGANIZATION PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF INDEPENDENT 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 ORGANIZATION'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM 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 EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 28 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 36 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS 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 ORGANIZATION'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 MEETINGS AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S TREASURER AND SECRETARY; WHO ALSO SERVED AS EXECUTIVE VICE PRESIDENT AND CFO, AND CORPORATE VICE PRESIDENT AND CLO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, WHO 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 VI, LINE 1B, BOARD MEMBER INDEPENDENCE: A BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, IS COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE MEMBER, SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION, AND A CLASS OF DIRECTORS NOMINATED BY ROCKINGHAM HEALTH CARE, INC., A VIRGINIA NONSTOCK CORPORATION, AND APPROVED BY THE MEMBER. THE BOARD MEMBERS OF SENTARA HOSPITALS ARE ELECTED ANNUALLY BY ITS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 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 XI, LINE 9: BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY -23,057,335. 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