2021-11-08T06:04:53-06:00 2020-12-31 990 2020-01-01 541217184 SENTARA MEDICAL GROUP SENT 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 VIKKI CHARLES TREASURER 7574557020 2021-11-08 VIKKI CHARLES XXX-XX-XXXX 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID JAMES MD 6015 POPLAR HALL DRIVE NORFOLK VA 23502 290177486 0 X WWW.SENTARA.COM X 1982 VA AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 25 0 1545 0 6760068 382228 15213 1825628 275250143 287383979 -32270 -225193 784901 936160 276017987 289920574 1947858 1358197 0 0 293384701 315061410 0 0 0 -17728555 -4305490 277604004 312114117 -1586017 -22193543 101778673 92135582 69411421 96628943 32367252 -4493361 X SEE SCHEDULE O.AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH THE ESTABLISHMENT AND OPERATION OF PROGRAMS AND SERVICES FOR THE PROVISION OF HEALTH CARE AND FOR HEALTH RELATED PURPOSES; THE PROMOTION AND ADVANCEMENT OF THE WELFARE AND SOCIAL, CULTURAL, EDUCATIONAL AND ECONOMIC DEVELOPMENT OF THE COMMUNITY; AND THE PROVISION OF HEALTH RELATED COMMUNITY EDUCATION. 0 0 250424910 1358197 280624856 SENTARA MEDICAL GROUP (SMG) IS A 518 PROVIDER AND 337 ADVANCED PRACTICE CLINICIAN MULTI SPECIALTY MEDICAL GROUP. IN 2020, SMG PHYSICIANS CARED FOR 1,904,729 PATIENT VISITS. THE COST OF UNCOMPENSATED PATIENT CARE PROVIDED TO THE COMMUNITY BY SENTARA MEDICAL GROUP IN 2020 WAS OVER $22 MILLION. ALL SERVICES ARE PROVIDED TO THE COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2020. 250424910 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 1 X 63 0 1 1545 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 25 0 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X CORPORATE OFFICERS 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 HOWARD P KERN DIRECTOR, CEO SENTARA HEALTHCARE 1.00 51.00 X 0 4236626 7161298 MICHAEL V GENTRY DIRECTOR 1.00 51.00 X 0 1771839 417079 DENNIS MATHEIS DIRECTOR 1.00 40.00 X 0 1526090 203427 JORDAN ASHER MD DIRECTOR, EX-OFFICIO WITH VOTE 1.00 41.00 X 0 1440708 214119 ARTHUR D JAMES DIRECTOR/PRESIDENT 1.00 40.00 X X 0 1007338 188414 RONALD A STINE MD DIRECTOR 40.00 2.00 X 951991 0 99498 WYLIE H ZHU MD DIRECTOR 40.00 0.00 X 947605 0 93871 DR SCOTT ROBERTSON DIRECTOR 40.00 0.00 X 775246 0 105414 KURT HOFELICH CHIEF OPERATING OFFICER 3.00 41.00 X X 0 510011 288715 NADEEM INAYET MD DIRECTOR 40.00 0.00 X 631000 0 135561 RASESH M SHAH DIRECTOR 40.00 0.00 X 629405 0 133896 SHERRY A SCHEIB MD EX-OFFICIO 40.00 0.00 X 437340 0 273296 BOGDAN L NEUGHEBAUER MD DIRECTOR/CHAIR 40.00 0.00 X X 499055 0 156911 ERIC LIPTON MD DIRECTOR 40.00 0.00 X 276066 0 300275 RAVINDRA C KAHATAPITIYA MD DIRECTOR (THRU 3/20) 40.00 0.00 X 424032 0 93167 STEVEN A FUHRMAN DIRECTOR 40.00 0.00 X 377587 0 149108 DANIEL COHEN MD DIRECTOR/VICE CHAIR 40.00 0.00 X X 411496 0 110923 DR CHRISTINE STOPYRA DIRECTOR 40.00 0.00 X 322845 0 128397 DR GWENDOLYN WILLIAMS DIRECTOR 40.00 0.00 X 365076 0 78036 DONNA E FORREST NP DIRECTOR 0.00 40.00 X 0 175807 90769 JENNY L ROBERTS PA DIRECTOR 40.00 0.00 X 146335 0 75872 FOUZIA SIDDIQUI MD DIRECTOR 0.00 40.00 X 0 688862 98568 JOHN PALTING DIRECTOR 0.00 40.00 X 299045 0 239180 KEVIN MCCONNELL MD DIRECTOR 0.00 40.00 X 0 428572 80717 TARKTEN PHARR M D DIRECTOR 0.00 40.00 X 0 502982 107653 JOHN HALL DIRECTOR 0.00 40.00 X 0 543377 97496 VIKKI CHARLES TREASURER 1.00 40.00 X 0 462361 274858 SAMUEL J HAWLEY SECRETARY 1.00 47.00 X 0 226265 63735 STEPHANIE K SCHNITTGER ASSISTANT TREASURER 1.00 40.00 X 0 550207 37623 DR FLETCHER PIERCE KE (PHYSICIAN - CARDIOLOGY) 40.00 0.00 X 569131 0 142931 STEVEN D PEARMAN KE (PHYSICIAN - PC (FM, IM, PEDS)) 40.00 0.00 X 532931 0 152426 DAN DICKINSON MD KE 40.00 0.00 X 433497 0 106672 WILSON P DAUGHERTY PHYSICIAN - SURGEON 40.00 0.00 X 1134525 0 90660 HARRY J MOLLIGAN IV PHYSICIAN - SURGEON 40.00 0.00 X 937610 0 77875 JOSEPH NEWTON PHYSICIAN - SURGEON 40.00 0.00 X 920380 0 84979 JONATHAN PHILPOTT PHYSICIAN - SURGEON 40.00 0.00 X 918544 0 77528 OLUSEGUN O OLUSESI PHYSICIAN - SPECIALIST 40.00 0.00 X 920174 0 77930 COLIN F FINDLAY MD FORMER KE 40.00 0.00 X 349360 0 145866 GLENN C SNYDERS MD FORMER OFFICER 40.00 0.00 X 128105 0 118246 ROBERT A BROERMANN FORMER OFFICER 0.00 52.00 X 0 1901653 160613 ROBERT D CULLING FORMER OFFICER 0.00 0.00 X 0 578624 12441 JEFFREY P KING FORMER OFFICER 0.00 0.00 X 0 174354 17188 14338381 16725676 12763231 856 1 1 0 COMPHEALTH ASSOC INC PO BOX 972625 DALLAS TX 75397 PHYSICIAN RECRUITING CONSULTANTS 1432889 WEATHERBY LOCUMS INC 5003 SOUTH MIAMI BLVD STE 400 DURHAM NC 27703 HEALTHCARE STAFFING SOLUTIONS 1250054 ALL STAR RECRUITING LOCUMS 800 FAIRWAY DR STE 300 DEERFIELD BCH FL 33441 HEALTHCARE STAFFING SOLUTIONS 1081624 MEDICUS ANESTHESIA SERVICES LLC 22 ROULSTON ROAD WINDHAM NH 03087 HEALTHCARE STAFFING SOLUTIONS 956439 QUEST HEALTHCARE SOLUTIONS LLC 6 CONCOURSE PKWY STE 2250 ATLANTA GA 30328 HEALTHCARE STAFFING SOLUTIONS 747473 19 1815628 10000 1825628 PATIENT SERVICE REV 621110 280664325 279055667 1608658 PHYSICIAN SUPPORT SVCS 621990 5895547 745082 5150465 PREMIUM & CAPITATION 621110 695577 695577 OTHER PROGRAM SERVICE REVENUE 900099 128530 128530 287383979 781090 0 781090 781090 781090 31719 256912 -225193 -225193 -225193 CONVENIENCE STORE 452000 155070 945 154125 155070 289920574 280624856 6760068 710022 1358197 1358197 11605117 9774612 1830505 1545122 1301406 243716 259122267 218250245 40872022 17696718 14905369 2791349 12290058 10351516 1938542 12802128 10782815 2019313 564 475 89 71430 60163 11267 105 88 17 11024265 10837484 186781 282828 238217 44611 1724583 1452560 272023 334759 281957 52802 8729103 7352239 1376864 698764 588546 110218 4796 4040 756 2288816 1927795 361021 5510718 5345396 165322 UNRELATED BUSINESS INCO 106000 106000 PURCHASED & CONTRACTED 19297005 16253239 3043766 SENTARA SERVICE EXPENSE 19111921 19111921 MEDICAL SUPPLIES EXPENS 7301918 7301918 -80793065 -68049367 -12743698 312114117 250424910 61689207 0 39309 17782319 16371863 3452897 3792395 41765240 26761282 17212531 15003958 61826857 54314530 1464760 2652836 101778673 92135582 4225616 27576235 132105 225960 65053700 68826748 69411421 96628943 X 31303186 -5585146 1064066 1091785 32367252 -4493361 101778673 92135582 X -22193543 -14667070 X 0 1 X 1 0 X 59629 33316 12500 15213 1825628 1946286 294590616 302410036 266867806 268114126 280624856 1412607440 223935 220227 224616 193814 154125 1016717 294874180 302663579 267104922 268323153 282604609 1415570443 0 0 0 1415570443 58022 103145 499235 589786 781090 2031278 301960 301960 58022 103145 499235 589786 1083050 2333238 294932202 302766724 267604157 268912939 283687659 1417903681 0.99840 0.99910 0.00160 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1064066 229529 201811 1091784 709725 1178263 823922 1064066 264009 1251334 805618 709725 99042 800459 635492 264009 78519 59629 39106 99042 1.00000 0 0 8338720 2713411 5625309 10336888 8513286 1823602 22374661 15493332 6881329 714971 41253 673718 15003958 DUE TO AFFILIATES 12519865 OTHER LIABILIIES 2481921 ROU LIABILITIES 53824962 68826748 PART V, LINE 4: TEMPORARILY RESTRICTED CONTRIBUTIONS ARE TO SPECIFIC PURPOSE FUNDS AND INCLUDE THE SMG ALS FUND, WHICH IMPROVES THE CARE OFFERED TO INDIVIDUALS SUFFERING FROM ALS AND THEIR CAREGIVERS AND FAMILIES; THE SMG NEUROSCIENCE FUND, WHICH SUPPORTS EDUCATIONAL NEUROSCIENCE CONFERENCES; THE DR. COHEN RESEARCH FUND, WHICH SUPPORTS EDUCATION RESEARCH; AND THE DYSAUTONOMIA INTERNATIONAL RESEARCH GRANT, WHICH SUPPORTS EDUCATION RESEARCH. FUNDS WERE CREATED TO PROVIDE A CLINICAL EDUCATION INITIATIVE PROVIDING SCHOLARSHIPS TO CURRENT NURSE EMPLOYEES FOR OBTAINING A BACHELOR OF SCIENCE IN NURSING AND TO SUPPORT THE ELIGIBILITY SCREENING AND RE-ENROLLMENT PROCESSES OF FAMIS PROGRAMS. FUNDS WERE ALSO CREATED FOR AMBULATORY AND VASCULAR RESEARCH TRIALS. 1 SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK VA 23502 521271901 501(C)(3) 1358197 CORPORATE ALLOCATION TO PARENT 1 PART I, LINE 2: AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, 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. 1 1 0 0 0 0 0 1 0 HOWARD P KERN DIRECTOR, CEO SENTARA HEALTHCARE 0 1746915 0 2066820 0 422891 0 7135652 0 25646 0 11397924 0 0 MICHAEL V GENTRY DIRECTOR 0 851459 0 755619 0 164761 0 395379 0 21700 0 2188918 0 0 ROBERT A BROERMANN FORMER OFFICER 0 889946 0 795582 0 216125 0 139891 0 20722 0 2062266 0 0 DENNIS MATHEIS DIRECTOR 0 836715 0 649646 0 39729 0 183734 0 19693 0 1729517 0 0 JORDAN ASHER MD DIRECTOR, EX-OFFICIO WITH VOTE 0 749193 0 658548 0 32967 0 179562 0 34557 0 1654827 0 0 WILSON P DAUGHERTY PHYSICIAN - SURGEON 1054614 0 58960 0 20951 0 59021 0 31639 0 1225185 0 0 0 ARTHUR D JAMES DIRECTOR/PRESIDENT 0 622486 0 371385 0 13467 0 167570 0 20844 0 1195752 0 0 RONALD A STINE MD DIRECTOR 824009 0 101594 0 26388 0 67530 0 31968 0 1051489 0 0 0 WYLIE H ZHU MD DIRECTOR 809763 0 113440 0 24402 0 64137 0 29734 0 1041476 0 0 0 HARRY J MOLLIGAN IV PHYSICIAN - SURGEON 854009 0 62688 0 20913 0 49016 0 28859 0 1015485 0 0 0 JOSEPH NEWTON PHYSICIAN - SURGEON 792873 0 86587 0 40920 0 52761 0 32218 0 1005359 0 0 0 OLUSEGUN O OLUSESI PHYSICIAN - SPECIALIST 813407 0 86594 0 20173 0 49602 0 28328 0 998104 0 0 0 JONATHAN PHILPOTT PHYSICIAN - SURGEON 796756 0 86587 0 35201 0 49206 0 28322 0 996072 0 0 0 DR SCOTT ROBERTSON DIRECTOR 667593 0 86594 0 21059 0 77870 0 27544 0 880660 0 0 0 KURT HOFELICH CHIEF OPERATING OFFICER 0 351343 0 108794 0 49874 0 257887 0 30828 0 798726 0 26105 FOUZIA SIDDIQUI MD DIRECTOR 0 641329 0 25806 0 21727 0 75874 0 22694 0 787430 0 0 NADEEM INAYET MD DIRECTOR 572433 0 57333 0 1234 0 112747 0 22814 0 766561 0 0 0 RASESH M SHAH DIRECTOR 522328 0 84837 0 22240 0 102442 0 31454 0 763301 0 0 0 VIKKI CHARLES TREASURER 0 304247 0 114407 0 43707 0 249990 0 24868 0 737219 0 0 DR FLETCHER PIERCE KE (PHYSICIAN - CARDIOLOGY) 431976 0 135445 0 1710 0 113035 0 29896 0 712062 0 0 0 SHERRY A SCHEIB MD EX-OFFICIO 416731 0 0 0 20609 0 271046 0 2250 0 710636 0 0 0 STEVEN D PEARMAN KE (PHYSICIAN - PC (FM, IM, PEDS)) 386199 0 131867 0 14865 0 123370 0 29056 0 685357 0 0 0 BOGDAN L NEUGHEBAUER MD DIRECTOR/CHAIR 461959 0 35705 0 1391 0 127568 0 29343 0 655966 0 0 0 JOHN HALL DIRECTOR 0 472600 0 49999 0 20778 0 65478 0 32018 0 640873 0 0 TARKTEN PHARR M D DIRECTOR 0 438356 0 43500 0 21126 0 72045 0 35608 0 610635 0 0 ROBERT D CULLING FORMER OFFICER 0 0 0 0 0 578624 0 0 0 12441 0 591065 0 0 STEPHANIE K SCHNITTGER ASSISTANT TREASURER 0 456915 0 53542 0 39750 0 6136 0 31487 0 587830 0 0 ERIC LIPTON MD DIRECTOR 248039 0 26928 0 1099 0 269945 0 30330 0 576341 0 0 0 DAN DICKINSON MD KE 357668 0 73279 0 2550 0 70745 0 35927 0 540169 0 0 0 JOHN PALTING DIRECTOR 266837 0 24684 0 7524 0 208595 0 30585 0 538225 0 0 0 STEVEN A FUHRMAN DIRECTOR 338395 0 17000 0 22192 0 118948 0 30160 0 526695 0 0 0 DANIEL COHEN MD DIRECTOR/VICE CHAIR 384154 0 26600 0 742 0 81037 0 29886 0 522419 0 0 0 RAVINDRA C KAHATAPITIYA MD DIRECTOR (THRU 3/20) 75099 0 27327 0 321606 0 84849 0 8318 0 517199 0 0 0 KEVIN MCCONNELL MD DIRECTOR 0 376753 0 26400 0 25419 0 58831 0 21886 0 509289 0 0 COLIN F FINDLAY MD FORMER KE 313849 0 35000 0 511 0 117805 0 28061 0 495226 0 0 0 DR CHRISTINE STOPYRA DIRECTOR 301023 0 0 0 21822 0 95383 0 33014 0 451242 0 0 0 DR GWENDOLYN WILLIAMS DIRECTOR 333854 0 11000 0 20222 0 55793 0 22243 0 443112 0 0 0 SAMUEL J HAWLEY SECRETARY 0 173153 0 27123 0 25989 0 51085 0 12650 0 290000 0 0 DONNA E FORREST NP DIRECTOR 0 158002 0 15517 0 2288 0 79226 0 11543 0 266576 0 0 GLENN C SNYDERS MD FORMER OFFICER 114690 0 11870 0 1545 0 95376 0 22870 0 246351 0 0 0 JENNY L ROBERTS PA DIRECTOR 138185 0 3500 0 4650 0 44770 0 31102 0 222207 0 0 0 JEFFREY P KING FORMER OFFICER 0 0 0 160422 0 13932 0 16388 0 800 0 191542 0 0 PART I, LINE 3 SENTARA HEALTHCARE, THE SECTION 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 A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE. SENTARA HEALTHCARE 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. THE SENTARA HEALTHCARE BOARD HAS DIRECTED A COMMITTEE OF INDEPENDENT, CONFLICT-FREE BOARD MEMBERS TO DEVOTE THEIR TIME AND ATTENTION TO THE OVERSIGHT OF SENTARA HEALTHCARE'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE CONSISTS OF PROFESSIONAL, EXPERIENCED, AND DEDICATED BOARD MEMBERS WHO TAKE THIS RESPONSIBILITY VERY SERIOUSLY. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES IN THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE IS ASSISTED BY OUTSIDE ADVISORS WHO ARE ENGAGED BY THE COMMITTEE. PART I, LINES 4A-B THE FOLLOWING LISTED PERSONS RECEIVED COMPENSATION RELATED TO THEIR SEPARATIONG FROM SERVICE. AMOUNTS HAVE BEEN INCLUED IN COLUMN (B)(III) OF SCHEDULE J, PART II: ROBERT CULLING $465,435 JEFFREY P KING 13,932 HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. HOWARD KERN, ROBERT BROERMANN, MICHAEL GENTRY, KURT HOFELICH, DENNIS MATHEIS, JORDAN ASHER, AND ARTHUR DAVID JAMES, PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'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 2020, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($173,276); MICHAEL GENTRY ($131,794); KURT HOFELICH ($41,807); AND HOWARD KERN ($369,666). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. DURING THE CURRENT TAX YEAR DENNIS MATHEIS AND TARKTEN PHARR PARTICIPATED IN THE SENTARA NON-QUALIFIED DEFERRED COMPENSATION PLAN. A NEW PLAN YEAR BEGINS EACH JANUARY 1ST. ELIGIBILITY REQUIRES THAT AN EMPLOYEE MUST BE IN THE TOP 5% BY SALARY AND HAVE COMPENSATION GREATER THAN OR EQUAL TO THE HIGHLY COMPENSATED AMOUNT SET BY THE PLAN IN ORDER TO PARTICIPATE. PARTICIPANTS MUST MAKE THEIR ELECTIONS IN THE YEAR PRECEDING THE DEFFERAL YEAR AND SLECT A DISTRIBUTION DATE. NEW ELECTIONS MUST BE MADE EACH YEAR. ALL PARTICIPANTS ARE 100% VESTED IN THEIR ACCOUNT BALANCES AND LUMP SUM IS THE FORM OF PAYMENT AT THE DISTRIBUTION DATE UNLESS A 5 OR 10 YEAR INSTALLMENT PAYMENT WAS SELECTED. 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. 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. DILRUKSHIE MKAHATAPITIYA FAMILY MEMBER OF RAVINDRA KAHATAPITIYA, MD, DIRECTOR 123697 EMPLOYMENT 0 DR ARLENE PALTING FAMILY MEMBER OF JOHN PALTING, DIRECTOR 534900 EMPLOYMENT 0 MARIA PHARR FAMILY MEMBER OF TARKTEN PHARR, MD., DIRECTOR 144949 EMPLOYMENT 0 FORM 990, PART III, LINE 4A SENTARA HEALTHCARE I. SENTARA HEALTHCARE - YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE CELEBRATES MORE THAN 132 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." NAMED TO IBM WATSON HEALTH'S 2018 "TOP 15 HEALTH SYSTEMS," 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 AND THE SENTARA HEALTHCARE CARDIOVASCULAR RESEARCH INSTITUTE, 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 AND GROUND MEDICAL TRANSPORT, HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES AND THE OPTIMA HEALTH PLAN AND VIRGINIA PREMIER HEALTH PLAN SERVING 858,000 MEMBERS IN VIRGINIA, NORTH CAROLINA AND OHIO. WITH MORE THAN 28,000 EMPLOYEES AND RANKED ONE OF FORBES "AMERICA'S BEST EMPLOYERS" IN 2018, SENTARA IS STRATEGICALLY FOCUSED ON CLINICAL QUALITY AND SAFETY, INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. 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. II. COMMITMENT TO THE COMMUNITY A. SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE 2020 VALUE OF COMMUNITY BENEFIT TOTALED $256,000,000. SENTARA PROVIDED $180,000,000 IN NET UNCOMPENSATED PATIENT CARE COSTS; $45,000,000 IN NET UNFUNDED COSTS OF TEACHING PROGRAMS; $20,000,000 IN INCURRED COSTS FOR COMMUNITY BENEFIT PROGRAMS; AND $11,000,000 IN PHILANTHROPY. B. SENTARA OFFICIALLY LAUNCHED ITS CORPORATE SOCIAL RESPONSIBILITY (CSR) PROGRAM, SENTARA CARES, TO SUPPORT THE NEEDS OF THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. THROUGH CSR WE EITHER GAVE OR PLEDGED NEARLY $6.5M TO THE COMMUNITIES WE SERVE THROUGH SPONSORSHIPS, GRANTS, AND PARTNERSHIPS. THE CSR PROGRAM WILL DELIVER ECONOMIC, SOCIAL, AND ENVIRONMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASE OUR COMMUNITY CONNECTION. IT WILL BUILD ON SENTARA RECOGNIZED LEADERSHIP AND COMMITMENT TO THE COMMUNITIES WE SERVE. C. SENTARA HEALTHCARE AND OPTIMA HEALTH, IN PARTNERSHIP WITH THE LOCAL INITIATIVES SUPPORT CORPORATION (LISC), THE NATION'S LARGEST COMMUNITY DEVELOPMENT ORGANIZATION, CONTINUED ITS WORK TO INVEST $100 MILLION TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED COMMUNITIES ACROSS THE COMMONWEALTH OF VIRGINIA. THIS INVESTMENT, WHICH IS PART OF OUR CORPORATE SOCIAL RESPONSIBILITY PROGRAM, BUILDS UPON SENTARA'S COMMITMENT TO CREATE HEALTHIER COMMUNITIES AND IMPROVE THE QUALITY OF LIFE FOR VIRGINIANS MOST IN NEED. SENTARA WILL CONTRIBUTE $50M TO ADVANCE THESE GOALS IN PARTNERSHIP WITH LISC, WHO HAS COMMITTED TO ASSEMBLING AN ADDITIONAL $50M FROM PUBLIC AND PRIVATE SOURCES TO COMPLEMENT SENTARA'S INVESTMENT. FURTHER RESULTING FROM THE LISC PARTNERSHIP, $1.5M OF OUR PHILANTHROPY FUNDING WENT TOWARD THE DEVELOPMENT OF TWO FINANCIAL OPPORTUNITY CENTERS AND 2 HOUSING PROJECTS PLANNED IN 2021. D. THE SENTARA CHIEF DIVERSITY OFFICER CONTINUED THE FOCUS ON THE IMPORTANT WORK OF DIVERSITY IN OUR WORKFORCE, TO DEEPEN OUR UNDERSTANDING ON 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 BEGAN ESTABLISHING DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS. AND, WE DEVELOPED NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. THIS WAS ESPECIALLY IMPORTANT GIVEN THE SOCIAL JUSTICE ISSUES AND CIVIL UNREST IN 2020. TO THAT END, WE HOSTED SEVERAL "SAFE SPACES" SESSIONS WITH OUR TEAM MEMBERS FOR THEM TO SHARE, HEAR AND LEARN GIVEN OUR SOCIAL JUSTICE ENVIRONMENT. ADDITIONALLY, THE DIRECTOR OF HEALTH EQUITY CONTINUED THE EXCELLENT WORK IN IDENTIFYING AND REMOVING BARRIERS SO PEOPLE CAN RECEIVE THE CARE THEY NEED. THE TEAM IDENTIFIES HEALTH DISPARITIES AND RESEARCHES POSSIBLE CAUSES. THIS INCLUDES CHRONIC HEALTH ISSUES SUCH AS HYPERTENSION, DIABETES, AND THE HIGH RATES OF CANCER DEATHS IN MINORITY COMMUNITIES. ADDITIONALLY, WE CREATED POLICIES AND GUIDELINES TO ENSURE PROTECTION OF LGBTQ PATIENTS' RIGHTS AND PARTNERED WITH NUMEROUS COMMUNITY GROUPS TO PROVIDE EDUCATION AND EARLY DETECTION FOR COLORECTAL AND BREAST CANCERS. A MAJOR FOCUS IN 2020 FOR THE HEALTH EQUITY DIVISION WAS TO ENABLE ACCESS FOR COVID TESTING IN UNDERSERVED COMMUNITIES AND ENABLE ACCESS TO THE COVID VACCINE FOR THOSE SAME COMMUNITIES. OUTREACH TO OUR FAITH-BASED ORGANIZATIONS AND COMMUNITY PARTNERS WAS UNPRECEDENTED AND STRONGLY POSITIONS OUR COMMUNITIES TO COLLABORATE DURING UNPRECEDENTED TIMES. E. IN RESPONSE TO THE TRAGEDY THAT TOOK PLACE AT THE VIRGINIA BEACH MUNICIPAL CENTER IN MAY 2019, SENTARA COLLABORATED WITH THE CITY OF VIRGINIA BEACH TO OPEN THE VB STRONG CENTER, WHICH CONTINUES TO PROVIDE RESOURCES AND DEDICATED STAFF TO ENSURE THOSE IN THE COMMUNITY WHO NEED OR WANT ASSISTANCE FOLLOWING THE TRAGEDY CAN RECEIVE PERSONALIZED CARE. SERVICES INCLUDE INDIVIDUAL COUNSELING, GROUP THERAPY, ART, YOGA, MEDITATION, MENTAL HEALTH COUNSELING, INTAKE AND CASE COORDINATION, AND OTHER SERVICES AS DIRECTED BY A LICENSED MENTAL HEALTH CLINICIAN. F. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED MONEY 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. FORM 990, PART III, LINE 4A G. 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 2020, THE HOPE FUND AWARDED $166,992 TO SENTARA EMPLOYEES IN CRISES ACROSS THE SYSTEM. ADDITIONALLY, SENTARA ESTABLISHED A SPECIAL COVID HOPE FUND TO HELP EMPLOYEES WHO EXPERIENCED EXTRAORDINARY HARDSHIP DURING THE COVID-19 PANDEMIC. THIS SENTARA COVID-19 HOPE FUND AWARDED $545,117 IN 2020. H. AS A RESULT OF COVID-19, FOOD INSECURITY REACHED NEW LEVELS OF UNPRECEDENTED NEED. IN PARTNERSHIP WITH TRUIST, THE COMMONWEALTH OF VIRGINIA, THE FEDERATION OF VIRGINIA FOOD BANKS AND MANY OTHER COMMUNITY-MINDED COMPANIES, SENTARA SPEARHEADED THE "WE CARE" COVID-19 VIRGINIA EMERGENCY FOOD SUPPORT PLAN. THIS INITIATIVE CENTERED ON PROVIDING FIVE-DAY, SHELF-STABLE FOOD SUPPLY BOXES CONTAINING 15 NUTRITIOUS MEALS THAT COULD BE MORE EASILY AND SAFELY ASSEMBLED AND DISTRIBUTED AT THE HEIGHT OF THE PANDEMIC. AS A RESULT, APPROXIMATELY 200,000 20-POUND, FIVE-DAY SUPPLY FOOD BOXES HAVE BEEN DISTRIBUTED THROUGH SENTARA'S "WE CARE" COVID -19 VIRGINIA EMERGENCY FOOD SUPPORT PLAN. SENTARA AND TRUIST EACH CONTRIBUTED $500,000. THE COMMONWEALTH OF VIRGINIA COMMITTED $1.4M FROM CARES ACT FUNDS PLUS OTHER FEDERAL FUNDING CAME THROUGH VIA THE COMMONWEALTH. ALONG WITH OTHER CORPORATE DONATIONS THE TOTAL AMOUNT RAISED FOR THIS EFFORT TOTALED OVER $6.4 MILLION. BECAUSE OF THE GROWING NUMBER OF INDIVIDUALS FACING HOMELESSNESS, SENTARA PARTNERED WITH MANY ORGANIZATIONS TO ADDRESS THIS CRITICAL NEED THAT HAS REACHED NEW HEIGHTS DUE TO THE COVID-19 PANDEMIC. HERE ARE A FEW EXAMPLES: I. HEALTHY HOTEL PROJECT: THANKS TO OUR PARTNERSHIP WITH THE NORFOLK COMMUNITY SERVICES BOARD (NCSB), SENTARA'S MEDICAL GROUP AND HOME CARE DIVISION HAVE BEEN ABLE TO HELP NCSB SAFELY LEVERAGE HOTEL ROOMS CONVERTED INTO A SAFE AND SUPPORTIVE SHELTER PROGRAM. THROUGH THE HEALTHY HOTEL PROJECT, NCSB IS PROVIDING TEMPORARY SHELTER FOR NORFOLK'S MOST VULNERABLE HOMELESS RESIDENTS, WHILE SENTARA PROVIDES PREVENTIVE SCREENING, SUPPORT, AND CHRONIC DISEASE MANAGEMENT SERVICES. II. THE HELP CLINIC: THIS FREE CLINIC IN HAMPTON, VIRGINIA, OPENED A SINGLE SITE SHELTER FOR THE HOMELESS WITH COVID SAFEGUARDS. SENTARA CAREPLEX HOSPITAL CASE MANAGERS WORK WITH THE HELP CLINIC TO ENSURE HOMELESS INDIVIDUALS HAVE ACCESS TO THERMAL SHELTERS, WHERE THEY CAN LINK THE CLIENTS TO MORE PERMANENT HOUSING SOLUTIONS. III. SUITCASE CLINIC: A COLLABORATION AMONG JAMES MADISON UNIVERSITY AND OTHER COMMUNITY PARTNERS, INCLUDING THE RMH FOUNDATION, WORKS TO OVERCOME BARRIERS TO HEALTHCARE IN THE HARRISONBURG, VIRGINIA COMMUNITY. IMPORTANTLY, IT SUPPORTS HEALTH AND WELLNESS AMONG THE REGION'S HOMELESS POPULATION THROUGH MOBILE HEALTH SERVICES. I. COMMUNITY HEALTH INITIATIVES SENTARA AND OPTIMA HEALTH HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTHCARE COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2020: HEALTH IMPROVEMENT EVENTS WERE OFFERED TO CHURCHES, EMPLOYER GROUPS, COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY LOCATIONS. 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 SENTARA HEART, WE PROMOTED THE "28 DAYS OF HEART" IN FEBRUARY 2020 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, TWO SENTARA HOSPITALS, SENTARA NORFOLK GENERAL HOSPITAL (NORFOLK) AND SENTARA CAREPLEX HOSPITAL (HAMPTON) ACTIVATED THE VIOLENCE PREVENTION GRANTS THEY RECEIVED FROM THE VIRGINIA HOSPITALS AND HEALTHCARE ASSOCIATION ON JUNE 5, 2020 WEAR ORANGE DAY. THE GRANTS SUPPORT DEVELOPMENT OF COMMUNITY-BASED PROGRAMS TO PREVENT GUN AND INTIMATE PARTNER VIOLENCE BEFORE THEY RESULT IN MORE TRAUMATIC INJURIES. III. GROWTH IN SENTARA HEALTHCARE SENTARA HAS REACHED OUT TO OTHER INDUSTRY LEADERS AND JOINED FORCES TO EXTEND QUALITY HEALTHCARE AND SERVICES TO MORE PEOPLE. IN RECENT YEARS, WE HAVE GROWN IN VIRGINIA AND IN OTHER STATES - NORTH CAROLINA AND OHIO - BY SEEKING PARTNERSHIPS WITH SUCCESSFUL HOSPITALS AND HEALTH SYSTEMS THAT SHARE OUR DEDICATION TO EXCELLENCE, VALUE, QUALITY, AND CUSTOMER FOCUS. OUR GROWTH IN 2020 INCLUDED THE FOLLOWING: A. SENTARA PURCHASED 80% OF VIRGINIA PREMIER, AN INSURANCE COMPANY AFFILIATED WITH VCU HEALTH IN RICHMOND, VIRGINIA. THE TWO PLANS WILL SERVE MORE THAN 858,000 MEMBERS. B. OPTIMA HEALTH CONTINUED AS ONE OF 6 MANAGED CARE ORGANIZATIONS THAT COLLECTIVELY SERVED OVER 490,000 (BY END OF 2020) ELIGIBLE VIRGINIANS WHO QUALIFIED FOR MEDICAID EXPANSION. C. SENTARA OPENED THE NEW SENTARA BROCK CANCER CENTER IN NORFOLK, VIRGINIA, WHICH IS A PATIENT-CENTERED FACILITY THAT IS TRANSFORMING CANCER CARE IN SOUTHEAST VIRGINIA/NORTHEAST NORTH CAROLINA. FORM 990, PART III, LINE 4A IV. DIGITAL INITIATIVES AND INNOVATION SUCCESS A. SENTARA CONTINUED ITS FOCUS ON ENHANCING THE CONSUMER DIGITAL EXPERIENCE THROUGH THE ONGOING DEVELOPMENT AND ENHANCEMENT OF THE SENTARA "APP AND THE OPTIMA "APP". SENTARA AND OPTIMA EXPERIENCED 118,963 NEW APP DOWNLOADS AND A COMBINED TOTAL OF 148,654 LOG-INS. OUR AIM IS TO CONTINUOUSLY IMPROVE THE VIRTUAL EXPERIENCE, ENABLE VOICE OF THE CUSTOMER TO DRIVE CHANGE TO THE EXPERIENCE, AND ALLOW FOR A MORE FRICTIONLESS EXPERIENCE. B. THE VOICE OF THE CUSTOMER MODEL WAS HEAVILY UTILIZED TO UNDERSTAND MORE FROM SENTARA AND OPTIMA CUSTOMERS. THE MODEL IS AN OPERATIONAL DESIGN THAT 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. C. SENTARA WAS NAMED TO THE CIO 100 LIST OF THE WORLD'S LEADING INNOVATIVE ORGANIZATIONS FOR CLOUD-HOSTING APPLICATION DESIGN, SUPPORT, AND COST OPTIMIZATION. V. OFFERING NEW PROCEDURES AND TECHNOLOGIES A. CLINICAL BREAKTHROUGHS AND ADVANCEMENTS: SENTARA INTRODUCED MANY NEW CLINICAL BREAKTHROUGHS AND ADVANCEMENTS THAT BENEFITED THE PATIENT IN MANY AREAS OF CARE. ONE EXAMPLE IS THE FOLLOWING: I. SEPSIS SNIFFER: SENTARA HOSPITALS CREATED AND IMPLEMENTED THE SEPSIS SNIFFER, AN ARTIFICIAL INTELLIGENCE SYSTEM TO PREDICT WHICH PATIENTS ARE MOST AT RISK FOR SEPSIS. VI. EXPANDING EDUCATIONAL OPPORTUNITIES A. 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 2020, SENTARA REACHED 83.9% OF SENTARA NURSES HAVING EARNED OR ARE UNDER CONTRACT TO EARN A BSN. SENTARA HAD 68.7% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 15.2% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. B. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. HERE ARE A FEW EXAMPLES OF OUR WORK WITHIN THE RESEARCH REALM: I. HEART AND VASCULAR: THE SENTARA CARDIOVASCULAR RESEARCH INSTITUTE WAS ESTABLISHED IN 2005 TO ADVANCE THE UNDERSTANDING AND TREATMENT OF CARDIOVASCULAR DISEASE, WHICH IS THE NATION'S NUMBER-ONE KILLER. UNIQUELY QUALIFIED REGISTERED NURSE RESEARCH COORDINATORS, CARDIOLOGISTS, HEART, AND VASCULAR SURGEONS COLLABORATE WITH LOCAL INSTITUTIONS, GOVERNMENT AGENCIES AND BIOMEDICAL COMPANIES TO PERFORM CLINICAL RESEARCH TRIALS. ULTIMATELY, THE WORK ENABLES CLINICIANS TO IMPROVE CLINICAL CARE DELIVERY, PATIENT OUTCOMES AND THE OVERALL HEALTH OF OUR COMMUNITY. OUR SERVICES COVER ALL TYPES OF CARDIOVASCULAR RESEARCH SUCH AS MEDICAL DEVICES, HEART FAILURE, ELECTROPHYSIOLOGY, CARDIAC SURGERY, VASCULAR SURGERY, CARDIAC INTERVENTIONAL PROCEDURES, AND MEDICAL MANAGEMENT OF CAD RISK FACTORS SUCH AS DIABETES AND LIPID MANAGEMENT, AMONG OTHERS. RESEARCH NURSES EDUCATE AND FOLLOW RESEARCH PARTICIPANTS THROUGH THE ENTIRE TRIAL PROCESS. THEY COORDINATE ALL ASPECTS OF THE PATIENT EXPERIENCE AND ADVOCATES FOR THEM, HELPING THEM FEEL CARED FOR WHILE AT THEIR MOST VULNERABLE. OUR PROGRAM CURRENTLY HAS RESEARCH NURSES WHO ARE HIGHLY AUTONOMOUS AND SELF-DIRECTED. COLLECTIVELY, THEY COORDINATE MORE THAN 80 CLINICAL TRIALS. MANY OF THE TRIALS WE PARTICIPATE IN ARE NATIONALLY AND INTERNATIONALLY RECOGNIZED. THEY HAVE BEEN DESIGNED TO IDENTIFY NEW, IMPROVED TREATMENT METHODS AND PROTOCOLS, WHILE AT THE SAME TIME ELIMINATE THERAPIES AND APPROACHES TO CLINICAL CARE THAT ARE NOT AS EFFECTIVE OR MAY HAVE BEEN SHOWN TO BE HARMFUL. II. CANCER: THE SENTARA CANCER NETWORK CONTINUES TO EXPAND ITS RESEARCH CAPABILITIES IN CONJUNCTION WITH VIRGINIA ONCOLOGY ASSOCIATES, EASTERN VIRGINIA MEDICAL SCHOOL, GEORGE MASON UNIVERSITY, AND OTHER NATIONAL AND LOCAL HEALTHCARE ORGANIZATIONS TO CHANGE THE FUTURE OF CANCER AND IMPROVE OUR PATIENTS' QUALITY OF LIFE. FOR TODAY'S PATIENTS, PHYSICIANS IN THE SENTARA NETWORK CAN PROVIDE ACCESS TO NUMEROUS CLINICAL TRIALS, BOTH LOCAL AND NATIONAL, THROUGHOUT THE SENTARA SYSTEM, WITH A FOCUS IN HAMPTON ROADS AND BLUE RIDGE REGIONS. PROMISING CLINICAL TRIALS ARE BEING CONDUCTED ALL OVER THE COUNTRY FOR PATIENTS WITH CANCER, AND SOME OF THESE ARE BEING CONDUCTED WITHIN THE SENTARA CANCER NETWORK. SOME PEOPLE THINK THAT CLINICAL RESEARCH IS INTENDED AS A LAST RESORT, BUT MANY OF THESE TRIALS ARE LOOKING AT PROMISING NEW FIRST-LINE TREATMENTS. MANY STUDIES ARE NOT FOCUSED ON INCREASED TREATMENTS, BUT ADJUSTMENTS IN TREATMENTS AND OPTIONS FOR LESS INVASIVE OPTIONS IN ADDITION TO CLINICAL TRIALS THAT ARE ADMINISTERED AS PART OF CANCER TREATMENT FOR PATIENTS NOW. THE SENTARA CANCER NETWORK PARTICIPATES IN RESEARCH THAT COULD LEAD TO MORE AND BETTER OPTIONS FOR PREVENTION, DIAGNOSIS, AND TREATMENT IN THE FUTURE. EXAMPLES OF OTHER RESEARCH INCLUDE FINDING WAYS TO IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS, COMPARING COMMON CHARACTERISTICS FOR A SPECIFIC TYPE OF CANCER, AND IMPROVING PROCESSES AND TECHNOLOGY. VII. BUILDING FOR TOMORROW AND STRENGTHENING OUR COMMUNITIES A. SENTARA OPENED AN ORTHOPEDIC MEDICAL OFFICE BUILDING IN NORFOLK, VIRGINIA THAT HOUSES A SURGERY CENTER, REHABILITATION, AND IMAGING SERVICES. ADDITIONALLY, SENTARA EXPANDED ITS EMERGENCY DEPARTMENTS AT SENTARA OBICI HOSPITAL AND SENTARA LEIGH HOSPITAL. B. IN THE BLUE RIDGE REGION (HARRISONBURG AND CHARLOTTESVILLE), SENTARA LAUNCHED NEW ANESTHESIA PROGRAMS; ADDED NEW CARDIOLOGISTS AT SENTARA RMH MEDICAL CENTER FOR THE STRUCTURAL HEART PROGRAM; ADDED A NEONATOLOGIST PROGRAM TO ENHANCE LEVEL II NURSERY CARE FOR THE SRMH COMMUNITY; ADDED TWO NEW PRIMARY LOCATIONS IN WAYNESBORO AND CHARLOTTESVILLE; AND EXPANDED THE GASTROINTESTINAL PROGRAM CAPACITY. C. IN THE HALIFAX REGION, SENTARA HALIFAX REGIONAL HOSPITAL AND ITS ASSOCIATED MEDICAL PRACTICES FULLY IMPLEMENTED EPIC, OUR ELECTRONIC MEDICAL RECORD SYSTEM. FORM 990, PART III, LINE 4A D. IN NORTHERN VIRGINIA, SENTARA OPENED A NEW NEUROLOGY PRACTICE AND A NEW PHYSICAL THERAPY CENTER. 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 SYSTEM RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY. TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION DRIVEN WORK. HERE ARE A FEW OF THE 2020 AWARDS AND RECOGNITIONS: I. SENTARA NORFOLK GENERAL HOSPITAL EARNED A TOP 50 NATIONAL RANKING FROM U.S. NEWS & WORLD REPORT: UROLOGY. THIS EXTRAORDINARY RANKING, 23RD IN THE NATION, IS DUE TO THE GREAT PARTNERSHIP AND COLLABORATION WITH UROLOGY OF VIRGINIA AND EASTERN VIRGINIA MEDICAL SCHOOL (EVMS). UROLOGY SERVICES INCLUDE EXPERT TREATMENT METHODS FOR KIDNEY STONES TO COMPLEX BLADDER SURGERY, ROBOTIC SURGERY FOR PROSTATE, KIDNEY AND BLADDER CANCERS, GREEN LIGHT THERAPY FOR ENLARGED PROSTATE, AND THE SENTARA-EVMS COMPREHENSIVE PELVIC FLOOR CENTER. II. SENTARA WAS RANKED #1 IN THE 2020 GENEROUS VIRGINIANS REPORT BY VA BUSINESS IN SUPPORT OF NONPROFIT ORGANIZATIONS, A RANKING BASED OFF DOLLARS DONATED OR PLEDGED. III. SENTARA WAS NAMED ONE OF FORBES 2020 BEST EMPLOYERS FOR WOMEN. SENTARA WAS ONE OF ONLY 22 HEALTH SYSTEMS INCLUDED. IV. ALL 12 SENTARA HOSPITALS EARNED A "LEADER IN LGBTQ HEALTHCARE EQUALITY" IN THE 2020 HEALTHCARE EQUALITY INDEX (HEI), A NATIONAL LGBTQ BENCHMARKING TOOL FROM THE HUMAN RIGHTS CAMPAIGN. IX. OPTIMA HEALTH A. GROWTH OPTIMA HEALTH CONTINUES TO SEE GROWTH IN THE COMMERCIAL EMPLOYER MARKET. OPTIMA HEALTH ALONG WITH VIRGINIA PREMIER SERVES OVER 858,000 MEMBERS IN VIRGINIA, NORTH CAROLINA, AND OHIO. OPTIMA MEDICARE STAR RATING INCREASED TO 3.5 FROM 3.0 AND OPTIMA CONTINUES TO PRESS FORWARD ON ITS QUALITY, AFFORDABILITY, ACCESSIBILITY, HEALTH AND WELLNESS, VIRTUAL CARE, AND CUSTOMER EXPERIENCE. X. COVID-19 A. THE YEAR 2020 WAS ONE OF GREAT UNKNOWNS DUE TO THE COVID-19 PANDEMIC. SENTARA LEADERS AND TEAM MEMBERS ROSE 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 INCORPORATED NATIONAL GUIDELINES FOR CLEANING/SANITIZING PATIENT CARE AREAS, MANDATORY MASKING, AND SOCIAL DISTANCING. SENTARA LAUNCHED A CALL CENTER AND DEVELOPED A WEBSITE TO FACILITATE PATIENT COMMUNICATION AND QUESTIONS. II. PROTECTING OUR TEAM MEMBERS: SENTARA PARTNERED WITH SEVERAL LOCAL COMPANIES TO PROCURE OR CREATE PERSONAL PROTECTION EQUIPMENT (PPE) AND OTHER MATERIALS. WE DEVELOPED EXTENSIVE PROCEDURES TO PROCURE AND SAFELY REPROCESS PPE. SENTARA IMPLEMENTED RIGOROUS SCREENING PROCEDURES AT ALL OUR FACILITIES AND WORK LOCATIONS. III. SUPPORTING OUR TEAM MEMBERS: SENTARA LAUNCHED A 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. IV. COMMUNITY TESTING: SENTARA WAS THE FIRST IN VIRGINIA TO IMPLEMENT DRIVE-THROUGH TESTING SITES. WE TESTED 8,700+ COMMUNITY MEMBERS IN DRIVE-THRU LOCATIONS AND PROVIDED FREE COVID-19 TESTING TO OVER 14,000+ PEOPLE IN UNDERSERVED COMMUNITIES. V. VIRTUAL CARE: SENTARA ACCELERATED THE USE OF VIRTUAL VISITS. EARLY IN THE PANDEMIC SENTARA TRAINED MORE THAN 900 PROVIDERS TO DELIVER VIRTUAL CARE. VI. SENTARA INCIDENT COMMAND CENTER: AS WITH ALL MAJOR INCIDENTS IMPACTING OUR COMMUNITY, PATIENTS, MEMBERS, AND INDUSTRY, SENTARA CREATED THE COVID-19 STEERING COMMITTEE IN JANUARY 2020 TO MONITOR AND RESPOND TO THE PANDEMIC. A CENTRALIZED DAILY INCIDENT COMMAND CENTER WAS ESTABLISHED IN MARCH WITH LEADERS FROM ALL KEY AREAS OF THE COMPANY REPRESENTED. THIS COMMAND CENTER STRUCTURE ALLOWED SENTARA TO SUCCESSFULLY RESPOND, PIVOT, PLAN, AND COORDINATE ACTIONS IN RESPONSE TO THE UNPRECEDENTED PANDEMIC. ADDITIONALLY, 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 HEALTHCARE 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 CORPORATE SOCIAL RESPONSIBILITY 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 2021. FORM 990, PART V, LINE 1A: FORM 1096 SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 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 HEALTHCARE 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 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS: THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND SECTION 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY: THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTHCARE, A VIRGINIA NON-STOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B RESERVED POWERS OVER GOVERNANCE DECISIONS THE FOLLOWING GOVERNANCE ACTIONS REQUIRE PRIOR APPROVAL BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM: - ELECTION AND REMOVAL OF BOARD MEMBERS, AS SET FORTH IN THE ARTICLES OF INCORPORATION. - ALTERING, AMENDING OR REPEALING THE ORGANIZATION'S GOVERNING DOCUMENTS; OR ADOPTING NEW GOVERNING DOCUMENTS. - ESTABLISHING OR APPROVING THE ANNUAL OPERATING AND CAPITAL BUDGET; APPROVING ANY CAPITAL EXPENDITURE NOT INCLUDED IN THE BUDGET; AND BORROWING OR INCURRING DEBT (WHETHER SECURED OR UNSECURED) OTHER THAN TRADE DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS);. - ESTABLISHING, APPROVING, ALTERING, AMENDING OR REPEALING ALL FORMAL ANNUAL AND LONG-RANGE STRATEGIC PLANS OF THE ORGANIZATION. - ALTERING, AMENDING OR REPEALING THE ORGANIZATION'S MISSION, VISION, OR VALUE STATEMENTS. - MERGING, CONSOLIDATING OR COMBINING THE ORGANIZATION WITH ANY OTHER ENTITY. - SELLING, LEASING, EXCHANGING, MORTGAGING, PLEDGING, OR OTHERWISE DISPOSING OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY OR ASSETS OF THE ORGANIZATION. - ACQUIRING ANY PHYSICIAN PRACTICE; ENTERING INTO ANY PARTNERSHIP, JOINT VENTURE OR MANAGEMENT ARRANGEMENT; CREATING SUBSIDIARIES; BECOMING A MEMBER, SHAREHOLDER OR PARTNER, OR HOLDING OR ACQUIRING ANY OTHER INTEREST IN ANY OTHER ENTITY; OR DISSOLVING, ALTERING OR PERMITTING ANY OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY THE SOLE MEMBER. - DISSOLVING THE ORGANIZATION OR REVOKING VOLUNTARY DISSOLUTION PROCEEDINGS. - APPOINTING THE PRESIDENT AND EXECUTIVE MEDICAL DIRECTOR OF THE ORGANIZATION AND THE CHIEF OPERATING OFFICER, OR ANY PERSON PERFORMING FUNCTIONS ASSOCIATED WITH SUCH OFFICES REGARDLESS OF TITLE. - SELECTING AUDITORS TO AUDIT THE ORGANIZATION; - ESTABLISHING, ALTERING OR TERMINATING ANY COMMITTEE OF THE BOARD AND ADOPTING, ALTERING OR REPEALING A CHARTER OR OTHER DOCUMENT GOVERNING THE AFFAIRS, OPERATIONS OR ACTIONS OF ANY COMMITTEE. - APPROVING OR SETTING PHYSICIAN COMPENSATION PLANS (WITH APPROVAL BY THE SOLE MEMBER'S COMPENSATION COMMITTEE BEING DEEMED APPROVAL BY THE MEMBER.) FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS A COPY OF THE ORGANIZATION'S FINAL FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF SENTARA HEALTHCARE'S GOVERNING BODY BEFORE BEING FILED. SENTARA HEALTHCARE IS A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM".) THE ORGANIZATION 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. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COI POLICY 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 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 28 NOT-FOR-PROFIT HEALTHCARE SYSTEMS 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 PRESIDENT AND ASSISTANT TREASURER. THE ASSISTANT TREASURER ALSO SERVED AS EXECUTIVE VICE PRESIDENT AND CFO OF THE SYSTEM. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. FORM 990, PART VI, SECTION C, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE 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 THE ORGANIZATION'S BOARD OF DIRECTORS IS ELECTED ANNUALLY BY SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARECARE 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 -14,667,070. 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