SENTARA HOSPITALS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SENTARA HOSPITALS (EIN 54-1547408)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-09
IRS object ID: 202123139349301967
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-09T09:30:28-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	541547408	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SENTARA HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SENT	BusinessNameControlTxt
Phone	7574557020	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DRIVE	AddressLine1Txt
City	NORFOLK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23502	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT A BROERMANN	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	7574557020	PhoneNum
Signature	2021-11-09	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ROBERT	PersonFirstNm
Person Last	BROERMANN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	HOWARD P KERN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DRIVE	AddressLine1Txt
City	NORFOLK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23502	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,881,380,594	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SENTARA.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	14993	TotalEmployeeCnt
Total Volunteers	719	TotalVolunteersCnt
Total Gross UBI	$26,084,200	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$113,722	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,283,823	PYContributionsGrantsAmt
CY Contributions Grants	$66,285,965	CYContributionsGrantsAmt
PY Program Service Revenue	$2,677,894,747	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,718,932,384	CYProgramServiceRevenueAmt
PY Investment Income	$2,906,355	PYInvestmentIncomeAmt
CY Investment Income	$2,110,971	CYInvestmentIncomeAmt
PY Other Revenue	$8,783,063	PYOtherRevenueAmt
CY Other Revenue	$4,106,876	CYOtherRevenueAmt
PY Total Revenue	$2,690,867,988	PYTotalRevenueAmt
CY Total Revenue	$2,791,436,196	CYTotalRevenueAmt
PY Grants And Similar Paid	$47,765,777	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$36,416,425	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,129,914,765	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,164,174,974	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,181,820,576	PYOtherExpensesAmt
CY Other Expenses	$1,250,506,670	CYOtherExpensesAmt
PY Total Expenses	$2,359,501,118	PYTotalExpensesAmt
CY Total Expenses	$2,451,098,069	CYTotalExpensesAmt
PY Revenues Less Expenses	$331,366,870	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$340,338,127	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,776,785,477	TotalAssetsBOYAmt
Total Assets EOY	$1,920,008,370	TotalAssetsEOYAmt
Total Liabilities BOY	$260,327,462	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$619,704,837	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,516,458,015	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,300,303,533	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,271,666,725	ExpenseAmt
Grant	$36,416,425	GrantAmt
Revenue	$2,694,936,164	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$2,271,666,725	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1606	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	14993	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE OFFICERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7574557020	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DR	AddressLine1Txt
City	NORFOLK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23502	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HOWARD P KERN
DIRECTOR/CHAIRMAN	2.00	50.00	Yes (X)	Yes (X)	$0	$4,236,626	$7,161,298
MICHAEL V GENTRY
DIRECTOR/PRESIDENT	2.00	50.00	Yes (X)	Yes (X)	$0	$1,771,839	$417,079
ROBERT A BROERMANN
DIRECTOR/TREASURER	2.00	50.00	Yes (X)	Yes (X)	$0	$1,901,653	$160,613
LOUIS PATALANO IV
SECRETARY (EFFEC 7/20)	1.00	47.00		Yes (X)	$0	$820,481	$99,287
SAMUEL J HAWLEY
SECRETARY (THRU 6/20)	1.00	47.00		Yes (X)	$0	$226,265	$63,735
ARTHUR D JAMES
KE (PRESIDENT, AMBULATORY SERVICES)	40.00	1.00			$1,007,338	$0	$188,414	Yes (X)
TERESA L EDWARDS
KE (CORPORATE VP)	40.00	2.00			$959,842	$0	$140,212	Yes (X)
GENEMARIE W MCGEE
KE (CNO)	40.00	0.00			$773,575	$0	$288,959	Yes (X)
MICHAEL J REAGIN
KE (SVP, CHIEF INFO & INNOV OFFICER)	40.00	0.00			$721,595	$0	$38,045	Yes (X)
CAROLYN C CARPENTER
KE (PRESIDENT, SNGH)	40.00	0.00			$566,733	$0	$70,406	Yes (X)
ELWOOD B BOONE III
KE (PRESIDENT, SVBGH)	40.00	1.00			$495,085	$0	$134,257	Yes (X)
JOANNE M INMAN
KE (PRESIDENT, SLH)	40.00	0.00			$427,083	$0	$197,060	Yes (X)
KIRKPATRICK CONLEY
KE (INTERIM CVP, PENINSULA REGION)	40.00	0.00			$525,196	$0	$59,400	Yes (X)
KURT T HOFELICH
VP, AMBULATORY SERVICES	40.00	4.00			$510,011	$0	$288,715		Yes (X)
THOMAS KLEVAN
MEDICAL DIRECTOR, CARDIAC SVC LINE	40.00	0.00			$603,778	$0	$106,570		Yes (X)
JOEL T BUNDY
VP, CHIEF QUALITY & SAFETY OFFICER	40.00	0.00			$534,311	$0	$116,105		Yes (X)
CHRISTOPHER M CULP
VP, MEDICAL AFFAIRS SWCH	40.00	0.00			$547,758	$0	$6,899		Yes (X)
MICHAEL H HOOPER
VP, MEDICAL AFFAIRS	40.00	0.00			$461,741	$0	$88,447		Yes (X)
JEFFREY P KING
FORMER OFFICER	0.00	0.00			$0	$174,354	$17,188			Yes (X)
MARY L BLUNT
FORMER KE	40.00	0.00			$935,748	$0	$6,282			Yes (X)
GRACE MYERS
FORMER KE	40.00	0.00			$330,460	$0	$151,915			Yes (X)
ROBERT C FIRESTONE
FORMER KE	40.00	0.00			$291,025	$0	$150,931			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,691,279	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,131,218	TotReportableCompRltdOrgAmt
Total Other Compensation	$9,951,817	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1481	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WHITING TURNER CONTRACTING COMPANY
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION	$32,880,491
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	MEDICAL PROFESSIONAL SERVICES	$29,846,345
CCN AMERICA LP
300 PENN CENTER BOULEVARD	PITTSBURGH	PA	15235	PHARMACY SERVICES	$18,634,649
TRIMEDX
5451 LAKEVIEW PARKWAY SOUTH DRIVE	INDIANAPOLIS	IN	46268	CLINICAL ASSET MANAGEMENT	$11,969,460
ATLANTIC ANESTHESIA INC
134 BUSINESS PARK DRIVE	VIRGINIA BEACH	VA	23462	MEDICAL PROFESSIONAL SERVICES	$9,987,098

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	296	CntrctRcvdGreaterThan100KCnt
Government Grants	$64,652,801	GovernmentGrantsAmt
All Other Contributions	$1,633,164	AllOtherContributionsAmt
Noncash Contributions	$75,607	NoncashContributionsAmt
Total Contributions	$66,285,965	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$2,628,611,828	$2,628,611,828
REFERENCE LAB	621500	$29,850,315	$13,694,617	$16,155,698
EQUITY IN AFFILIATES	900099	$29,300,515	$29,218,086	$82,429
OTHER PROGRAM SERVICE REVENUE	900099	$27,049,200	$19,692,531	$7,356,669
PREMIUM & CAP REVENUE	900099	$4,120,526	$4,120,526

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,718,932,384	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,144,805	TotalRevenueColumnAmt
Exclusion	$2,144,805	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,003,370	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,003,370	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,003,370	TotalRevenueColumnAmt
Exclusion	$2,003,370	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$498,463	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$532,297	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$33,834	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$33,834	TotalRevenueColumnAmt
Exclusion	-$33,834	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$91,297,613	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$89,412,101	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,885,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$561,529	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,447,041	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER	900099	$202,468	$160,105	$42,363
DIETARY SALES/CAFETERIA/VENDING	722515	$15,526			$15,526

Field	Value	IRS element (for citing)
Other Revenue Total	$217,994	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,791,436,196	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,694,936,164	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,084,200	UnrelatedBusinessRevenueAmt
Exclusion	$4,129,867	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$36,063,041	TotalAmt
Program Services	$36,063,041	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$353,384	TotalAmt
Program Services	$353,384	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,593,200	TotalAmt
Program Services	$5,553,238	ProgramServicesAmt
Management And General	$1,039,962	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$969,361	TotalAmt
Program Services	$816,461	ProgramServicesAmt
Management And General	$152,900	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$905,490,203	TotalAmt
Program Services	$762,664,903	ProgramServicesAmt
Management And General	$142,825,300	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$90,662,081	TotalAmt
Program Services	$76,361,718	ProgramServicesAmt
Management And General	$14,300,363	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$93,470,405	TotalAmt
Program Services	$78,727,077	ProgramServicesAmt
Management And General	$14,743,328	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$66,989,724	TotalAmt
Program Services	$56,423,262	ProgramServicesAmt
Management And General	$10,566,462	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,822,375	TotalAmt
Program Services	$13,326,671	ProgramServicesAmt
Management And General	$2,495,704	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,965,267	TotalAmt
Program Services	$1,655,280	ProgramServicesAmt
Management And General	$309,987	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$433,458	TotalAmt
Program Services	$365,088	ProgramServicesAmt
Management And General	$68,370	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$281,231,152	TotalAmt
Program Services	$274,813,981	ProgramServicesAmt
Management And General	$6,417,171	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$448,296	TotalAmt
Program Services	$377,585	ProgramServicesAmt
Management And General	$70,711	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$125,754,446	TotalAmt
Program Services	$105,918,874	ProgramServicesAmt
Management And General	$19,835,572	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$69,274,222	TotalAmt
Program Services	$58,347,421	ProgramServicesAmt
Management And General	$10,926,801	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$59,166,014	TotalAmt
Program Services	$49,833,606	ProgramServicesAmt
Management And General	$9,332,408	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,568,647	TotalAmt
Program Services	$2,163,488	ProgramServicesAmt
Management And General	$405,159	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$482,230	TotalAmt
Program Services	$406,167	ProgramServicesAmt
Management And General	$76,063	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,107,066	TotalAmt
Program Services	$16,093,259	ProgramServicesAmt
Management And General	$3,013,807	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$120,908,384	TotalAmt
Program Services	$101,837,193	ProgramServicesAmt
Management And General	$19,071,191	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,129,191	TotalAmt
Program Services	$6,846,953	ProgramServicesAmt
Management And General	$1,282,238	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$540,144,041	$540,144,041
UNRELATED BUSINESS INCO	-$189,286	-$189,286
TAXES & LICENSES	$90,918,233	$90,739,847	$178,386
PURCHASED & CONTRACTED	$11,726,597	$9,876,931	$1,849,666

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$97,383,663	TotalAmt
Program Services	-$17,853,458	ProgramServicesAmt
Management And General	-$79,530,205	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,451,098,069	TotalAmt
Program Services	$2,271,666,725	ProgramServicesAmt
Management And General	$179,431,344	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,121,516	BOYAmt
EOY	$76,006,830	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$292,103	BOYAmt
EOY	$164,771	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$420,285,661	BOYAmt
EOY	$411,947,820	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$281,101	BOYAmt
EOY	$287,780	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$65,770,364	BOYAmt
EOY	$84,481,299	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$21,628,497	BOYAmt
EOY	$24,316,109	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,214,309,707	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,178,689,253	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,021,973,111	BOYAmt
EOY	$1,035,620,454	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,669,780	BOYAmt
EOY	$1,699,211	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,058,312	BOYAmt
EOY	$116,728,028	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$122,705,032	BOYAmt
EOY	$168,756,068	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,776,785,477	BOYAmt
EOY	$1,920,008,370	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$103,814,805	BOYAmt
EOY	$302,792,313	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,690,195	BOYAmt
EOY	$1,421,545	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$154,822,462	BOYAmt
EOY	$315,490,979	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$260,327,462	BOYAmt
EOY	$619,704,837	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,504,812,654	BOYAmt
EOY	$1,284,869,695	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,645,361	BOYAmt
EOY	$15,433,838	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,516,458,015	BOYAmt
EOY	$1,300,303,533	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,776,785,477	BOYAmt
EOY	$1,920,008,370	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$340,338,127	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$110,329	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$556,602,938	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,645,780	BeginningYearBalanceAmt
Contributions	$8,668,301	ContributionsAmt
Investment Earnings Or Losses	$131,112	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$353,384	GrantsOrScholarshipsAmt
Other Expenditures	$4,183,566	OtherExpendituresAmt
End Year Balance	$15,908,243	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,323,627	BeginningYearBalanceAmt
Contributions	$2,795,727	ContributionsAmt
Investment Earnings Or Losses	$152,479	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$323,068	GrantsOrScholarshipsAmt
Other Expenditures	$2,302,985	OtherExpendituresAmt
End Year Balance	$11,645,780	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,711,859	BeginningYearBalanceAmt
Contributions	$3,333,429	ContributionsAmt
Investment Earnings Or Losses	$9,091	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$365,812	GrantsOrScholarshipsAmt
Other Expenditures	$2,364,939	OtherExpendituresAmt
End Year Balance	$11,323,627	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,273,804	BeginningYearBalanceAmt
Contributions	$2,980,655	ContributionsAmt
Investment Earnings Or Losses	$82,803	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$399,763	GrantsOrScholarshipsAmt
Other Expenditures	$2,225,640	OtherExpendituresAmt
End Year Balance	$10,711,859	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,850,538	BeginningYearBalanceAmt
Contributions	$3,248,986	ContributionsAmt
Investment Earnings Or Losses	$9,768	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$279,462	GrantsOrScholarshipsAmt
Other Expenditures	$1,556,026	OtherExpendituresAmt
End Year Balance	$10,273,804	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.17400	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.82600	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$3,309,891	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$45,939,602	OtherCostOrOtherBasisAmt
Book Value	$49,249,493	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$859,074,556	OtherCostOrOtherBasisAmt
Depreciation	$416,687,375	DepreciationAmt
Book Value	$442,387,181	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,295,958	OtherCostOrOtherBasisAmt
Depreciation	$30,559,971	DepreciationAmt
Book Value	$2,735,987	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,002,386,697	OtherCostOrOtherBasisAmt
Depreciation	$1,700,594,380	DepreciationAmt
Book Value	$301,792,317	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$270,303,003	OtherCostOrOtherBasisAmt
Depreciation	$30,847,527	DepreciationAmt
Book Value	$239,455,476	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,035,620,454	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$48,122,995
INVESTMENT IN AFFILIATES	$120,633,073

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$168,756,068	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$567,270
OTHER LIABILITIES	$25,204,765
DUE TO 3RD PARTY PAYORS	$140,719,844
CAPITAL LEASE OBLIGATION	$38,000,000
GENERAL RESERVE	$16,626,626
ROU LIABILITY	$94,372,474

Field	Value	IRS element (for citing)
Total Liability	$315,490,979	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

TEMPORARILY RESTRICTED CONTRIBUTIONS ARE TO EITHER SPECIFIC PURPOSE FUNDS OR PLANT EXPANSION FUNDS. SPECIFIC PURPOSE FUNDS INCLUDE GENERAL BENEFIT FUNDS SUCH AS BIOTERRORISM RESPONSE, NIGHTINGALE AIR AMBULANCE, AND THE SCHOOL OF NURSING GIFT FUND. OTHER SPECIFIC PURPOSE FUNDS ARE FOR SCHOLARSHIPS, EDUCATION/RESEARCH/SYMPOSIUM, CANCER/ONCOLOGY, AND CARDIAC. PLANT EXPANSION INCLUDE FUNDS FOR GENERAL BUILDING, BURN UNIT AND CANCER INSTITUTE. PERMANENTLY RESTRICTED FUNDS CONSIST OF INCOME PROVISIONS FOR SCHOLARSHIPS AND EDUCATIONAL RESOURCES FOR THE SCHOOL OF NURSING, TO BENEFIT CARDIAC EDUCATION AND RESEARCH, AND TO SUPPORT STUDIES BY THE CARDIOVASCULAR RESEARCH INSTITUTE SURGEONS AND CARDIOLOGISTS.

SCHEDULE D, PART V

PRIOR YEAR WAS RESTATED DUE TO A REPORTING ERROR.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,354,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,354,385	NetCommunityBenefitExpnsAmt
Total Expense	0.02520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$432,418,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$480,725,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$494,772,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$480,725,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,354,385	NetCommunityBenefitExpnsAmt
Total Expense	0.02520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,635,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,629,452	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,391,968	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,071,820	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,320,148	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,939,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,777,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,161,422	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,234,662	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,234,662	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,201,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,855,567	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,345,684	NetCommunityBenefitExpnsAmt
Total Expense	0.04460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$674,974,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$550,581,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$172,700,069	NetCommunityBenefitExpnsAmt
Total Expense	0.06980	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$823,645	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$823,645	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,592	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,592	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,653	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,653	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$509,408	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$509,408	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,377,298	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,377,298	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$168,317,338	BadDebtExpenseAmt
Bad Debt Expense Attributable	$25,247,601	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$612,284,971	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$677,500,278	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$65,215,307	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PRINCESS ANNE AMB SURG MGT
OUTPATIENT SURGERY CENTER	0.52590	0.47410
2 SENTARA OBICI AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.64860	0.35140
3 VA BEACH AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
4 CANCER CENTERS OF VA LLC
EQUIPMENT LEASING	0.50000	0.50000
5 OBICI REAL EST HOLDINGS LLC
REAL ESTATE RENTAL	0.76710	0.23290
7 CAREPLEX ORTHO AMBULATORY SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
8 SURGICAL SUITES OF COASTAL VIRGINIA LLC
OUTPATIENT SURGERY CENTER	0.51000	0.49000
9 LEIGH ORTHOPEDIC SURGERY CENTER LLC
OUTPATIENT SURGERY CENTER	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	14	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (14 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
SENTARA NORFOLK GENERAL HOSP
1	600 GRESHAM DRIVE	NORFOLK	VA	23507	WWW.SENTARA.COM	H 1896	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SENTARA LEIGH HOSPITAL
2	830 KEMPSVILLE ROAD	NORFOLK	VA	23502	WWW.SENTARA.COM	H 1895	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SENTARA VA BEACH GEN HOSP
3	1060 FIRST COLONIAL ROAD	VA BEACH	VA	23454	WWW.SENTARA.COM	H 1897	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SENTARA CAREPLEX HOSPITAL
4	3000 COLISEUM DRIVE	HAMPTON	VA	23666	WWW.SENTARA.COM	H 1894	Yes (X)	Yes (X)			Yes (X)	A
SENTARA OBICI HOSPITAL
5	2800 GODWIN BLVD	SUFFOLK	VA	23434	WWW.SENTARA.COM	H 1869	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SENTARA WMSBG REG MED CTR
6	100 SENTARA CIRCLE	WILLIAMSBURG	VA	23188	WWW.SENTARA.COM	H 1898	Yes (X)	Yes (X)			Yes (X)	A
SENTARA ALBEMARLE MEDICAL CTR
7	1144 N ROAD STREET	ELIZABETH CITY	NC	27909	WWW.SENTARA.COM	H0054	Yes (X)	Yes (X)			Yes (X)
LEIGH ORTHOPEDIC SURGERY CENTER LLC
8	830 KEMPSVILLE ROAD	NORFOLK	VA	23502	WWW.SENTARA.COM	OH 669	Yes (X)						AMBULATORY SURGERY CENTER
SENTARA PORT WARWICK AMB SRG CTR
9	1031 LOFTIS BLVD	NEWPORT NEWS	VA	23606	WWW.SENTARA.COM	OH 704	Yes (X)				Yes (X)	A	AMBULATORY SURGERY CENTER
PRINCESS ANNE AMB SURG CTR
10	1975 GLENN MITCHELL DRIVE	VA BEACH	VA	23456	WWW.SENTARA.COM	OH 706	Yes (X)						AMBULATORY SURGERY CENTER
CAREPLEX ORTHO AMBULATORY SURG CTR
11	3000 COLISEUM DRIVE	HAMPTON	VA	23666	CAREPLEXORTHO.COM	OH 718	Yes (X)						AMBULATORY SURGERY CENTER
SENTARA OBICI AMB SURG CTR
12	2750 GODWIN BLVD	SUFFOLK	VA	23434	WWW.SENTARA.COM	OH 710	Yes (X)						AMBULATORY SURGERY CENTER
SURGICAL SUITES OF COASTAL VA LLC
13	400 SENTARA CIRCLE	WILLIAMSBURG	VA	23188	WWW.SENTARA.COM	OH 670	Yes (X)						AMBULATORY SURGERY CENTER
VA BEACH AMB SURG CTR
14	1700 WILL-O-WISP DRIVE	VA BEACH	VA	23454	WWW.VBASC.COM	OH 681	Yes (X)						AMBULATORY SURGERY CENTER

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (8 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	No Emergency CareNoEmergencyCareInd	Other ReasonOtherReasonInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Other Actions TakenOtherActionsTakenInd	Look Back Medicare PrivateLookBackMedicarePrivateInd
VA BEACH AMB SURG CTR
14	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C, LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/	Yes (X)	WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/	Yes (X)	WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0
SENTARA OBICI AMB SURG CTR
13	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)
PRINCESS ANNE AMB SURG CTR
11	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)
CAREPLEX ORTHO AMBULATORY SURG CTR
12	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	250.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/	Yes (X)	CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/	Yes (X)	CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)	Yes (X)
LEIGH ORTHOPEDIC SURGERY CENTER
15	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)	Yes (X)
SURGICAL SUITES OF COASTAL VA LLC
10	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SSCOVA.COM/FULL-FIN-POLICY-APPLICATION	Yes (X)	WWW.SSCOVA.COM/FULL-FIN-POLICY-APPLICATION	Yes (X)	WWW.SSCOVA.COM/FINANCIAL-ASSISTANCE-POLICY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)	Yes (X)
FACILITY REPORTING GROUP A
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (1)				0	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
7	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		19	Yes (1)	0	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (1)				0	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (59 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
LEIGH ORTHOPEDIC SURGERY CENTER	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SURGICAL SUITES OF COASTAL VA, LLC	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF VIRGINIA BEACH AMBULATORY SURGERY CENTER WAS CONDUCTED WITH PRINCESS ANNE AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; LEIGH ORTHOPEDIC SURGERY CENTER (FORMERLY SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER); AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF OBICI AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA OBICI HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF PRINCESS ANNE AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VIRGINIA BEACH AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; LEIGH ORTHOPEDIC SURGERY CENTER (FORMERLY SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER); AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW) AND SURGICAL SUITES OF COASTAL VIRGINIA AMBULATORY SURGERY CENTER.
LEIGH ORTHOPEDIC SURGERY CENTER	PART V, SECTION B, LINE 6A: THE CHNA OF LEIGH ORTHOPEDIC SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW) AS WELL AS SENTARA PRINCESS ANNE HOSPITAL; PRINCESS ANNE AMBULATORY SURGERY CENTER; AND VIRGINIA BEACH AMBULATORY SURGERY CENTER.
SURGICAL SUITES OF COASTAL VA, LLC	PART V, SECTION B, LINE 6A: THE CHNA OF SURGICAL SUITES OF COASTAL VIRGINIA AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW) AND CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-VB-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.PDF
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-OBICI-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-PA-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-CO-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
LEIGH ORTHOPEDIC SURGERY CENTER	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SL-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
SURGICAL SUITES OF COASTAL VA, LLC	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESSES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SURGICAL-SUITES-COASTAL-VIRGINIA-2019-CHNA.PDF
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SAMC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
LEIGH ORTHOPEDIC SURGERY CENTER	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SURGICAL SUITES OF COASTAL VA, LLC	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, UNINSURED INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
LEIGH ORTHOPEDIC SURGERY CENTER	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SURGICAL SUITES OF COASTAL VA, LLC	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 20E: REFER TO RESPONSE FOR FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
LEIGH ORTHOPEDIC SURGERY CENTER	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SURGICAL SUITES OF COASTAL VA, LLC	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PART V, SECTION B, LINE 3E - FACILITY REPORTING GROUP A	THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES.
PART V, SECTION B, LINE 3E - VIRGINIA BEACH AMBULATORY SURGERY CENTER	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - SENTARA OBICI AMBULATORY SURGERY CENTER	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - PRINCESS ANNE AMBULATORY SURGERY CENTER	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - CAREPLEX ORTHOPEDIC AMBULATORY SURGERY CENTER	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - SURGICAL SUITES OF COASTAL VA	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 3E - LEIGH ORTHOPEDIC SURGERY CENTER	SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PART V, SECTION B, LINE 13A - FACILITY REPORTING GROUP A AND SAMC	DURING 2020, THE HOSPITAL FACILITY RAISED ITS FREE CARE INCOME LIMIT FOR UNINSURED PATIENTS FROM 200% TO 300% OF FPG.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SENTARA NORFOLK GENERAL HOSP, - FACILITY 2: SENTARA LEIGH HOSPITAL, - FACILITY 3: SENTARA VA BEACH GEN HOSP, - FACILITY 4: SENTARA CAREPLEX HOSPITAL, - FACILITY 5: SENTARA OBICI HOSPITAL, - FACILITY 6: SENTARA WMSBG REG MED CTR, - FACILITY 9: SENTARA PORT WARWICK AMB SRG CTR
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	1) IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), EACH HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH METHODS INCLUDING: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS. EACH HOSPITAL FACILITY PARTICIPATED IN A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT. THE COMMITTEES WERE RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. SEVERAL OF THE LOCAL HEALTH DEPARTMENTS HAD GONE THROUGH THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS AND REPORTS WERE AVAILABLE FOR THE STEERING COMMITTEE. THE FINDINGS OF THESE REPORTS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. EACH OF THE HOSPITAL FACILITIES CONDUCTED EITHER TARGETED FOCUS GROUPS OR INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. MEMBERS OF THE STEERING COMMITTEES OF THE HOSPITAL FACILITIES PARTICIPATED IN LOCAL COALITIONS SUCH AS THE SUFFOLK PARTNERSHIP FOR A HEALTHY COMMUNITY AND ACCESS PARTNERSHIP AND PROVIDED ADDITIONAL INPUT.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	THE CHNAS OF SENTARA NORFOLK GENERAL HOSPITAL; SENTARA LEIGH HOSPITAL; SENTARA VIRGINIA BEACH GENERAL HOSPITAL; AND LEIGH ORTHOPEDIC SURGERY CENTER (FORMERLY SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER), WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH SENTARA PRINCESS ANNE HOSPITAL; PRINCESS ANNE AMBULATORY SURGERY CENTER; AND VIRGINIA BEACH AMBULATORY SURGERY CENTER.THE CHNAS OF SENTARA CAREPLEX HOSPITAL; SENTARA PORT WARWICK; AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER AND SURGICAL SUITES OF COASTAL VIRGINIA AMBULATORY SURGERY CENTER (FORMALLY GEDDY OUTPATIENT CENTER AT SWRMC). ADDITIONALLY, THE COMMUNITY INPUT COMPONENT OF THESE CHNAS WAS CONDUCTED WITH RIVERSIDE HEALTH SYSTEM. THE CHNA OF SENTARA OBICI HOSPITAL WAS CONDUCTED WITH OBICI AMBULATORY SURGERY CENTER.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D:	COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESSES FOR THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS ARE AS FOLLOWS:SENTARA NORFOLK GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SNGH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA LEIGH HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SLH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA VIRGINIA BEACH GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SVBGH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA CAREPLEX HOSPITAL HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SCH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA OBICI HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SOH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA WILLIAMSBURG REGIONAL MEDICAL CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SWRMC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFSENTARA PORT WARWICK AMBULATORY SURGERY CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SENTARA-PORT-WARWICK-ASC-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.PDF
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	EACH OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL FACILITIES UNDERWENT A PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. THE PROCESS CONSIDERED FACTORS SUCH AS SIZE AND SCOPE OF THE HEALTH PROBLEM, THE INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, IMPACT ON HEALTH DISPARITIES, THE IMPORTANCE TO THE COMMUNITY, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTION OF THE IMPLEMENTATION STRATEGIES, THE FACILITIES ARE PARTICIPATING IN BOTH REGIONAL AND CITY LEVEL COLLABORATIVE EFFORTS. AN EXAMPLE IS THE MENTAL HEALTH/OPIOID EPIDEMIC IN OUR REGION. SEVERAL OF OUR FACILITIES ARE COLLABORATING TO CREATE AWARENESS AND EDUCATION FOR THE COMMUNITY AND THOSE IMPACTED. SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. IN ADDITION, SOME COMMUNITY NEEDS ARE BEING ADDRESSED AT THE HEALTH SYSTEM LEVEL RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E:	THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES, EVEN IF THEY ARE INELIGIBLE FOR FINANCIAL ASSISTANCE BY MODEL.
PART V, SECTION B, LINE 20D - VB ASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINE 20D - OBICI ASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINE 20D - PA ASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.

Field	Value	IRS element (for citing)
Facility	128	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (128 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - ADVANCED IMAGING CENTER-1ST COLONIAL
1080 FIRST COLONIAL ROAD	VIRGINIA BEACH	VA	23454	IMAGING CENTER
2 - SENTARA BELLEHARBOUR
3920A BRIDGE ROAD STE 100	SUFFOLK	VA	23435	DIAGNOSTIC CENTER
3 - ADVANCED IMAGING CENTER-GREENBRIER
713 VOLVO PARKWAY STE 105	CHESAPEAKE	VA	23320	OTHER OUTPATIENT SITE
4 - SENTARA INDEPENDENCE
800 INDEPENDENCE BLVD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
5 - PORT WARWICK MEDICAL ARTS
11803 JEFFERSON AVE	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
6 - BROCK CANCER CENTER
6251 E VIRGINIA BEACH BLVD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
7 - SENTARA LEIGH COMP BREAST CT
880 KEMPSVILLE ROAD STE 1200	NORFOLK	VA	23502	BREAST DIAGNOSTIC CENTER
8 - PORT WARWICK COMPREHENSIVE BREAST CTR
1051 LOFTIS BLVD STE 200	NEWPORT NEWS	VA	23606	DIAGNOSTIC CENTER
9 - SVBGH PAIN MANAGEMENT UNIT
1080 FIRST COLONIAL ROAD STE 201	VIRGINIA BEACH	VA	23454	PAIN MGT. CENTER
10 - SENTARA THERAPY CENTER-OBICI YMCA
ROUTE 10/GODWIN BLVD	SUFFOLK	VA	23434	REHABILITATION CENTER
11 - SENTARA PORT WAR PHYS THER & WOUND CARE
11803 JEFFERSON AVE STE 125	NEWPORT NEWS	VA	23606	REHABILITATION CENTER
12 - SENTARA THERAPY CENTER-GREENBRIER
713 VOLVO PARKWAY STE 101	CHESAPEAKE	VA	23320	REHABILITATION CENTER
13 - ADVANCED IMAG CTR-WAINWRIGHT
229 WEST BUTE ST STE 900 9TH FL	NORFOLK	VA	23510	IMAGING CENTER
14 - SENTARA THER CTR-ORTHO & SPORTS PERFORM
6201 E VIRGINIA BEACH BLVD SUITE	NORFOLK	VA	23502	OTHER OUTPATIENT SITE	110
15 - SENTARA PHYSICAL THERAPY-TREYBURN
3901 TREYBURN DRIVE	WILLIAMSBURG	VA	23185	REHABILITATION CENTER
16 - SWRMC OUTPATIENT REHABILITATION SERVICES
YMCA BUILDING 301 SENTARA CIR	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
17 - SENTARA THERAPY CENTER-LYNNHAVEN
2728-2732 VIRGINIA BEACH BLVD	VIRGINIA BEACH	VA	23452	REHABILITATION CENTER
18 - OUTPATIENT INFUSION CENTER III
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
19 - SENTARA HAND THERAPY CENTER
844 KEMPSVILLE ROAD STE 104	NORFOLK	VA	23052	OTHER OUTPATIENT SITE
20 - SENTARA HAND THERAPY CENTER
6201 E VIRGINIA BEACH BLVD SUITE	NORFOLK	VA	23502	OTHER OUTPATIENT SITE	110
21 - SENTARA THERAPY CENTER-BLOCKER YMCA
312 WEST BUTE ST	NORFOLK	VA	23510	REHABILITATION CENTER
22 - SENTARA THERAPY CTR-ALBEMARLE YMCA
1240 N ROAD STREET	ELIZABETH CITY	NC	27909	REHABILITATION CENTER
23 - SENTARA THERAPY CENTER-CAREPLEX
4000 COLISEUM DR STE 120	HAMPTON	VA	23666	REHABILITATION CENTER
24 - SENTARA THERAPY CENTER-GRANBY YMCA
2901 GRANBY ST STE 200	NORFOLK	VA	23504	REHABILITATION CENTER
25 - SENTARA THERAPY CTR-PEDS NEWTOWN
818 NEWTOWN ROAD	VIRGINIA BEACH	VA	23462	REHABILITATION CENTER
26 - SENTARA THER CTR-ST LUKESSMITHFIELD
20209 SENTARA WAY STE 102	CARROLLTON	VA	23314	REHABILITATION CENTER
27 - SENTARA THERAPY CENTER-GREAT BRIDGE
633 BATTLEFIELD BLVD S	CHESAPEAKE	VA	23322	REHABILITATION CENTER
28 - SENTARA INDEPENDENCE THERAPY CENTER
816 INDEPENDENCE BLVD STE 3F	VIRGINIA BEACH	VA	23455	REHABILITATION CENTER
29 - SENTARA THERAPY CTR-WARD'S CORNER
7419 GRANBY STREET	NORFOLK	VA	23505	REHABILITATION CENTER
30 - SENTARA THERAPY CENTER-MARINA SHORES
2865 LYNNHAVEN DRIVE	VIRGINIA BEACH	VA	23451	REHABILITATION CENTER
31 - SENTARA THERAPY CENTER-GRASSFIELD
1001 SCENIC PARKWAY STE 101	CHESAPEAKE	VA	23323	REHABILITATION CENTER
32 - SENTARA THERAPY CENTER-COLISEUM
4001 COLISEUM DR STE 200	HAMPTON	VA	23666	REHABILITATION CENTER
33 - SENTARA THERAPY CENTER-INDIAN RIVER
5660 INDIAN RIVER ROAD STE 121	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
34 - SENTARA THERAPY CENTER-QUINTON
2500 NEW KENT HWY PO BOX 339	QUINTON	VA	23141	REHABILITATION CENTER
35 - SENTARA THERAPY CTR-FORT NORFOLK
301 RIVERVIEW AVE STE 202	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
36 - CAREPLEX MEDICAL ARTS SLEEP LAB
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	SLEEP DISORDER CLINIC
37 - AMBULATORY CARE CLINIC
130 COLLEY AVE	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
38 - CARDIOLOGY SPEC-KEMPSVILLE RD
844 KEMPSVILLE ROAD STE 202	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
39 - SVBGH-SENTARA HEALTH AND WELLNESS CTR
1708 OLD DONATION PARKWAY	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
40 - SENTARA THERAPY CENTER-MATTHEWS
33 CRICKET HILL RD STE 100	HUDGINS	VA	23076	REHABILITATION CENTER
41 - SENTARA THERAPY CTR COMP NEURO REHAB
6251 E VIRGINIA BEACH BLVD SUITE	NORFOLK	VA	23502	OTHER OUTPATIENT SITE	400
42 - SENTARA THER CTR HAMPTON YMCA
1 YMCA WAY	HAMPTON	VA	23669	REHABILITATION CENTER
43 - SENTARA THERAPY CENTER-WAKEFIELD
103 RAILROAD AVE	WAKEFIELD	VA	23888	REHABILITATION CENTER
44 - NORFOLK DIAGNOSTIC CENTER
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	DIAGNOSTIC CENTER
45 - SENTARA THERAPY CENTER-YORK
100 ENTERPRISE DRIVE	YORKTOWN	VA	23692	REHABILITATION CENTER
46 - SENTARA THERAPY CENTER & CHIRO SVCS
1809 COLONIAL MEDICAL COURT	VIRGINIA BEACH	VA	23454	REHABILITATION CENTER
47 - SENTARA OBICI MAMMOGRAPHYDIAGNOSTIC CTR
20209 SENTARA WAY	CARROLLTON	VA	23314	BREAST DIAGNOSTIC CENTER
48 - ADVANCED IMAGING CENTER-ST LUKE'S
20209 SENTARA WAY STE 108	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
49 - SENTARA FORT NK COMP BREAST CTR
301 RIVERVIEW AVE STE 830	NORFOLK	VA	23510	BREAST DIAGNOSTIC CENTER
50 - SENTARA THERAPY CENTER-TANGLEWOOD
105 COMMERCIAL BLVD STE E	ELIZABETH CITY	NC	27909	OTHER OUTPATIENT SITE
51 - CARDIOLOGY SPEC-FORT NORFOLK
301 RIVERVIEW AVE STE 700	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
52 - SENTARA NEUR SPEC-PRINCESS ANNE
1950 GLENN MITCHELL DR STE 200	VIRGINIA BEACH	VA	23456	OTHER OUTPATIENT SITE
53 - SENTARA RHEUMATOLOGY SPEC-KEMPS
844 KEMPSVILLE RD STE 1038	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
54 - SENTARA DERM SPEC-KEMPS
850 KEMPSVILLE RD STE 100D	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
55 - SENTARA FAM MED PHYS-1ST COLONIAL
1024 FIRST COLONIAL ROAD STE 102	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
56 - SENTARA HAND SURGERY SPECIALISTS-VAB
5716 CLEVELAND ST STE 210	VIRGINIA BEACH	VA	23462	REHABILITATION CENTER
57 - GLOUCESTER IMAGING CENTER
5659 PARKWAY DR STE 130	GLOUCESTER	VA	23061	IMAGING CENTER
58 - SENTARA MOBILE MAMMOGRAPHY
880 KEMPSVILLE ROAD	NORFOLK	VA	23502	MOBILE MAMMOGRAPHY
59 - SENTARA THERAPY CTR CANCER REHAB
6251 E VIRGINIA BEACH BLVD SUITE	NORFOLK	VA	23502	OTHER OUTPATIENT SITE	400
60 - SENTARA THERAPY CENTER-CURRITUCK YMCA
130 COMMUNITY WAY	BARCO	NC	27917	OTHER OUTPATIENT SITE
61 - SENTARA KITTY HAWK
5200 N CROATAN HWY	KITTY HAWK	NC	27949	SURGERY AND DIAGNOSTIC CENTER
62 - NEW TOWN FAMILY PRACTICE
4374 NEW TOWN AVE STE 200	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
63 - SENTARA THERAPY CENTER-NN YMCA
7827 WARWICK BLVD	NEWPORT NEWS	VA	23607	REHABILITATION CENTER
64 - SENTARA FAM MED PHYS-SUFFOLK
2760 GODWIN BLVD STE 100	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
65 - FAMILY MED WILLIAMSBURG
400 SENTARA CIR STE 450	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
66 - SENTARA PODIATRY SPECIALISTS
5253 PROVIDENCE ROAD STE 100	VIRGINIA BEACH	VA	23464	OTHER OUTPATIENT SITE
67 - NEW TOWN INTERNAL MEDICINE
4374 NEW TOWN AVE STE 102	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
68 - SENTARA CARDIO SPEC-VB
1101 FIRST COL RD	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
69 - SENTARA FAM MED & UC PHYS-VBTC INDEP
816 INDEPENDENCE BLVD STE 100	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
70 - SENTARA CARDIOLOGY SPEC-OBICI
2790 GODWIN BLVD STE 100	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
71 - SENTARA NEUROLOGY SPEC-KEMPSVILLE
844 KEMPSVILLE RD STE 104	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
72 - SENTARA ST LUKE'S LAB SERVICES
20209 SENTARA WAY	CARROLLTON	VA	23314	LAB SERVICES
73 - SENTARA INT MED PHYS-PORT WARWICK 1
11803 JEFFERSON AVE STE 140	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
74 - VASCULAR & TRANSPLANT SPEC-PORT WARWICK
1051 LOFTIS BLVD STE 205	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
75 - VASCULAR & TRANSPLANT SPECIALISTS-NK
600 GRESHAM DR STE 8620	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
76 - VASCULAR & TRANSPLANT SPEC-VAB
397 LITTLE NECK ROAD STE 120	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
77 - FAMILY MED-THOROUGHGOOD
2017 PLEASURE HOUSE ROAD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
78 - SENTARA CARDIOLOGY SPEC-WILLIAMSBURG
500 SENTARA CIR STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
79 - SENTARA FAMILY MED PHYS-ST LUKE'S
20209 SENTARA WAY STE 200	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
80 - SENTARA SURGERY SPEC-LEIGH
6251 E VIRGINIA BEACH BLVD STE 300	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
81 - FORT NORFOLK MEDICAL CENTER
301 RIVERVIEW AVE	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
82 - SENTARA RADIOLOGY SPECIALISTS-KEMPS
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
83 - SENTARA FAM MEDICINE PHYS-FORT NK
301 RIVERVIEW AVE STE 810	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
84 - SENTARA FAM & INT MED PHYS CLPX W
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
85 - SENTARA PULMONARY & CC SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
86 - SENTARA FAMILY MED PHYS-1080 BLDG
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
87 - SENTARA FAM MED PHYS-OLD HAMPTON
200 EATON ST	HAMPTON	VA	23669	OTHER OUTPATIENT SITE
88 - SENTARA NEUROLOGY SPEC-CAREPLEX
4000 COLISEUM DR STE 200	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
89 - SENTARA PODIATRY SPEC-KEMPSVILLE
844 KEMPSVILLE ROAD STE 100D	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
90 - SENTARA INTERNAL MED PHYS-FORT NK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
91 - VASCULAR & TRANSPLANT SPEC-CAREPLEX W
4000 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
92 - SENTARA RHEUMATOLOGY SPEC-CAREPLEX W
4000 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
93 - SENTARA NEUROLOGY SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
94 - SENTARA PULMONARY & CC SPEC-CAREPLEX
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
95 - SENTARA ENDOCRINOLOGY SPEC-SCP
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
96 - FIRST COLONIAL DIAGNOSTIC CENTER
1080 FIRST COLONIAL ROAD STE 100	VIRGINIA BEACH	VA	23454	DIAGNOSTIC CENTER
97 - SENTARA PODIATRY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 355	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
98 - SENTARA FAM MED& UC PHYS-LITTLE NECK
2859 VIRGINIA BEACH BLVD STE 100	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
99 - SENTARA FAM MED PHYS-PORT WARWICK I
11803 JEFFERSON AVE STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
100 - SENTARA FAM MED PHYS-PENINSULA TOWNE
2104 EXECUTIVE DR	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
101 - NEUROSURGERY NORFOLK HEART HOSPITAL
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
102 - NEW TOWN DIAGNOSTIC CENTER
4374 NEW TOWN AVE STE 104	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
103 - SENTARA PODIATRY SPEC-1ST COLONIAL
1080 FIRST COLONIAL RD STE 305	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
104 - VASCULAR & TRANSPLANT SPEC-SUFFOLK
171 N MAIN ST	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
105 - CARDIOLOGY SPECIALISTS-PORT WARWICK
1031 LOFTIS BLVD STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
106 - SENTARA SURG SPEC-PORT WARWICK I
11803 JEFFERSON AVE STE 235	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
107 - OCEANFRONT FAMILY PRACTICE
303 35TH STREET STE 102	VIRGINIA BEACH	VA	23451	OTHER OUTPATIENT SITE
108 - SENTARA INFECTIOUS DISEASE SPEC-KEMPS
850 KEMPSVILLE RD STE 100F	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
109 - SENTARA INTERNAL MEDICINE PHYS-KINGSMILL
477 MCCLAWS CIR STE 1	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
110 - SENTARA SURGERY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 305	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
111 - SENTARA SURGERY SPEC-CAREPLEX
4000 COLISEUM DR STE 320	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
112 - SENTARA SURGERY SPEC-WLMSG
500 SENTARA CIR STE 202	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
113 - SENTARA NEUROSURGERY SPEC 1080 BLDG
1080 FIRST COLONIAL RD STE 400	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
114 - SENTARA SURGERY SPEC-1080 BUILDING
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
115 - SENTARA PULMONARY & CC SPEC-WILLIAMSBURG
400 SENTARA CIR STE 320	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
116 - MOBILE PET SCAN
5900-B LAKE WRIGHT DR	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
117 - ORTHOPEDIC TRAUMA-NORFOLK
600 GRESHAM DR SUITE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
118 - SENTARA PHY MED & PAIN MGMT SPC-CAREPLEX
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
119 - SENTARA ORTHOPAEDIC TRAUMA SPEC-1ST COL
1080 FIRST COLONIAL RD STE 305	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
120 - SENTARA INFECTIOUS DIS SPEC-OBICI
2790 GODWIN BLVD STE 225	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
121 - SENTARA INFECTIOUS DISEASE SPEC-CAREPLEX
4000 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
122 - INFECTIOUS DISEASE-FORT NORFOLK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
123 - SENTARA PLASTIC SURGERY SPECIALISTS
600 GRESHAM DR STE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
124 - SENTARA PAIN MANAGEMENT-FORT NK
301 RIVERVIEW AVE STE 200	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
125 - SENTARA PULM AND CC SPEC
6251 E VIRGINIA BEACH BLVD STE 300	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
126 - SENTARA CYTOGENICS LAB
1701 WILL O WISP DR STE 1E	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
127 - CARDIOLOGY SPEC CHESAPEAKE
713 VOLVO PKWY	CHESAPEAKE	VA	23320	OTHER OUTPATIENT SITE
128 - SENTARA MID-ATLANTIC CARDIO SPEC-WMSBG
400 SENTARA CIR STE 450	WILIAMSBURG	VA	23188	OTHER OUTPATIENT SITE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 3, OTHER:DURING 2020, THE ORGANIZATION MODIFIED ITS ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE TO INCLUDE AN ASSET TEST AND ALSO RAISED ITS FREE CARE INCOME LIMIT FOR UNINSURED PATIENTS FROM 200% TO 300% OF FPG. SEE THE PART I LINE 3C DESCRIPTION FOR FURTHER INFORMATION ON THE ORGANIZATION'S CRITERIA FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S SECTION 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 VI - INFORMATION REGARDING THE ORGANIZATION'S ASC'S:	THE ORGANIZATION IS A MEMBER OF SEVERAL JOINT VENTURES WHICH OWN AND OPERATE AMBULATORY SURGERY CENTERS ("ASCS" ) LOCATED IN VIRGINIA (SEE PART V FOR OWNERSHIP INFORMATION). AS VIRGINIA REQUIRES ASCS TO GO THROUGH A CERTIFICATE OF PUBLIC NEED PROCESS AND RETAIN A HOSPITAL LICENSE, VIRGINIA ASCS MEET THE DEFINITION OF HOSPITAL FACILITIES FOR FORM 990 REPORTING PURPOSES.THE ORGANIZATION'S ASCS ARE ORGANIZED AND OPERATED IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES AS EXTENSIONS OF ITS OUTPATIENT FACILITIES, IN PARTNERSHIP WITH ITS PHYSICIANS, TO PROVIDE A MORE EFFECTIVE MEANS OF CARING FOR LESS SERIOUS NON-EMERGENCY MEDICAL CONDITIONS THAT DO NOT REQUIRE INPATIENT HOSPITAL STAYS. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE ASCS. INDIVIDUALS DESIRING TREATMENT SPEAK WITH FACILITY PERSONNEL PRIOR TO BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS INSURANCE COVERAGE AND PAYMENT ARRANGEMENTS. THE ASCS WORK WITH INDIVIDUALS TO COME UP WITH PAYMENT OPTIONS, OFFERING FREE CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S DISCOUNT PRACTICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ORGANIZATION IS PART OF THE SENTARA HEALTH SYSTEM AND FUNDS THE SYSTEM'S CORPORATE SOCIAL RESPONSIBILITY 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 ADDRESS LONGSTANDING HEALTH DISPARITIES WITH A FOCUS ON AFFORDABLE HOUSING, SKILLED CAREERS AND HIGHER-PAYING JOBS, FOOD SECURITY, BEHAVIORAL HEALTH, AND COMMUNITY ENGAGEMENT. DURING THE CURRENT YEAR, THE PROGRAM INCLUDED PARTNERSHIPS WITH THE LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TO CREATE HOUSING AND ECONOMIC OPPORTUNITIES FOR UNDERSERVED POPULATIONS IN VIRGINIA; TRUIST, THE COMMONWEALTH OF VIRGINIA, AND THE FEDERATION OF VIRGINIA FOOD BANKS TO ADDRESS FOOD INSECURITY THROUGH A NEW STATEWIDE INITIATIVE, "WE CARE" COVID-19 VIRGINIA EMERGENCY FOOD SUPPORT PLAN; AND VA READY AND THE HAMPTON ROADS WORKFORCE COUNCIL (HRWC) TO PROVIDE NO-COST, PATIENT CARE TECHNICIAN TRAINING AT THE SYSTEM'S COLLEGE OF HEALTH SCIENCES.THE ORGANIZATION ALSO PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT THE ORGANIZATION PROVIDES FUNDING FOR A PROGRAM WHICH OPERATES PUBLIC SCHOOLS IN VULNERABLE POPULATIONS/NEIGHBORHOODS, IN AN ATTEMPT TO USE EDUCATION TO BREAK THE CYCLE OF POVERTY. WORKFORCE DEVELOPMENT THE ORGANIZATION PROVIDES VARIOUS PROGRAMS WHERE HIGH SCHOOL AND COLLEGE STUDENTS WITH AN INTEREST IN HEALTH CARE CAREERS MAY PARTICIPATE IN JOB SHADOWING OR EXTERNSHIPS WITHIN ITS VARIOUS HOSPITALS. OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS MEALS ON WHEELS DELIVERIES; HEIGHT, WEIGHT AND VISION SCREENINGS AT LOCAL SCHOOLS; AND VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY.
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 18-22 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 3:	IN COMPUTING LINE 3, THE ORGANIZATION CONSERVATIVELY ESTIMATES THAT 15% OF IMPLICIT PRICE CONCESSIONS (FORMERLY BAD DEBT) ARE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY ASSISTANCE IF SUFFICIENT DATA WAS AVAILABLE. THIS ESTIMATE IS BASED ON CREDIT REPORTING DATA PURCHASED FROM EQUIFAX. THIS DATA PROVIDES CREDIT SCORE, INCOME PREDICTION DATA AND NUMEROUS LINES OF CREDIT AND ASSET DATA. FOR UNRESPONSIVE PATIENTS, THE ORGANIZATION USES THE ESTIMATED INCOME, MARITAL STATUS, ASSET INFORMATION AND CREDIT LINE DATA TO DETERMINE WHETHER THE PATIENT WOULD QUALIFY FOR CHARITY BASED ON A PROJECTED INCOME OF 200% OF THE FEDERAL POVERTY GUIDELINES FOR INSURED PATIENTS AND 300% OF THE FEDERAL POVERTY GUIDELINES FOR UNINSURED (SELF-PAY) PATIENTS WITH LITTLE TO NO ASSET DATA. THIS INFORMATION IS NOT ALL INCLUSIVE FOR ALL UNRESPONSIVE PATIENTS THAT COULD QUALIFY, AS DEPENDENT INFORMATION IS NOT READILY AVAILABLE.
PART III, LINE 4:	SEE FOOTNOTE 4 ON PAGES 18-22 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; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. 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 THE 300% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS DEEMED UNCOLLECTIBLE IN THE HOSPITAL'S COLLECTION SYSTEM AND ALL ATTEMPTS TO COLLECT ON THAT BALANCE STOP.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:- ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED IN THE DEVELOPMENT OF ORGANIZATIONAL PLANS.- OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY.- REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED, INCORPORATED INTO THE ORGANIZATION'S PLANS, AND SHARED WITH ORGANIZATIONAL DECISION MAKERS.- PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY. INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING.- INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS.
PART VI, LINE 3:	FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A TOLL-FREE 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 THE STATEMENTS 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 EMPLOYS AN EXTERNAL FIRM TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COST TO PATIENTS.
PART VI, LINE 4:	SENTARA HOSPITALS SERVES RESIDENTS OF OVER 30 CITIES AND COUNTIES IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE AREA INCLUDES THE VIRGINIA BEACH-NORFOLK-NEWPORT NEWS, VA-NC METROPOLITAN STATISTICAL AREA, THE ELIZABETH CITY, NC METROPOLITAN STATISTICAL AREA, AND SURROUNDING RURAL COMMUNITIES. THE AREA IS BORDERED TO THE EAST BY THE ATLANTIC OCEAN AND IS NOTED FOR ITS WATERWAYS, INCLUDING THE CHESAPEAKE BAY, CURRITUCK SOUND, AND YORK, JAMES AND ELIZABETH RIVERS.THE 2020 POPULATION OF THE SERVICE AREA IS 1,931,503, AND IS EXPECTED TO REMAIN RELATIVELY STABLE OVER THE NEXT FIVE YEARS, GROWING BY 1.6% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 2.9%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A LOWER PERCENT OF THE POPULATION 65+ (16.2% VS. 16.9%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 20 YEARS (24.3% VS. 24.7%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 25.7% VS. 26.9% FOR THE US OVERALL, WHILE 18.9% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 20.4% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $71,459 VS. $73,066 FOR THE US, AND A LOWER PERCENT OF HOUSEHOLDS, 16.3% VS. 18.2%, SUBSIST ON LESS THAN $25,000 PER YEAR. RACIALLY, THE SERVICE AREA IS HOME TO 58.4% WHITES (VS. 69.5% FOR THE US), 31.2% BLACK/AFRICAN AMERICANS (VS. 13.5% US), 3.9% ASIANS (VS. 6.0% US), WITH 2.0% REPORTING ANOTHER RACE VS. 6.6% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 6.6% HISPANICS VS. 18.2% NATIONALLY, AND 93.4% NON-HISPANICS, VS. 81.8% NATIONALLY.
PART VI, LINE 5:	THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A SECTION 501(C) TAX-EXEMPT ORGANIZATION, WHOSE COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTHCARE, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
PART VI, LINE 6:	THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTH SYSTEM ("SENTARA.") 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 NEARLY 30,000 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	237053208	501(C)(3)	$20,820,943	OPERATING FUND AND INDIGENT CARE
OLDE TOWNE MEDICAL CENTER
5249 OLDE TOWNE RD	WILLIAMSBURG	VA	23188	541663905	501(C)(3)	$100,000	COMMUNITY HEALTH SUPPORT
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	501(C)(3)	$14,180,507	CORPORATE OVERHEAD ALLOCATIONS
PENINSULA EMS COUNCIL
PO BOX 1297	GLOUCESTER	VA	23061	541064500	501(C)(3)	$10,000	DONATION/SPONSORSHIP
TIDEWATER EMS COUNCIL INC
1104 MADISON PLAZA	CHESAPEAKE	VA	23320	540977032	501(C)(3)	$25,000	ANNUAL SUPPORT
ALBEMARLE HOSPITAL FOUNDATION
PO BOX 1412	ELIZABETH CITY	NC	27906	432031990	501(C)(3)	$334,872	PROGRAM SUPPORT
COLLEGE OF THE ALBEMARLE FOUNDATION INC
PO BOX 2327	ELIZABETH CITY	NC	27906	581399254	501(C)(3)	$16,000	CLINICAL EDUCATION OPPORTUNITIES
ALBEMARLE REGIONAL HEALTH SERVICES
711 ROANOKE AVENUE	ELIZABETH CITY	NC	27909	566000798		$95,000	FUNDING FOR CLINICAL RESOURCES
PASQUOTANK COUNTY
PO BOX 586	ELIZABETH CITY	NC	27907	566000328		$450,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	207	RecipientCnt
Cash Grant	$340,250	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS SECTION 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. THE ORGANIZATION ALSO DONATES FUNDS TO OTHER ORGANIZATIONS WITH A SIMILAR MISSION OF PROVIDING AND PROMOTING HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. SUCH ORGANIZATIONS ALSO HAVE COMMUNITY BOARDS WHICH OVERSEE THE PROPER EXPENDITURES OF SUCH FUNDS. THE ORGANIZATION'S COLLEGE OF HEALTH SCIENCES AWARDS SCHOLARSHIPS TO STUDENTS ON AN ON-GOING BASIS BASED ON NEED AND MERIT. RECIPIENTS ARE SELECTED FROM QUALIFIED APPLICANTS ACCORDING TO PRESCRIBED GUIDELINES. ALL SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS, AND THEIR USE IS MONITORED BY SCHOOL PERSONNEL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HOWARD P KERN
DIRECTOR/CHAIRMAN	$0	$1,746,915	$0	$2,066,820	$0	$422,891	$0	$7,135,652	$0	$25,646	$0	$11,397,924	$0	$0
MICHAEL V GENTRY
DIRECTOR/PRESIDENT	$0	$851,459	$0	$755,619	$0	$164,761	$0	$395,379	$0	$21,700	$0	$2,188,918	$0	$0
ROBERT A BROERMANN
DIRECTOR/TREASURER	$0	$889,946	$0	$795,582	$0	$216,125	$0	$139,891	$0	$20,722	$0	$2,062,266	$0	$0
ARTHUR D JAMES
KE (PRESIDENT, AMBULATORY SERVICES)	$622,486	$0	$371,385	$0	$13,467	$0	$167,570	$0	$20,844	$0	$1,195,752	$0	$0	$0
TERESA L EDWARDS
KE (CORPORATE VP)	$499,034	$0	$347,477	$0	$113,331	$0	$116,979	$0	$23,233	$0	$1,100,054	$0	$0	$0
GENEMARIE W MCGEE
KE (CNO)	$427,779	$0	$245,407	$0	$100,389	$0	$280,355	$0	$8,604	$0	$1,062,534	$0	$0	$0
MARY L BLUNT
FORMER KE	$96,053	$0	$520,485	$0	$319,210	$0	$2,991	$0	$3,291	$0	$942,030	$0	$184,471	$0
LOUIS PATALANO IV
SECRETARY (EFFEC 7/20)	$0	$581,030	$0	$201,400	$0	$38,051	$0	$80,062	$0	$19,225	$0	$919,768	$0	$0
KURT T HOFELICH
VP, AMBULATORY SERVICES	$351,343	$0	$108,794	$0	$49,874	$0	$257,887	$0	$30,828	$0	$798,726	$0	$26,105	$0
MICHAEL J REAGIN
KE (SVP, CHIEF INFO & INNOV OFFICER)	$234,379	$0	$430,650	$0	$56,566	$0	$32,040	$0	$6,005	$0	$759,640	$0	$10,625	$0
THOMAS KLEVAN
MEDICAL DIRECTOR, CARDIAC SVC LINE	$460,145	$0	$120,206	$0	$23,427	$0	$75,947	$0	$30,623	$0	$710,348	$0	$0	$0
JOEL T BUNDY
VP, CHIEF QUALITY & SAFETY OFFICER	$353,246	$0	$156,663	$0	$24,402	$0	$77,456	$0	$38,649	$0	$650,416	$0	$0	$0
CAROLYN C CARPENTER
KE (PRESIDENT, SNGH)	$311,931	$0	$156,544	$0	$98,258	$0	$52,969	$0	$17,437	$0	$637,139	$0	$0	$0
ELWOOD B BOONE III
KE (PRESIDENT, SVBGH)	$343,755	$0	$115,047	$0	$36,283	$0	$103,526	$0	$30,731	$0	$629,342	$0	$21,980	$0
JOANNE M INMAN
KE (PRESIDENT, SLH)	$286,143	$0	$110,967	$0	$29,973	$0	$161,200	$0	$35,860	$0	$624,143	$0	$0	$0
KIRKPATRICK CONLEY
KE (INTERIM CVP, PENINSULA REGION)	$372,317	$0	$139,243	$0	$13,636	$0	$56,230	$0	$3,170	$0	$584,596	$0	$0	$0
CHRISTOPHER M CULP
VP, MEDICAL AFFAIRS SWCH	$367,976	$0	$31,517	$0	$148,265	$0	$566	$0	$6,333	$0	$554,657	$0	$0	$0
MICHAEL H HOOPER
VP, MEDICAL AFFAIRS	$334,501	$0	$107,380	$0	$19,860	$0	$56,308	$0	$32,139	$0	$550,188	$0	$0	$0
GRACE MYERS
FORMER KE	$232,721	$0	$77,181	$0	$20,558	$0	$139,488	$0	$12,427	$0	$482,375	$0	$0	$0
ROBERT C FIRESTONE
FORMER KE	$216,060	$0	$72,868	$0	$2,097	$0	$118,398	$0	$32,533	$0	$441,956	$0	$0	$0
SAMUEL J HAWLEY
SECRETARY (THRU 6/20)	$0	$173,153	$0	$27,123	$0	$25,989	$0	$51,085	$0	$12,650	$0	$290,000	$0	$0
JEFFREY P KING
FORMER OFFICER	$0	$0	$0	$160,422	$0	$13,932	$0	$16,388	$0	$800	$0	$191,542	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PAID FOR TAXABLE RELOCATION EXPENSES OF EXECUTIVE RECRUITS, INCLUDING TEMPORARY HOUSING AND THE ADDITIONAL TAXES ASSOCIATED WITH SUCH BENEFITS, ALL OF WHICH WERE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES.
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	JEFFREY P. KING RECEIVED $13,932 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. 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, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, TERESA EDWARDS, KURT HOFELICH, ELWOOD BOONE, GENEMARIE MCGEE, MICHAEL REAGIN, JOANNE INMAN, ARTHUR DAVID JAMES, CAROLYN CARPENTER, KIRKPATRICK CONLEY AND LOUIS PATALANO 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: MARY BLUNT ($302,019); ROBERT BROERMANN ($173,276); TERESA EDWARDS ($77,103); MICHAEL GENTRY ($131,794); KURT HOFELICH ($41,807); HOWARD KERN ($369,666); GENEMARIE MCGEE ($66,183); ELWOOD BOONE ($33,274) AND MICHAEL REAGIN ($17,953). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	DURING THE CURRENT YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DELANIE EDWARDS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF KEY EMPLOYEE TERESA L EDWARDS	RelationshipDescriptionTxt
Transaction	$27,332	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$75,607	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS: SENTARA HOSPITALS PROVIDES ACUTE AND TERTIARY INPATIENT AND OUTPATIENT MEDICAL SERVICES THROUGH THE OPERATION OF SEVEN HOSPITALS IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN CAROLINA--SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AND SENTARA ALBEMARLE MEDICAL CENTER. THE SEVEN HOSPITALS COMBINED OFFERED 1,695 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 936,309 ADJUSTED PATIENT DAYS OF CARE DURING 2020. SERVICES INCLUDE DAILY ROUTINE NURSING, WELLNESS PROGRAMS, LEVEL I AND II TRAUMA SERVICES, NIGHTINGALE AIR AMBULANCE, CARDIAC CATHERIZATION, ANGIOGRAPHY, NEONATAL INTENSIVE CARE, COMMUNITY EDUCATION PROGRAMS FOR THE DISADVANTAGED, AND VARIOUS OTHER COMMUNITY ACTIVITIES. SENTARA HOSPITALS ALSO PROVIDES MEDICAL EDUCATION PROGRAMMING IN CONJUNCTION WITH THE EASTERN VIRGINIA MEDICAL AUTHORITY OFFERING SPECIALTY SERVICES SUCH AS CARDIOLOGY, IN-VITRO FERTILIZATION AND UROLOGY. THE HOSPITAL PROVIDES FREE COMMUNITY HEALTH SCREENINGS AND HEALTH EDUCATION THROUGHOUT HAMPTON ROADS. COSTS INCURRED FOR THESE ACTIVITIES ARE NOT SPECIFICALLY ACCUMULATED, BUT INCLUDE SALARIES AND OTHER OPERATING EXPENSES. THE FOLLOWING IS A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2020.
FORM 990, PART VI, SECTION A, LINE 2	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	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	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	AS SOLE MEMBER, SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, IS ENTITLED TO ONE VOTE ON ALL MATTERS AND HAS THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY; APPROVE ANY ALTERATION, AMENDMENT OR REPEAL OF ITS GOVERNING DOCUMENTS; APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET AND ALL FORMAL LONG-RANGE PLANS; APPROVE ANY SINGLE CAPITAL EXPENDITURE EXCEEDING $1 MILLION; APPROVE ALL BORROWING OR INDEBTEDNESS WHICH IN ANY ONE TRANSACTION OR RELATED SERIES OF TRANSACTIONS EXCEEDS $500,000; APPROVE ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION, OR REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; REVIEW THE BOOKS AND RECORDS, CONDUCT AUDITS, AND APPROVE THE SELECTION OF AUDITORS CHOSEN TO CONDUCT AUDITS OF THE ORGANIZATION; AND APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OF THE ORGANIZATION, OR THE CREATION OF ANY OTHER CORPORATION OF WHICH THE ORGANIZATION IS TO BE A MEMBER, AND TO APPROVE ANY DISSOLUTION OR OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY SENTARA HEALTHCARE.
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 HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND SECTION 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 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 CHAIRMAN, PRESIDENT, TREASURER AND CERTAIN KEY EMPLOYEES; WHO ALSO SERVED AS PRESIDENT AND CEO, EXECUTIVE VICE PRESIDENT AND COO, EXECUTIVE VICE PRESIDENT AND CFO, AND SENIOR AND CORPORATE VICE PRESIDENTS OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR ALL POSITIONS LISTED.
FORM 990, PART VI, SECTION C, LINE 19	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 IX, LINE 11G	NON-EMPLOYEE HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 240,547,287. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,547,287. OTHER: PROGRAM SERVICE EXPENSES 34,266,694. MANAGEMENT AND GENERAL EXPENSES 6,417,171. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,683,865.
FORM 990, PART XI, LINE 9:	BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY: -522,340,880. PARTNERSHIP INCOME BOOK > TAX: 3,713. CAPITAL DISTRIBUTION TO PARENT -34,346,598. OTHER 80,827.
FORM 990, PART III, LINE 1	DESCRIPTION OF ORGANIZATION'S MISSION: AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH THE ESTABLISHMENT AND OPERATION OF ONE OR MORE NONPROFIT HOSPITALS AND RELATED HEALTH AND MEDICAL PROGRAMS FOR THE CARE OF THE SICK AND INJURED; THE OPERATION OF NONPROFIT SCHOOLS FOR THE EDUCATION AND TRAINING OF NURSES AND OTHER PERSONNEL NECESSARY OR DESIRABLE IN PROVIDING HEALTH CARE; THE PROMOTION OF HEALTH; THE CARRYING ON OF SCIENTIFIC MEDICAL RESEARCH IN THE PUBLIC INTEREST; AND THE CARRYING ON OF ANY OTHER ACTIVITIES WHICH FURTHER OR ADVANCE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITIES SERVED BY THE ORGANIZATION.
FORM 990, PART V, LINE 1A	NUMBER REPORTED IN BOX 3 OF 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, LINE 1B	BOARD MEMBER INDEPENDENCE: 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 SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 16 VOTING MEMBERS, 15 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WILLIAMSBURG MEDICAL MGT LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541760126	MOB RENTAL	VA	$0	$0	SENTARA HOSPITALS
HPVA LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	208256631	HOLDING COMPANY	VA	$0	$0	SENTARA HOSPITALS
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	463846081	HOSPITAL	VA	$128,077,050	$78,173,447	SENTARA HOSPITALS
SARMC ANESTHESIA SPECIALISTS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	371791448	ANESTHESIA BILLING	VA	$0	$0	SENTARA ALBEMARLE REGIONAL MEDICAL CENTER
PROPRIUM LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	822458568	SPECIALTY PHARMACY	VA	$92,439,772	$0	SENTARA HOSPITALS
SENTARA WORKFORCE SOLUTIONS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	831997553	WORKFORCE SOLUTIONS	VA	$1,580,573	$1,563,885	SENTARA HOSPITALS
SENTARA ADVANCED IMAGING SOLUTIONS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	842884329	ADVANCED IMAGING	VA	$0	$0	SENTARA HOSPITALS
PORT WARWICK SURGERY CENTER LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	832749030	INACTIVE	VA	$0	$0	SENTARA HOSPITALS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CLARKSVILLE SENIOR CARE LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541957066	SENIOR CARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes (1)
HALIFAX REGIONAL DEV FOUNDATION INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541801459	HLTH/WELFARE	VA	501(C)(3)	LINE 7	HALIFAX REGIONAL HOSPITAL	Yes (1)
HALIFAX REGIONAL HOSPITAL INCORPORATED
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540648699	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HEALTHCARE	Yes (1)
HALIFAX REGIONAL LONG TERM CARE INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	546074529	SENIOR CARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes (1)
SENTARA HALIFAX REGIONAL PROPERTIES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541801463	HLTH/WELFARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes (1)
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	273208969	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HOSPITALS	Yes (1)
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTHCARE	VA	501(C)(3)	LINE 7		0	N/A
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTHCARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTHCARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTHCARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	Yes (1)
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	LINE 12A, I	SENTARA HEALTHCARE	Yes (1)
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HEALTHCARE	Yes (1)
SENTARA RMH MEDICAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540506331	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA BLUE RIDGE LLC	Yes (1)
VALLEY WELLNESS CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LINE 10	SENTARA RMH MEDICAL CENTER	Yes (1)
MJH FOUNDATION
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541401357	INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	LINE 12A, I	MARTHA JEFFERSON HOSPITAL	Yes (1)
MARTHA JEFFERSON HOSPITAL FOUNDATION
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	300041113	FUNDRAISING FOR SUPPORTED ORG	VA	501(C)(3)	LINE 12A, I	MARTHA JEFFERSON HOSPITAL	Yes (1)
MARTHA JEFFERSON HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540261840	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA BLUE RIDGE LLC	Yes (1)
OPTIMA FAMILY CARE OF NC INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	823610648	MEDICAID HMO	NC	501(C)(3)	LINE 10	OPTIMA HEALTH OF NORTH CAROLINA LLC	Yes (1)
OPTIMA HEALTH OF NORTH CAROLINA LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	823623430	SUPPORTS MCAID HMO	NC	501(C)(3)	LINE 12A, I	SENTARA HEALTHCARE	Yes (1)
SENTARA MEDICARE ADVANTAGE OF NORTH CAROLINA INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	842066617	MEDICARE HMO	NC	501(C)(4)	LINE 12A, I	SENTARA HEALTHCARE	Yes (1)
SENTARA CAREPLEX - HAMPTON AUXILIARY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540662589	HEALTHCARE	VA	501(C)(3)	LINE 12A, I	SENTARA HEALTHCARE	Yes (1)
VIRGINIA PREMIER HEALTH PLAN INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541760974	MEDICAID HMO	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
SENTARA COMMERCIAL HEALTH PLANS OF NORTH CAROLINA INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	851043564	SOCIAL WELFARE	NC	501(C)(4)		SENTARA HEALTHCARE	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE STE H	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	N/A	0	0
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE STE H	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA		0	Yes (1)	SH	UNRELATED	$5,162	$173,335	0.20000
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA		0	Yes (1)	SH	RELATED	$63,471	$3,512,564	0.76710
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA		0	Yes (1)	SH	RELATED	$2,122,647	$4,468,346	0.52590
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA		0	Yes (1)	SH	RELATED	$663,803	$3,381,782	0.50000
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA		0	Yes (1)	SH	RELATED	$1,434,346	$9,853,057	0.50000
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VIRGINIA BEACH	VA	23462	200942600	HEALTH CARE	VA	N/A	0	0
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE H	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	N/A	0	0
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE H	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA		0	Yes (1)	SH	RELATED	$176,694	$1,146,071	0.25000
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA		0	Yes (1)	SH	RELATED	$650,393	$2,799,403	0.64860
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A	0	0
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTH CARE	VA	N/A	0	0
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA		0	Yes (1)	SH	RELATED	$2,958,577	$3,097,600	0.50000
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	N/A	0	0
MNS SUPPLY CHAIN NETWORK LLC
11525 N COMMUNITY HOUSE RD STE 450	CHARLOTTE	NC	28277	454235238	GPO	DE	N/A	0	0
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204	WOODBRIDGE	VA	22192	455347932	HEALTH CARE	VA	N/A	0	0
HIGHLAND CORE FIXED INCOME FUND
C/O GTC 12 GILL ST SUITE 2600	WOBURN	MA	01801	474618533	POOLED INV FD	DE	N/A	0	0
HIGHLAND EQUITY FUND
C/O GTC 12 GILL ST SUITE 2600	WOBURN	MA	01801	474606269	POOLED INV FD	DE	N/A	0	0
HIGHLAND PUBLIC INFLATION HEDGES FD
C/O GTC 12 GILL ST SUITE 2600	WOBURN	MA	01801	474601867	POOLED INV FD	DE	N/A	0	0
LEIGH ORTHOPEDIC SURGERY CENTER LLC
830 KEMPSVILLE ROAD	NORFOLK	VA	23502	832402528	SURGERY CENTER	VA		0	Yes (1)	SH	RELATED	-$360,079	$7,411,983	0.51000
SURGICAL SUITES OF COASTAL VIRGINIA LLC
400 SENTARA CIRCLE	WILLIAMSBURG	VA	23188	833205375	SURGERY CENTER	VA		0	Yes (1)	SH	RELATED	$1,273,298	$3,675,439	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA	N/A	C	Yes (1)
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA	N/A	C	Yes (1)
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA	N/A	C	Yes (1)
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA	N/A	C	Yes (1)
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA	N/A	C	Yes (1)
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA	N/A	C	Yes (1)
SENTARA HEALTH INSURANCE CO OF NC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	471888140	HEALTH INSURANCE	NC	N/A	C	Yes (1)
SENTARA HEALTH PLANS OF NC INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	465510421	TPA	NC	N/A	C	Yes (1)
MANAGED CARE SERVICES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	815421060	ALT HEALTH DELIVERY	VA	N/A	C	Yes (1)
SENTARA SOUTHSIDE HEALTH SERVICES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541417772	HEALTH SERVICES	VA	N/A	C	Yes (1)
DOMINION HEALTH MEDICAL ASSOCIATES LTD
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541060357	PHYS PRACTICE	VA	N/A	C	Yes (1)
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA	N/A	C	Yes (1)
POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541441420	PHARMACY	VA	N/A	C	Yes (1)
ROCKINGHAM HEALTH SERVICES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541721387	CONTRACTING SVCS	VA	N/A	C	Yes (1)
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	22911	541841528	MEDICAL BILLING SVCS	VA	N/A	C	Yes (1)
BAY PRIMEX INSURANCE COMPANY LTD
				980704114	OTHER INSURANCE FUNDS		N/A	C	Yes (1)	PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	264592192	PHYS PRACTICE	NC	N/A	C	Yes (1)
THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	562295574	BUILDING ASSOCIATION	VA	N/A	C	Yes (1)
MEDSTREAMING EGYPT SOFTWARD
					CONSULTING		N/A	C	Yes (1)	15 ANMAR IBN YASSER ST	CAIRO	EG		EG
HIGHLAND DIRECT HEDGED EQUITY FUND LTD
					INVESTMENT		N/A	C	0	27 HOSPITAL ROAD	GEORGE TOWN	CJ	KY1-9008	CJ
MEDSTREAMING INC
9840 WILLOWS ROAD NE SUITE 200	REDMOND	WA	98052	451573625	SOFTWARE DEVELOPMENT	WA	N/A	C	Yes (1)
PINEBRIDGE SSL SUB-TRUST 2
				986079263	INVESTMENT		N/A	T	0	190 ELGIN AVENUE	GEORGE TOWN	CJ	KY1-9005	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (49 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
L	$451,960	CORP BOOKS/REC
DOMINION HEALTH MEDICAL ASSOCIATES LTD
L	$589,462	CORP BOOKS/REC
HALIFAX REGIONAL HOSPITAL INC
C	$11,125,886	CORP BOOKS/REC
HALIFAX REGIONAL HOSPITAL INC
L	$8,174,444	CORP BOOKS/REC
HALIFAX REGIONAL LONG TERM CARE INC
B	$1,170,818	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
C	$261,583,350	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
L	$29,021,085	CORP BOOKS/REC
MPB INC
C	$810,500	CORP BOOKS/REC
MPB INC
K	$21,532,163	CORP BOOKS/REC
MPB INC
Q	$189,660	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
Q	$60,684	CORP BOOKS/REC
OPTIMA HEALTH INSURANCE COMPANY
L	$15,162,945	CORP BOOKS/REC
OPTIMA HEALTH PLAN
L	$143,362,883	CORP BOOKS/REC
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
C	$255,369,812	CORP BOOKS/REC
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
L	$23,534,234	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
Q	$1,035,324	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
S	$1,761,916	CORP BOOKS/REC
SENTARA ENTERPRISES
L	$4,520,016	CORP BOOKS/REC
SENTARA ENTERPRISES
M	$7,161,681	CORP BOOKS/REC
SENTARA ENTERPRISES
C	$3,020,665	CORP BOOKS/REC
SENTARA HALIFAX REGIONAL PROPERTIES INC
B	$55,821	CORP BOOKS/REC
SENTARA HALIFAX REGIONAL PROPERTIES INC
L	$82,625	CORP BOOKS/REC
SENTARA HALIFAX REGIONAL PROPERTIES INC
K	$202,072	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
L	$192,574,468	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
Q	$20,871,346	CORP BOOKS/REC
SENTARA LIFE CARE CORPORATION
B	$1,323,269	CORP BOOKS/REC
SENTARA LIFE CARE CORPORATION
M	$529,689	CORP BOOKS/REC
SENTARA LIFE CARE CORPORATION
L	$1,365,800	CORP BOOKS/REC
SENTARA MEDICAL GROUP
A	$264,001	CORP BOOKS/REC
SENTARA MEDICAL GROUP
K	$6,143,062	CORP BOOKS/REC
SENTARA MEDICAL GROUP
C	$53,774,061	CORP BOOKS/REC
SENTARA MEDICAL GROUP
L	$11,752,961	CORP BOOKS/REC
SENTARA MEDICAL GROUP
M	$104,085,951	CORP BOOKS/REC
SENTARA MEDICAL GROUP
R	$76,042	CORP BOOKS/REC
SENTARA MEDICAL GROUP
S	$185,074	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
Q	$503,242	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
S	$537,600	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
F	$23,482,900	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
L	$25,583,988	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
Q	$39,799,000	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
L	$39,378,506	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
C	$340,387,374	CORP BOOKS/REC
SMG INNOVATIONS INC
Q	$183,806	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
K	$961,725	CORP BOOKS/REC
SURGICAL SUITES OF COASTAL VIRGINIA LLC
S	$329,425	CORP BOOKS/REC
VALLEY WELLNESS CENTER
B	$283,335	CORP BOOKS/REC
VALLEY WELLNESS CENTER
L	$142,197	CORP BOOKS/REC
VIRGINIA PREMIER HEALTH PLAN INC
Q	$190,692	CORP BOOKS/REC
VIRGINIA PREMIER HEALTH PLAN INC
L	$8,345,302	CORP BOOKS/REC