2018-11-09T09:20:43-06:00 2017-12-31 990 2017-01-01 541547408 SENTARA HOSPITALS SENT 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 ROBERT A BROERMANN TREASURER 7574557020 2018-11-09 163.230.250.203 2018-11-09 10:18:10 ES P 5D2482F28E41E174427451B734CCCC2C1006D38F D64F4F5DFCDF89C51048D545CDB41D2F0B5DC81C 2017 2019-02-21 02:37:17Z HOWARD P KERN 6015 POPLAR HALL DRIVE NORFOLK VA 23502 2552528487 0 X WWW.SENTARA.COM X 1990 VA AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 3 0 14799 1876 22343449 -1337754 1328712 900437 2351435328 2512830068 2460106 1786913 7492267 7613456 2362716413 2523130874 17632981 26012777 0 0 911846374 985685300 0 0 0 1183167306 1301952663 2112646661 2313650740 250069752 209480134 1355109272 1498944302 174658450 171908220 1180450822 1327036082 X SEE SCHEDULE O 0 0 2090370629 26012777 2494686247 SEE SCHEDULE O 2090370629 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 1 1657 0 1 14799 1 1 1 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 VA X CORPORATE OFFICERS 7574557020 6015 POPLAR HALL DR NORFOLK VA 23502 ROBERT A BROERMANN DIRECTOR/TREASURER 2.00 51.00 X X 0 1605158 99572 MICHAEL V GENTRY DIRECTOR/PRESIDENT 2.00 51.00 X X 0 1328663 174150 HOWARD P KERN DIRECTOR/CHAIRMAN 2.00 53.00 X X 0 3279335 1920755 JEFFREY P KING SECRETARY 1.00 48.00 X 0 700147 117974 SAMUEL J HAWLEY ASSIST. SECRETARY 1.00 44.00 X 0 167249 27282 MARY L BLUNT KE (CORPORATE VP) 40.00 1.00 X 1232363 0 195775 ELWOOD B BOONE III KE (PRESIDENT, SVBGH) 40.00 0.00 X 442038 0 86373 TERESA L EDWARDS KE (CORPORATE VP) 40.00 1.00 X 668606 0 149436 ROBERT C FIRESTONE KE (VP OPERATIONS, SNGH) 40.00 0.00 X 282035 0 83507 DEBRA A FLORES KE (PRESIDENT, SCH) THRU 10/6/17 40.00 0.00 X 439804 0 15362 KURT T HOFELICH KE (PRESIDENT, SNGH) 40.00 0.00 X 802436 0 227543 GENEMARIE W MCGEE KE (CNO) 40.00 0.00 X 692699 0 181548 GRACE MYERS KE (CNE) 40.00 0.00 X 304878 0 79843 MICHAEL J REAGIN KE (CVP & CIO) 40.00 0.00 X 802561 0 100656 JOANNE M INMAN KE (PRESIDENT SLH) 40.00 0.00 X 359283 0 100083 CAROLYN C CARPENTER KE VP & COO, SNGH 40.00 0.00 X 216513 0 4017 THOMAS KLEVAN MEDICAL DIRECTOR, CARDIAC SVC LINE 40.00 0.00 X 582570 0 77225 PAUL D CHIDESTER VP, MEDICAL AFFAIRS 40.00 0.00 X 472189 0 84008 MURALI N NAIDU VP, CHIEF CLINICAL OFFICER 40.00 0.00 X 461464 0 16693 J STEPHEN JULIAN JR PRESIDENT, SOH 40.00 0.00 X 451631 0 106869 DAVID N MOHR VP, CLIN INFORMATICS/TRANSFORMATION 40.00 0.00 X 449068 0 45311 DAVID L BERND FORMER OFFICER 0.00 21.00 X 0 3421602 14282 THOMAS THAMES FORMER T5 0.00 40.00 X 0 470354 94812 8660138 10972508 4003076 960 1 1 0 WHITING TURNER CONTRACTING COMPANY PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION 88010599 EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK VA 23501 MEDICAL PROFESSIONAL SERVICES 24950274 ARAMARK HEALTHCARE TECHNOLOGIES LLC 12483 COLLECTIONS CTR DR CHICAGO IL 60693 MEDICAL TECHNOLOGIES & SERVICES 10313450 ATLANTIC ANESTHESIA INC 134 BUSINESS PARK DRIVE VIRGINIA BEACH VA 23462 MEDICAL PROFESSIONAL SERVICES 7767993 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 160266 MOBILE AL 36625 FOOD AND FACILITIEIS MANAGEMENT 7631681 320 18656 881781 900437 PATIENT SERVICE REVENUE 900099 2433488093 2433488093 REFERENCE LAB 621500 33705216 15523961 18181255 EQUITY IN AFFILIATES 900099 29459754 29014672 445082 OTHER PROGRAM SERVICE REVENUE 900099 11374819 11374819 PREMIUM & CAP REVENUE 900099 3439174 3439174 1363012 1363012 2512830068 2095650 2095650 2914423 0 2914423 2914423 2914423 2000 310737 -308737 -308737 -308737 30434131 29086876 1347255 675045 672210 MISC. 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X X 1 16 0 1 0 1 X 200.000000000000 0.000000000000 X 1 1 X X X 1 X WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/ X WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/ X WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/ X X X X X X 1 X 0 X X X 0 X X X 0 0 SENTARA OBICI AMB SURG CTR 13 0 0 1 X X X X X X X X X 16 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 16 0 1 0 1 X 200.000000000000 0.000000000000 X X X 1 1 X X X 1 X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X 0 X X X 0 0 PRINCESS ANNE AMB SURG CTR 11 0 0 1 X X X X X X X X X 16 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 16 0 1 0 1 X 200.000000000000 0.000000000000 X X 1 1 X X X 1 X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X 0 X X X 0 0 CAREPLEX ORTHO AMBULATORY SURG CTR 12 0 0 1 X X X X X X X X X 16 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 16 0 1 0 1 X 250.000000000000 0.000000000000 X X 1 1 X X X 1 X CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/ X CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/ X CAREPLEXORTHO.COM/PATIENTS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 0 X X X 0 0 FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 16 1 1 0 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 SENTARA ALBEMARLE REGIONAL MEDICAL CENTE 7 0 0 1 X X X X X X X X 16 1 1 1 1 X REFER TO PART V, SECTION C LINE 7D. X X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 VA BEACH AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. SENTARA OBICI AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A. 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; 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; 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). SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 6A: THE CHNA OF SENTARA ALBEMARLE MEDICAL CENTER WAS CONDUCTED WITH VIDANT HEALTH. SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC PART V, SECTION B, LINE 6B: THE CHNA OF SENTARA ALBEMARLE MEDICAL CENTER WAS CONDUCTED WITH THE ALBEMARLE REGIONAL HEALTH SERVICES (ARHS) AND THE DARE COUNTY DEPARTMENT OF PUBLIC HEALTH DISTRICT, I.E., THE LOCAL HEALTH DEPARTMENT. 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/VIRGINIA-BEACH-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.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/OBICI-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.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/PRINCESS-ANNE-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.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/CAREPLEX-ORTHO-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.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/SAMC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.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. 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. 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. PART V, SECTION B LINES 16A, 16B & 16C PRINCESS ANNE ASC'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT:HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/PRINCESS-ANNE-AMBULATORY-SURGERY-CENTER/ABOUT-US.ASPX PART V, SECTION B, LINE 20D - VBASC THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. PART V, SECTION B, LINE 20D - PA 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 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 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 8: SENTARA LEIGH HOSP AMB SRG CTR, - FACILITY 9: SENTARA PORT WARWICK AMB SRG CTR, - FACILITY 10: GEDDY OUTPATIENT CTR AT SWRMC 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 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; SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER; AND GEDDY OUTPATIENT CENTER AT SWRMC, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER. ADDITIONALLY, THE COMMUNITY INPUT COMPONENT OF THESE CHNAS WERE 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/SNGH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA LEIGH HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SLH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA VIRGINIA BEACH GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SVBGH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA CAREPLEX HOSPITAL HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SCH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA OBICI HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SOH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA WILLIAMSBURG REGIONAL MEDICAL CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SWRMC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-LEIGH-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA PORT WARWICK AMBULATORY SURGERY CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-PORT-WARWICK-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFGEDDY OUTPATIENT CENTER AT SWRMCHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/GEDDY-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.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. 124 1 - ADVANCED IMAGING CENTER-1ST COLONIAL 1080 FIRST COLONIAL ROAD VIRGINIA BEACH VA 23454 IMAGING CENTER 2 - ADVANCED IMAGING CENTER-LEIGH 890 KEMPSVILLE ROAD NORFOLK VA 23502 IMAGING CENTER 3 - ADVANCED IMAGING CENTER-GREENBRIER 713 VOLVO PARKWAY STE 105 CHESAPEAKE VA 23320 OTHER OUTPATIENT SITE 4 - SENTARA BELLEHARBOUR 3920A BRIDGE ROAD STE 100 SUFFOLK VA 23435 DIAGNOSTIC CENTER 5 - SENTARA INDEPENDENCE 800 INDEPENDENCE BLVD VIRGINIA BEACH VA 23455 OTHER OUTPATIENT SITE 6 - PORT WARWICK MEDICAL ARTS 11803 JEFFERSON AVE NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 7 - PORT WARWICK COMPREHENSIVE BREAST CTR 1051 LOFTIS BLVD STE 200 NEWPORT NEWS VA 23606 DIAGNOSTIC CENTER 8 - SENTARA LEIGH COMP BREAST CT 880 KEMPSVILLE ROAD STE 1200 NORFOLK VA 23502 BREAST DIAGNOSTIC CENTER 9 - SVBGH PAIN MANAGEMENT UNIT 1080 FIRST COLONIAL ROAD STE 201 VIRGINIA BEACH VA 23454 PAIN MGT. CENTER 10 - SENTARA THERAPY CENTER-LEIGH 6315 N CENTER DR BLDG 20 STE 101 NORFOLK VA 23502 REHABILITATION CENTER 11 - SENTARA THERAPY CENTER-HILLTOP 1725 LASKIN ROAD STE 535 VIRGINIA BEACH VA 23454 REHABILITATION CENTER 12 - SENTARA THERAPY CENTER-OBICI YMCA ROUTE 10/GODWIN BLVD SUFFOLK VA 23434 REHABILITATION CENTER 13 - ADVANCED IMAG CTR-WAINWRIGHT 229 WEST BUTE ST STE 900 9TH FL NORFOLK VA 23510 IMAGING CENTER 14 - SWRMC OUTPATIENT REHABILITATION SERVICES 301 SENTARA CIR WILLIAMSBURG VA 23188 REHABILITATION CENTER 15 - SENTARA THERAPY CENTER-GREENBRIER 713 VOLVO PARKWAY STE 101 CHESAPEAKE VA 23320 REHABILITATION CENTER 16 - SENTARA PORT WAR PHYS THER & WOUND CARE 11803 JEFFERSON AVE STE 125 NEWPORT NEWS VA 23606 REHABILITATION CENTER 17 - OUTPATIENT INFUSION CENTER III 850 KEMPSVILLE ROAD NORFOLK VA 23502 OTHER OUTPATIENT SITE 18 - SENTARA PHYSICAL THERAPY-TREYBURN 3901 TREYBURN DRIVE WILLIAMSBURG VA 23185 REHABILITATION CENTER 19 - SENTARA THERAPY CENTER-GRANBY YMCA 2901 GRANBY ST STE 200 NORFOLK VA 23504 REHABILITATION CENTER 20 - SENTARA NORFOLK GENERAL DAY REHAB CTR 890 KEMPSVILLE ROAD NORFOLK VA 23502 REHABILITATION CENTER 21 - SENTARA THERAPY CENTER-BLOCKER YMCA 312 WEST BUTE ST NORFOLK VA 23510 REHABILITATION CENTER 22 - SENTARA HAND THERAPY CENTER 5712 CLEVELAND ST STE 150 VIRGINIA BEACH VA 23464 REHABILITATION CENTER 23 - SENTARA HAND THERAPY CENTER 6160 KEMPSVILLE CIRCLE 102A NORFOLK VA 23052 OTHER OUTPATIENT SITE 24 - NORFOLK DIAGNOSTIC CENTER 850 KEMPSVILLE ROAD NORFOLK VA 23502 DIAGNOSTIC CENTER 25 - SENTARA OBICI MAMMOGRAPHYDIAGNOSTIC CTR 20209 SENTARA WAY CARROLLTON VA 23314 BREAST DIAGNOSTIC CENTER 26 - ADVANCED IMAGING CENTER-ST LUKE'S 20209 SENTARA WAY STE 108 CARROLLTON VA 23314 OTHER OUTPATIENT SITE 27 - COMPREHENSIVE PAIN MANAGEMENT CENTER 400 GRESHAM DR STE 712 NORFOLK VA 23501 PAIN MGT. CENTER 28 - SENTARA THER CTR-ST LUKESSMITHFIELD 20209 SENTARA WAY STE 102 CARROLLTON VA 23314 REHABILITATION CENTER 29 - SENTARA THERAPY CENTER-GREAT BRIDGE 633 BATTLEFIELD BLVD S CHESAPEAKE VA 23322 REHABILITATION CENTER 30 - SENTARA THERAPY CENTER-COLISEUM 4001 COLISEUM DR STE 200 HAMPTON VA 23666 REHABILITATION CENTER 31 - SENTARA INDEPENDENCE THERAPY CENTER 816 INDEPENDENCE BLVD STE 3F VIRGINIA BEACH VA 23455 REHABILITATION CENTER 32 - SENTARA THERAPY CENTER-KINGS MILL 1915 POCAHONTAS TRAIL STE F10 WILLIAMSBURG VA 23185 OTHER OUTPATIENT SITE 33 - SENTARA THERAPY CENTER-GRASSFIELD 1001 SCENIC PARKWAY STE 101 CHESAPEAKE VA 23323 REHABILITATION CENTER 34 - CAREPLEX MEDICAL ARTS SLEEP LAB 4000 COLISEUM DR STE 350 HAMPTON VA 23666 SLEEP DISORDER CLINIC 35 - SENTARA THERAPY CENTER-CAREPLEX 4000 COLISEUM DR STE 120 HAMPTON VA 23666 REHABILITATION CENTER 36 - SENTARA THERAPY CENTER-QUINTON 2500 NEW KENT HWY PO BOX 339 QUINTON VA 23141 REHABILITATION CENTER 37 - AMBULATORY CARE CLINIC 130 COLLEY AVE NORFOLK VA 23507 OTHER OUTPATIENT SITE 38 - SENTARA THERAPY CENTER-INDIAN RIVER 5660 INDIAN RIVER ROAD STE 121 VIRGINIA BEACH VA 23464 REHABILITATION CENTER 39 - CARDIOLOGY SPEC-KEMPSVILLE RD 844 KEMPSVILLE ROAD STE 204 NORFOLK VA 23502 OTHER OUTPATIENT SITE 40 - SVBGH-SENTARA HEALTH AND WELLNESS CTR 1708 OLD DONATION PARKWAY VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 41 - SENTARA THERAPY CENTER-JAMES CITY 5301 LONGHILL ROAD WILLIAMSBURG VA 23188 REHABILITATION CENTER 42 - SENTARA MOBILE MAMMOGRAPHY 880 KEMPSVILLE ROAD NORFOLK VA 23502 MOBILE MAMMOGRAPHY 43 - CARDIOLOGY SPEC-FORT NORFOLK 301 RIVERVIEW AVE STE 700 NORFOLK VA 23510 OTHER OUTPATIENT SITE 44 - SENTARA THERAPY CENTER-WAKEFIELD 103 RAILROAD AVE WAKEFIELD VA 23888 REHABILITATION CENTER 45 - SENTARA THERAPY CENTER-MATTHEWS 75 MAIN STREET STE E MATTHEWS VA 23109 REHABILITATION CENTER 46 - SENTARA THERAPY CENTER-LYNNHAVEN 2728-2732 VIRGINIA BEACH BLVD VIRGINIA BEACH VA 23452 REHABILITATION CENTER 47 - NEW TOWN FAMILY PRACTICE 4374 NEW TOWN AVE STE 200 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 48 - NEW TOWN INTERNAL MEDICINE 4374 NEW TOWN AVE STE 102 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 49 - SENTARA THER CTR HAMPTON YMCA 1 YMCA WAY HAMPTON VA 23669 REHABILITATION CENTER 50 - SENTARA KITTY HAWK 5200 N CROATAN HWY KITTY HAWK NC 27949 SURGERY AND DIAGNOSTIC CENTER 51 - GLOUCESTER IMAGING CENTER 5659 PARKWAY DR STE 130 GLOUCESTER VA 23061 IMAGING CENTER 52 - FAMILY MED WILLIAMSBURG 400 SENTARA CIR STE 450 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 53 - SENTARA FAM MED PHYS-1ST COLONIAL 1024 FIRST COLONIAL ROAD STE 102 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 54 - SENTARA FORT NK COMP BREAST CTR 301 RIVERVIEW AVE STE 830 NORFOLK VA 23510 BREAST DIAGNOSTIC CENTER 55 - NEW TOWN URGENT CARE 4374 NEW TOWN AVE STE 100 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 56 - NEW TOWN DIAGNOSTIC CENTER 4374 NEW TOWN AVE STE 104 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 57 - SENTARA FAM MED & UC PHYS-VBTC INDEP 816 INDEPENDENCE BLVD STE 100 VIRGINIA BEACH VA 23455 OTHER OUTPATIENT SITE 58 - SENTARA RADIOLOGY SPECIALISTS-KEMPS 850 KEMPSVILLE ROAD NORFOLK VA 23502 OTHER OUTPATIENT SITE 59 - SENTARA FAM & INT MED PHYS CLPX W 4001 COLISEUM DR STE 300 HAMPTON VA 23666 OTHER OUTPATIENT SITE 60 - SENTARA INT MED PHYS-PORT WARWICK 1 11803 JEFFERSON AVE STE 140 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 61 - FAMILY MED-THOROUGHGOOD 2017 PLEASURE HOUSE ROAD VIRGINIA BEACH VA 23455 OTHER OUTPATIENT SITE 62 - SENTARA PODIATRY SPECIALISTS 5253 PROVIDENCE ROAD STE 100 VIRGINIA BEACH VA 23464 OTHER OUTPATIENT SITE 63 - SENTARA FAM MED PHYS-OLD HAMPTON 200 EATON ST HAMPTON VA 23669 OTHER OUTPATIENT SITE 64 - SENTARA THERAPY CENTER-NN YMCA 7827 WARWICK BLVD NEWPORT NEWS VA 23607 REHABILITATION CENTER 65 - SENTARA ST LUKE'S LAB SERVICES 20209 SENTARA WAY CARROLLTON VA 23314 LAB SERVICES 66 - SENTARA HAND SURGERY SPECIALISTS-VAB 5716 CLEVELAND ST STE 210 VIRGINIA BEACH VA 23462 REHABILITATION CENTER 67 - VASCULAR & TRANSPLANT SPEC-VAB 397 LITTLE NECK ROAD STE 120 VIRGINIA BEACH VA 23452 OTHER OUTPATIENT SITE 68 - SENTARA FAM MED& UC PHYS-LITTLE NECK 2859 VIRGINIA BEACH BLVD STE 100 VIRGINIA BEACH VA 23452 OTHER OUTPATIENT SITE 69 - SENTARA INTERNAL MEDICINE PHYS-KINGSMILL 477 MCCLAWS CIR STE 1 WILLIAMSBURG VA 23185 OTHER OUTPATIENT SITE 70 - FAMILY MED-1080 BLDG 1080 FIRST COLONIAL ROAD STE 200 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 71 - SENTARA FAMILY MED PHYS-ST LUKE'S 20209 SENTARA WAY STE 200 CARROLLTON VA 23314 OTHER OUTPATIENT SITE 72 - OCEANFRONT FAMILY PRACTICE 303 35TH STREET STE 102 VIRGINIA BEACH VA 23451 OTHER OUTPATIENT SITE 73 - FAMILY MEDICAL PYSICIANS-KINGSMILL 1919 POCAHONTAS TRAIL STE F5 WILLIAMSBURG VA 23185 OTHER OUTPATIENT SITE 74 - SENTARA THERAPY CENTER-MARINA SHORES 2865 LYNNHAVEN DRIVE VIRGINIA BEACH VA 23451 REHABILITATION CENTER 75 - SENTARA CARDIOLOGY SPEC-OBICI 2790 GODWIN BLVD STE 100 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 76 - VASCULAR & TRANSPLANT SPEC-PORT WARWICK 1051 LOFTIS BLVD STE 205 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 77 - NORFOLK SURGICAL GROUP 880 KEMPSVILLE ROAD STE 1000 NORFOLK VA 23502 OTHER OUTPATIENT SITE 78 - SENTARA THERAPY CENTER-YORK 100 ENTERPRISE DRIVE YORKTOWN VA 23692 REHABILITATION CENTER 79 - FORT NORFOLK MEDICAL CENTER 301 RIVERVIEW AVE NORFOLK VA 23510 OTHER OUTPATIENT SITE 80 - VASCULAR & TRANSPLANT SPECIALISTS-NK 600 GRESHAM DR STE 8620 NORFOLK VA 23507 OTHER OUTPATIENT SITE 81 - ENDOCRINOLOGY SPECIALISTS-SCP 4000 COLISEUM DR STE 345 HAMPTON VA 23666 OTHER OUTPATIENT SITE 82 - FIRST COLONIAL DIAGNOSTIC CENTER 1080 FIRST COLONIAL ROAD STE 100 VIRGINIA BEACH VA 23454 DIAGNOSTIC CENTER 83 - SENTARA SURG SPEC-PORT WARWICK I 11803 JEFFERSON AVE STE 235 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 84 - SENTARA FAM MED PHYS-PENINSULA TOWNE 2104 EXECUTIVE DR HAMPTON VA 23666 OTHER OUTPATIENT SITE 85 - SENTARA FAM MED PHYS-PORT WARWICK I 11803 JEFFERSON AVE STE 100 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 86 - SENTARA CARDIOLOGY SPEC-WILLIAMSBURG 500 SENTARA CIR STE 100 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 87 - SENTARA URGENT CARE-J CLYDE 747 J CLYDE MORRIS BLVD NEWPORT NEWS VA 23601 OTHER OUTPATIENT SITE 88 - SENTARA NEUROLOGY SPEC-CAREPLEX 4001 COLISEUM DR STE 300 HAMPTON VA 23666 OTHER OUTPATIENT SITE 89 - SENTARA URGENT CARE-LITTLE CREEK 1326 E LITTLE CREEK ROAD NORFOLK VA 23518 OTHER OUTPATIENT SITE 90 - SENTARA THERAPY CENTER-MIDDLESEX 11487 GENERAL PULLER HIGHWAY HEARTFIELD VA 23071 REHABILITATION CENTER 91 - SENTARA URGENT CARE-ST LUKE'S 20209 SENTARA WAY STE 100 CARROLLTON VA 23314 OTHER OUTPATIENT SITE 92 - SENTARA INTERNAL MED PHYS-FORT NK 301 RIVERVIEW AVE STE 710 NORFOLK VA 23510 OTHER OUTPATIENT SITE 93 - SENTARA PODIATRY SPEC-KEMPSVILLE 844 KEMPSVILLE ROAD STE 100D NORFOLK VA 23502 OTHER OUTPATIENT SITE 94 - MOBILE PET SCAN 5900-B LAKE WRIGHT DR NORFOLK VA 23502 OTHER OUTPATIENT SITE 95 - SENTARA PHY MED & PAIN MGMT SPC-CAREPLEX 4000 COLISEUM DR STE 345 HAMPTON VA 23666 OTHER OUTPATIENT SITE 96 - SENTARA RHEUMATOLOGY SPEC-CAREPLEX W 4001 COLISEUM DR STE 310 HAMPTON VA 23666 OTHER OUTPATIENT SITE 97 - SENTARA PULMONARY & CC SPEC-CAREPLEX 4000 COLISEUM DR STE 350 HAMPTON VA 23666 OTHER OUTPATIENT SITE 98 - SENTARA FAM MEDICINE PHYS-FORT NK 301 RIVERVIEW AVE STE 810 NORFOLK VA 23510 OTHER OUTPATIENT SITE 99 - SENTARA THERAPY CENTER & CHIRO SVCS 1809 COLONIAL MEDICAL COURT VIRGINIA BEACH VA 23454 REHABILITATION CENTER 100 - SENTARA FAM MED PHYS-SUFFOLK 2760 GODWIN BLVD STE 100 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 101 - VASCULAR & TRANSPLANT SPEC-CAREPLEX 4000 COLISEUM DR STE 310 HAMPTON VA 23666 OTHER OUTPATIENT SITE 102 - CARDIOLOGY SPECIALISTS-PORT WARWICK 1031 LOFTIS BLVD STE 100 NEWPORT NEWS VA 23606 OTHER OUTPATIENT SITE 103 - SENTARA PULMONARY & CC SPEC-NK 600 GRESHAM DR STE 8630 NORFOLK VA 23507 OTHER OUTPATIENT SITE 104 - SENTARA NEUROLOGY SPEC-NK 600 GRESHAM DR STE 8630 NORFOLK VA 23507 OTHER OUTPATIENT SITE 105 - SENTARA PODIATRY SPECIALISTS-OBICI 2790 GODWIN BLVD STE 355 SUFFOLK VA VA 23434 OTHER OUTPATIENT SITE 106 - SENTARA SURGERY SPEC-CAREPLEX 4000 COLISEUM DR STE 320 HAMPTON VA 23666 OTHER OUTPATIENT SITE 107 - SENTARA SURGERY SPEC-1080 BUILDING 1080 FIRST COLONIAL ROAD STE 200 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 108 - SENTARA SURGERY SPECIALISTS-OBICI 2790 GODWIN BLVD STE 305 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 109 - VASCULAR & TRANSPLANT SPEC-SUFFOLK 171 N MAIN ST SUFFOLK VA 23434 OTHER OUTPATIENT SITE 110 - WILLIAMSBURG SURGERY 500 SENTARA CIR STE 202 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 111 - ORTHOPEDIC TRAUMA-NORFOLK 600 GRESHAM DR SUITE 204 NORFOLK VA 23507 OTHER OUTPATIENT SITE 112 - NEUROSURGERY NORFOLK HEART HOSPITAL 600 GRESHAM DR STE 8630 NORFOLK VA 23507 OTHER OUTPATIENT SITE 113 - SENTARA NEUROLOGY SPECIALISTS-OBICI 2790 GODWIN BLVD STE 320 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 114 - SENTARA PODIATRY SPEC-1ST COLONIAL 1080 FIRST COLONIAL RD STE 400 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 115 - SENTARA NEUROSURGERY SPEC 1080 BLDG 1080 FIRST COLONIAL RD STE 400 VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 116 - VASCULAR & TRANSPLANT SPEC-WILLIAMSBURG 400 SENTARA CIR STE 350 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 117 - INFECTIOUS DISEASE-FORT NORFOLK 301 RIVERVIEW AVE STE 710 NORFOLK VA 23510 OTHER OUTPATIENT SITE 118 - SENTARA NEUROLOGY SPECIALISTS-WMSBG 400 SENTARA CIRCLE STE 320 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 119 - SENTARA PLASTIC SURGERY SPECIALISTS 600 GRESHAM DR STE 204 NORFOLK VA 23507 OTHER OUTPATIENT SITE 120 - SENTARA INFECTIOUS DIS SPEC-OBICI 2790 GODWIN BLVD STE 225 SUFFOLK VA 23434 OTHER OUTPATIENT SITE 121 - SENTARA PULMONARY & CC SPEC-WILLIAMSBURG 400 SENTARA CIR STE 320 WILLIAMSBURG VA 23188 OTHER OUTPATIENT SITE 122 - SENTARA CYTOGENICS LAB 1701 WILL O WISP DR STE 1E VIRGINIA BEACH VA 23454 OTHER OUTPATIENT SITE 123 - MID-ATLANTIC CARDIOTHORACIC SURGEONS 600 GRESHAM DRIVE STE 8600 NORFOLK VA 23507 OTHER OUTPATIENT SITE 124 - SENTARA THERAPY CTR-ALBEMARLE YMCA 1240 N ROAD STREET ELIZABETH CITY NC 27909 REHABILITATION CENTER PART I, LINE 3C: THE ORGANIZATION USES A MULTI-FACETED REVIEW OF AN APPLICANT'S SITUATION TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. AN APPLICANT'S HOUSEHOLD INCOME IS EVALUATED IN LIGHT OF RELEVANT FACTS AND CIRCUMSTANCES, SUCH AS REPORTED INCOME, ASSETS, LIABILITIES, EXPENSES, AND OTHER RESOURCES AVAILABLE TO THE APPLICANT OR THE APPLICANT'S RESPONSIBLE PARTY, WHEN DETERMINING THE LEVEL OF FINANCIAL ASSISTANCE THAT AN APPLICANT QUALIFIES FOR UNDER THE FINANCIAL ASSISTANCE POLICY. 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 501(C)(3) SOLE MEMBER. PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES. PART I, LINE 7G: $1,794,006 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $273,032,301. 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 DISCOUNT PRACTICES. DISCOUNTED CARE IS NOT OFFERED UNDER THE ASCS' WRITTEN FINANCIAL ASSISTANCE POLICIES; ONLY FREE CARE IS OFFERED. PART II, COMMUNITY BUILDING ACTIVITIES: COALITION BUILDING THE ORGANIZATION COLLABORATES WITH VARIOUS COMMUNITY ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH CARE NEEDS WITHIN THE COMMUNITY. 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. ADDITIONALLY, THE ORGANIZATION ENTERS INTO PHYSICIAN RECRUITING AGREEMENTS IN ORDER TO INCENT HIGHLY QUALIFIED PHYSICIANS INTO THE COMMUNITY TO FILL POSITIONS IN SERVICES AREAS WHERE THERE IS AN URGENT NEED.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: BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS, NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN-OFF. SEE ALSO THE FOOTNOTE ON PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DISCUSSES BAD DEBT. PART III, LINE 3: IN COMPUTING LINE 3, THE ORGANIZATION CONSERVATIVELY ESTIMATES THAT 15% OF BAD DEBT IS 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 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 PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES 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 A PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS WRITTEN OFF TO CHARITY. 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. 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 2017 POPULATION OF THE AREA IS 2,008,383 AND THE POPULATION IS PROJECTED TO INCREASE BY 3.3% OVER THE NEXT FIVE YEARS COMPARED TO A PROJECTED U.S. GROWTH RATE OF 3.8%. 14.8% OF THE POPULATION ARE AGE 65+ COMPARED TO THE U.S. AT 15.5%. EDUCATION-WISE, 10.6% OF THE ADULT POPULATION AGED 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION, COMPARED TO 13.5% FOR THE U.S. INCOME-WISE, THE AVERAGE HOUSEHOLD INCOME IS $77,525 COMPARED TO $80,853 FOR THE U.S. AND 19.1% OF THE HOUSEHOLDS HAVE AN ANNUAL INCOME OF LESS THAN $25,000, COMPARED TO 21.9% FOR THE U.S. THE RACE AND ETHNICITY COMPOSITION IS AS FOLLOWS: 56.7% FOR WHITE NON-HISPANIC, 29.4% FOR BLACK NON-HISPANIC, 6.7 % FOR HISPANIC, 3.7% FOR ASIAN AND PACIFIC ISLANDERS NON-HISPANIC, AND 3.6% FOR ALL OTHERS. THIS COMPARES TO THE U.S. COMPOSITION OF 60.8% FOR WHITE NON-HISPANIC, 12.4% FOR BLACK NON-HISPANIC, 18.0% FOR HISPANIC, 5.7% FOR ASIAN AND PACIFIC ISLANDERS NON-HISPANIC, AND 3.2% FOR ALL OTHERS. PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A 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: SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER, PROVIDES A NUMBER OF PROGRAMS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES, IN ADDITION TO THOSE IDENTIFIED FOR THE ORGANIZATION. SEE FORM 990 PART III SCHEDULE O DISCLOSURE FOR FURTHER INFORMATION ON THE SERVICES AND FACILITIES PROVIDED BY THE SENTARA HEALTHCARE SYSTEM. PART VI - DISCLOSURE UNDER REV. PROC. 2015-21 - VIRGINIA BEACH AMBULATORY SU IN FEBRUARY 2017, DURING AN IRS AUDIT OF THE ORGANIZATION'S 2014 TAX YEAR, THE ORGANIZATION DISCOVERED THAT VIRGINIA BEACH AMBULATORY SURGERY CENTER'S ("VBASC'S") FAP WAS NOT AVAILABLE ON A WEBSITE. UPON DISCOVERY, A COPY OF THE FAP WAS UPLOADED TO VBASC'S WEBSITE. BECAUSE VBASC'S WEBSITE ADVERTISED THE AVAILABILITY OF FINANCIAL ASSISTANCE; CONTAINED A DOWNLOADABLE PLAIN LANGUAGE SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE; AND PROVIDED INFORMATION ON HOW TO OBTAIN A COPY OF THE FAP, NO INDIVIDUALS WERE ADVERSELY IMPACTED BY THE ABSENCE OF A DOWNLOADABLE FAP ON THE WEBSITE. THE FAP WAS AVAILABLE AT VBASC UPON WRITTEN OR ORAL REQUEST. 1 EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK VA 23501 237053208 501(C)(3) 842678 OPERATING FUND AND INDIGENT CARE OLDE TOWNE MEDICAL CENTER 5249 OLDE TOWNE RD WILLIAMSBURG VA 23188 541663905 501(C)(3) 100000 COMMUNITY HEALTH SUPPORT SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK VA 23502 521271901 501(C)(3) 23566765 OVERHEAD ALLOCATIONS PENINSULA EMS COUNCIL PO BOX 1297 GLOUCESTER VA 23061 541064500 501(C)(3) 10000 DONATION/SPONSORSHIP TIDEWATER EMS COUNCIL INC 1104 MADISON PLAZA CHESAPEAKE VA 23320 540977032 501(C)(3) 25000 ANNUAL SUPPORT ALBEMARLE HOSPITAL FOUNDATION PO BOX 1412 ELIZABETH CITY NC 27906 432031990 501(C)(3) 334872 PROGRAM SUPPORT COLLEGE OF THE ALBEMARLE FOUNDATION INC PO BOX 2327 ELIZABETH CITY NC 27906 581399254 501(C)(3) 16000 CLINICAL EDUCATION OPPORTUNITIES ALBEMARLE REGIONAL HEALTH SERVICES 711 ROANOKE AVENUE ELIZABETH CITY NC 27909 566000798 PASQUOTANK COUNTY 95000 FUNDING FOR CLINICAL RESOURCES PASQUOTANK COUNTY PO BOX 586 ELIZABETH CITY NC 27907 566000328 PASQUOTANK COUNTY 450000 PROGRAM SUPPORT WESTERN TIDEWATER FREE CLINIC INC 2019 MEADE PARKWAY SUFFOLK VA 23434 263302837 501(C)(3) 6400 DONATION/SPONSORSHIP AMNGELS OF MERCY INC 7151 RICHMOND ROAD STE 401 WILLIAMSBURG VA 23188 541901759 501(C)(3) 5400 DONATION/SPONSORSHIP VIRGINIA BEACH RESQUE SQUAD FOUNDATION INC 740 VIRGINIA BEACH BLVD VIRGINIA BEACH VA 23451 510242962 501(C)(3) 13334 DONATION/SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 45000 DONATION/SPONSORSHIP UNITED NEGRO COLLEGE FUND INC 1805 7TH STREET NW WASHINGTON DC 20001 131624241 501(C)(3) 6000 DONATION/SPONSORSHIP 14 0 SCHOLARSHIPS 543 399763 PART I, LINE 2: AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. THE ORGANIZATION ALSO DONATES FUNDS TO OTHER ORGANIZATIONS WITH A SIMILAR MISSION OF PROVIDING AND PROMOTING HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. SUCH ORGANIZATIONS ALSO HAVE COMMUNITY BOARDS WHICH OVERSEE THE PROPER EXPENDITURES OF SUCH FUNDS. THE ORGANIZATION'S COLLEGE OF HEALTH SCIENCES AWARDS SCHOLARSHIPS TO STUDENTS ON AN ON-GOING BASIS BASED ON NEED AND MERIT. RECIPIENTS ARE SELECTED FROM QUALIFIED APPLICANTS ACCORDING TO PRESCRIBED GUIDELINES. ALL SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS, AND THEIR USE IS MONITORED BY SCHOOL PERSONNEL. X X 1 1 0 1 0 0 0 0 0 1 0 ROBERT A BROERMANN DIRECTOR/TREASURER 0 784366 0 601050 0 219742 0 84075 0 15497 0 1704730 0 0 MICHAEL V GENTRY DIRECTOR/PRESIDENT 0 715260 0 532145 0 81258 0 155802 0 18348 0 1502813 0 56565 HOWARD P KERN DIRECTOR/CHAIRMAN 0 1438006 0 1564957 0 276372 0 1898522 0 22233 0 5200090 0 0 JEFFREY P KING SECRETARY 0 464504 0 153652 0 81991 0 92570 0 25404 0 818121 0 27162 SAMUEL J HAWLEY ASSIST. SECRETARY 0 146001 0 21133 0 115 0 17300 0 9982 0 194531 0 0 MARY L BLUNT KE (CORPORATE VP) 610509 0 482270 0 139584 0 179433 0 16342 0 1428138 0 0 0 ELWOOD B BOONE III KE (PRESIDENT, SVBGH) 309805 0 102686 0 29547 0 61318 0 25055 0 528411 0 6183 0 TERESA L EDWARDS KE (CORPORATE VP) 413036 0 195314 0 60256 0 132890 0 16546 0 818042 0 19411 0 ROBERT C FIRESTONE KE (VP OPERATIONS, SNGH) 206385 0 66309 0 9341 0 56760 0 26747 0 365542 0 0 0 DEBRA A FLORES KE (PRESIDENT, SCH) THRU 10/6/17 249659 0 110669 0 79476 0 8085 0 7277 0 455166 0 0 0 KURT T HOFELICH KE (PRESIDENT, SNGH) 469402 0 260487 0 72547 0 207293 0 20250 0 1029979 0 19095 0 GENEMARIE W MCGEE KE (CNO) 366259 0 241494 0 84946 0 169356 0 12192 0 874247 0 0 0 GRACE MYERS KE (CNE) 229837 0 71733 0 3308 0 69587 0 10256 0 384721 0 0 0 MICHAEL J REAGIN KE (CVP & CIO) 480981 0 317643 0 3937 0 89476 0 11180 0 903217 0 0 0 JOANNE M INMAN KE (PRESIDENT SLH) 250013 0 83475 0 25795 0 75854 0 24229 0 459366 0 0 0 CAROLYN C CARPENTER KE VP & COO, SNGH 106367 0 40584 0 69562 0 0 0 4017 0 220530 0 0 0 THOMAS KLEVAN MEDICAL DIRECTOR, CARDIAC SVC LINE 437348 0 114852 0 30370 0 47618 0 29607 0 659795 0 0 0 PAUL D CHIDESTER VP, MEDICAL AFFAIRS 339624 0 112986 0 19579 0 59007 0 25001 0 556197 0 0 0 MURALI N NAIDU VP, CHIEF CLINICAL OFFICER 340580 0 97403 0 23481 0 0 0 16693 0 478157 0 0 0 J STEPHEN JULIAN JR PRESIDENT, SOH 312630 0 114384 0 24617 0 82095 0 24774 0 558500 0 5918 0 DAVID N MOHR VP, CLIN INFORMATICS/TRANSFORMATION 317433 0 111181 0 20454 0 44757 0 554 0 494379 0 0 0 DAVID L BERND FORMER OFFICER 0 83816 0 511370 0 2826416 0 8100 0 6182 0 3435884 0 1127170 THOMAS THAMES FORMER T5 0 315118 0 111160 0 44076 0 69149 0 25663 0 565166 0 0 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. PART I, LINE 4B 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. DAVID BERND, HOWARD KERN, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, TERESA EDWARDS, DEBRA FLORES, KURT HOFELICH, JEFFREY KING, ELWOOD BOONE, GENEMARIE MCGEE, THOMAS THAMES, MICHAEL REAGIN, JOANNE INMAN AND J.S. JULIAN, JR. 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 2017, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($2,778,304) MARY BLUNT ($90,794); ROBERT BROERMANN ($143,052); TERESA EDWARDS ($33,330) DEBRA FLORES ($18,205); MICHAEL GENTRY ($61,616); KURT HOFELICH ($31,461); HOWARD KERN ($229,936); JEFFREY KING ($42,350); GENEMARIE MCGEE ($55,094); THOMAS THAMES ($23,850) AND ELWOOD BOONE ($9,837). 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. KELLY B LAMPING FAMILY MEMBER OF DAVID BERND, FORMER OFFICER 120650 EMPLOYMENT 0 FORM 990, PART III, LINE 4A SENTARA HEALTHCARE I. SENTARA HEALTHCARE - YOUR NOT FOR PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE BASED IN NORFOLK, VA, CELEBRATES MORE THAN 129 YEARS IN RELENTLESS PURSUIT OF ITS MISSION TO IMPROVE HEALTH EVERY DAY THROUGH INNOVATION, COMPASSION AND COMMUNITY BENEFIT. SENTARA IS A FULLY INTEGRATED NOT-FOR-PROFIT SYSTEM WITH NEARLY 300 SITES OF CARE OF WHICH THERE ARE 12 HOSPITALS IN VIRGINIA AND NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER WITH NIGHTINGALE REGIONAL AIR AMBULANCE AND THE NATIONALLY-RANKED SENTARA HEART HOSPITAL. THE SENTARA FAMILY INCLUDES FOUR MEDICAL GROUPS, AMBULATORY CAMPUSES, POST-ACUTE CARE SERVICES, THE PHYSICIAN-LED SENTARA QUALITY CARE NETWORK, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, OPTIMA HEALTH PLAN MEMBERS IN VIRGINIA AND OHIO, AND A TEAM OF PROFESSIONALS NEARLY 28,000 STRONG. SENTARA PROUDLY INCLUDES ADVANCED IMAGING CENTERS, NURSING AND ASSISTED LIVING CENTERS, PHYSICAL THERAPY AND REHABILITATION SERVICES, HOME HEALTH AND HOSPICE, AND GROUND MEDICAL TRANSPORTATION. SENTARA IS STRATEGICALLY FOCUSED ON CONTINUOUS IMPROVEMENT IN QUALITY, SAFETY, CLINICAL OUTCOMES AND THE PATIENT EXPERIENCE AND PURSUES KEY CLINICAL GOALS THROUGH HIGH PERFORMANCE TEAMS ACROSS THE ENTERPRISE. 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 OF OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT OF 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. IN 2017, SENTARA COMMUNITY BENEFIT REACHED $364,956,000. SENTARA PROVIDED $325,197,000 IN NET UNCOMPENSATED PATIENT CARE; $18,341,000 IN MEDICAL EDUCATION; AND $21,418,000 IN COMMUNITY PROGRAMS. B. 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 COMMUNITY HEALTH NEEDS. SENTARA FOUNDATION-HAMPTON ROADS SUPPORTS A WIDE RANGE OF PROGRAMS ACROSS HAMPTON ROADS. IN 2017, THE FOUNDATION RAISED $1.9M AND AWARDED 28 COMMUNITY GRANTS TOTALING $622,000 TO SUPPORT ITS KEY PRIORITY AREAS. THE MARTHA JEFFERSON HOSPITAL FOUNDATION IN CHARLOTTESVILLE, VIRGINIA RAISED OVER $3.5M IN NEW GIFTS AND COMMITMENTS AND FOCUSED THEIR EFFORTS ON A HIGH-RISK BREAST PROGRAM, A FAMILY CAREGIVER SUPPORT PROGRAM AND THE CENTER FOR CLINICAL EDUCATION. THE RMH FOUNDATION RAISED $3.59M IN NEW GIFTS AND COMMITMENTS AND FOCUSED THEIR EFFORTS ON A NEW LINEAR ACCELERATOR FOR THE SENTARA RMH HAHN CANCER CENTER AND THE INSTITUTE FOR NURSING EXCELLENCE AND INNOVATION. 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 2017, THE HOPE FUND AWARDED $147,000 TO SENTARA EMPLOYEES IN CRISES ACROSS THE SYSTEM. C. 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 2017: - HEALTH IMPROVEMENT EVENTS WERE OFFERED TO CHURCHES, EMPLOYER GROUPS INCLUDING SENTARA HEALTHCARE AND HAMPTON ROADS SANITATION DISTRICT, COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY LOCATIONS INCLUDING THE POCKET EKG PROGRAM AND THE SENTARA LIVING PROGRAM. - SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. - THE FLU PATROL ADMINISTERED A TOTAL OF 5,211 IMMUNIZATIONS. 4,182 WERE GIVEN TO OPTIMA HEALTH INSURED GROUPS THROUGHOUT VIRGINIA. THE REMAINDER WAS DELIVERED TO CHURCHES AND OTHER COMMUNITY GROUPS. - BIRTHDAY CARD REMINDERS FOR PREVENTIVE HEALTH SCREENINGS WERE DELIVERED TO ADULT MEMBERS OF OPTIMA HEALTH, OHIOHEALTH PLAN MEMBERS AND CHILDREN. SELF-CARE HANDBOOKS ON PLANNING A HEALTHY PREGNANCY WERE DISTRIBUTED TO OPTIMA HEALTH PLAN MEMBERS. - THE TOBACCO CESSATION PROGRAM AIDED OUR HOSPITALS IN UPDATING A VIDEO AVAILABLE TO PATIENTS. PATIENTS DISCHARGED FROM SENTARA VIRGINIA BEACH GENERAL HOSPITAL AND SENTARA HEART HOSPITAL WERE CONTACTED FOUR WEEKS AFTER THEIR HOSPITAL DISCHARGE FOR TOBACCO CESSATION FOLLOW-UP. - AS PART OF THE SENTARA BENEFIT ENROLLMENT PROCESS, 18,849 EMPLOYEES COMPLETED A HEALTH RISK ASSESSMENT IN CONJUNCTION WITH THE MISSION: HEALTH PROGRAM. - FINALLY, WEBMD, WHICH SERVES AS OUR HEALTH COACHING AND HEALTH EDUCATION PORTAL PARTNER, HAS NOW 22,649 REGISTERED MEMBERS OF WHICH 16,848 MEMBERS ARE ACTIVELY ENGAGED. SENTARA HOSTS A NUMBER OF COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THE FOCUS ON COLON CANCER PREVENTION: DON'T SIT ON COLON CANCER. THROUGH THE SENTARA CANCER NETWORK, SENTARA HOSTED A 5K AT SENTARA PRINCESS ANNE HOSPITAL IN VIRGINIA BEACH. THROUGH SENTARA HEART, WE PROMOTED THE "28 DAYS OF HEART" IN FEBRUARY, 2017 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, FACEBOOK LIVE EDUCATION SESSIONS, SCREENINGS AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. III. GROWTH IN SENTARA HEALTHCARE SINCE THE BEGINNING, 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 2017 INCLUDED THE FOLLOWING: A. SENTARA NORFOLK GENERAL HOSPITAL EXPERIENCED REMARKABLE GROWTH IN OUR TRANSPLANT PROGRAMS. SENTARA HEART HOSPITAL PERFORMED 28 HEART TRANSPLANTS REPRESENTING A 133% INCREASE OVER 2016(12). SENTARA NORFOLK GENERAL HOSPITAL PERFORMED 101 KIDNEY TRANSPLANTS REPRESENTING A 71% INCREASE OVER 2016(59). SENTARA NORFOLK GENERAL HOSPITAL PERFORMED 7 PANCREAS TRANSPLANTS REPRESENTING A 250% INCREASE OVER 2016(2). B. SENTARA, THROUGH OPTIMA HEALTH, LAUNCHED THE MANAGED LONG TERM SERVICES AND SUPPORTS PROGRAM, ALSO KNOWN AS OPTIMA HEALTH COMMUNITY CARE, THAT SERVES VIRGINIANS WITH COMPLEX HEALTH ISSUES, MANY OF WHOM REQUIRE LONG-TERM SUPPORT AS A RESULT OF AGING, CHRONIC ILLNESS OR DISABILITY. 17,893 MEMBERS WERE ASSIGNED TO OPTIMA HEALTH COMMUNITY CARE BETWEEN AUGUST 1 AND DECEMBER 31 FROM SIX REGIONS ACROSS VIRGINIA. THIS MODEL OF CARE FACILITATES PERSON-CENTERED CARE FEATURING BENEFITS SUCH AS COORDINATION AND MANAGEMENT OF ALL ASPECTS OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, LONG-TERM CARE AND COMMUNITY-BASED SERVICES; SUPPORT OF AN INTERDISCIPLINARY CARE TEAM, ACCESS TO A CARE COORDINATOR AND REGULAR CARE ASSESSMENTS AN INDIVIDUALIZED CARE PLANS. C. WHILE CONTINUING TO IMPLEMENT THE 2017 SENTARA STRATEGIC PLAN, SENTARA CONTINUED ITS STRATEGIC PLANNING WORK THROUGH THE DEVELOPMENT AND APPROVAL OF TWO SERVICE LINES PLANS - HEART/VASCULAR AND NEUROSCIENCES. FORM 990, PART III, LINE 4A IV. NEW INITIATIVES A. SENTARA CONTINUED ITS FOCUS ON KEEPING THE COMPANY SAFE AND FORWARD THINKING IN THE CYBER WORLD. FOR OUR SECURITY OPERATIONS CENTER, WE PARTNERED WITH IBM TO PROVIDE US WITH 24/7 MONITORING OF CYBER SECURITY THREATS. UTILIZING WATSON, THIS SERVICE PROVIDES ARTIFICIAL INTELLIGENCE CAPABILITIES TO BOTH DETECT AND PRIORITIZE POTENTIAL CYBER SECURITY THREATS. B. ALSO IN THE REALM OF CYBER SECURITY, SENTARA IMPLEMENTED TWO FACTOR AUTHENTICATION FOR INDIVIDUALS LOGGING INTO THE SENTARA SYSTEMS EXTERNALLY. THUS, SENTARA HAS SECURE REMOTE ACCESS FOR ALL WORKFORCE MEMBERS. C. SENTARA ESTABLISHED AN INFORMATION SECURITY STUDENT STAFFING PROGRAM IN PARTNERSHIP WITH OLD DOMINION UNIVERSITY, REGENT UNIVERSITY, THOMAS NELSON COMMUNITY COLLEGE, TIDEWATER COMMUNITY COLLEGE AND THE UNIVERSITY OF VIRGINIA. THIS ALLOWS US ACCESS TO A SKILLED WORKFORCE WITH CYBER SECURITY TALENT. D. IN ITS THIRD YEAR, CLINICAL PERFORMANCE IMPROVEMENT (CLINICAL PI), AN INITIATIVE TO DRIVE CHANGE AND CREATE RAPID PROCESS IMPROVEMENT IN TARGETED CLINICAL AREAS, RESULTED IN SEEING POSITIVE TRENDS TOWARDS MEETING THE COMPANY'S ULTIMATE GOALS. E. THE VOICE OF THE CUSTOMER MODEL WAS DEVELOPED TO UNDERSTAND MORE FROM SENTARA 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. F. ADDRESSING THE OPIOID CRISIS IS A MAJOR FOCUS FOR SENTARA. SENTARA MEDICAL GROUP LAUNCHED ONE CLICK FOR PROVIDERS TO ACCESS THE VIRGINIA PRESCRIPTION MONITORING PROGRAM (PMP) IN THE SENTARA ECARE HEALTH NETWORK VIA A GATEWAY PROGRAM SAVING TIME FOR BOTH THE PROVIDER AND PATIENT AND IMPROVING COMPLIANCE. PROVIDERS ARE REQUIRED TO CONSULT THE VIRGINIA PMP BEFORE PRESCRIBING CONTROLLED DRUGS, BUT LEAVING THE ELECTRONIC MEDICAL RECORD (EMR) TO LOG INTO THE PMP ADDS EXTRA STEPS AND TIME TO THE PROCESS. SENTARA CAREPLEX HOSPITAL CONTINUED A PARTNERSHIP WITH THE NEWPORT NEWS AND HAMPTON POLICE DEPARTMENTS TO TRAIN POLICE OFFICERS ON HOW TO ADMINISTER TO THE LIFE-SAVING, OVERDOSE-REVERSING NARCAN. SENTARA RMH MEDICAL CENTER WAS AWARDED A FEDERAL GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE ON WOMEN'S HEALTH TO HELP PREVENT OPIOID MISUSE IN THEIR REGION. V. OFFERING NEW PROCEDURES AND TECHNOLOGIES CLINICAL BREAKTHROUGHS AND ADVANCEMENTS: SENTARA INTRODUCED MANY NEW CLINICAL BREAKTHROUGHS AND ADVANCEMENTS THAT BENEFITED THE PATIENT IN MANY AREAS OF CARE, INCLUDING CARDIAC AND REDUCING INFECTIONS. A. COPPER: I. SENTARA DEPLOYED COPPER MATERIALS AT SENTARA HALIFAX REGIONAL HOSPITAL MAKING IT THE FINAL HOSPITAL IN THE SENTARA SYSTEM TO IMPLEMENT. ALL OF OUR HOSPITALS NOW HAVE THIS INFECTION-FIGHTING AND LIFE-SAVING INNOVATION. B. CARDIAC: I. SENTARA NORFOLK GENERAL HOSPITAL WAS THE FIRST IN HAMPTON ROADS TO PERFORM "CLOT-VAC", WHICH INVOLVES THE REMOVAL OF BLOOD CLOTS IN THE HEART WITHOUT OPEN HEART SURGERY. II. THE ORNISH LIFESTYLE MEDICINE PROGRAM EXPANDED TO ALLOW FOR A SECOND COHORT WITH ENLARGED SPACE AT SENTARA PRINCESS ANNE HOSPITAL. CLINICAL OUTCOMES HAVE BEEN POSITIVE FOR PARTICIPANTS RELATED TO BODY WEIGHT; BMI, TOTAL CHOLESTEROL, LDL CHOLESTEROL, SYSTOLIC BLOOD PRESSURE, HGA1C AND DEPRESSION SCORES. VI. EXPANDING EDUCATIONAL OPPORTUNITIES 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 2017, SENTARA MARKED FURTHER PROGRESS TOWARD ACHIEVING OUR GOAL OF 80% OF SENTARA NURSES HAVING A BSN BY 2020. IN 2017 SENTARA HAD 60.4% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 16.6% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. HERE ARE A FEW EXAMPLES OF OUR WORK WITHIN THE RESEARCH REALM: A. CARDIAC: THROUGH THE SENTARA CARDIOVASCULAR RESEARCH INSTITUTE, CARDIOLOGISTS AND UNIQUELY TRAINED REGISTERED NURSE RESEARCH COORDINATORS MAKE SIGNIFICANT STRIDES IN ADVANCING THE UNDERSTANDING AND TREATMENT OF THE NUMBER ONE KILLER IN AMERICA: CARDIOVASCULAR DISEASE. AS THE PREEMINENT CARDIAC RESEARCH INSTITUTE IN THE MID-ATLANTIC REGION, SENTARA HEART WORKS COLLABORATIVELY WITH LOCAL INSTITUTIONS, GOVERNMENT AGENCIES AND BIOMEDICAL COMPANIES ON NATIONALLY AND INTERNATIONALLY RECOGNIZED CLINICAL RESEARCH TRIALS. WE FOCUS OUR EFFORTS ON DISCOVERING MORE EFFECTIVE CARDIOVASCULAR TREATMENTS AND PROTOCOLS WHILE ELIMINATING THOSE THAT ARE POTENTIALLY HARMFUL OR NOT AS BENEFICIAL. OUR ULTIMATE GOAL IS TO PROVIDE ENHANCED CLINICAL CARE THAT ADVANCES PATIENT OUTCOMES AND IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. OUR RESEARCH TOUCHES ON EVERY ASPECT OF HEART CARE, INCLUDING MEDICAL DEVICES, HEART FAILURE, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CARDIAC INTERVENTIONAL PROCEDURES, STRUCTURAL HEART DISEASE, AND THE MEDICAL MANAGEMENT OF CORONARY ARTERY DISEASE RISK FACTORS SUCH AS DIABETES AND HIGH CHOLESTEROL. COLLECTIVELY, OUR RESEARCH NURSES COORDINATE MORE THAN 80 CLINICAL TRIALS AT ANY GIVEN TIME, SHEPHERDING PARTICIPANTS THROUGH THE ENTIRE TRIAL PROCESS, PROVIDING CARE DURING PERIODS OF NEED, AND TIRELESSLY ADVOCATING FOR THEIR PATIENTS' WELL-BEING. B. CANCER: WITHIN THE SENTARA CANCER NETWORK, CLINICIANS AND ACADEMIC RESEARCHERS WORK TOGETHER TO ELEVATE CARE FOR PATIENTS. THIS COLLABORATIVE PHILOSOPHY FOSTERS INNOVATION IN OUR NETWORK AND DRIVES ACCESS TO CLINICAL TRIAL OPTIONS FOR OUR PATIENTS. COLLABORATIONS BETWEEN SURGICAL, RADIATION AND MEDICAL ONCOLOGISTS IN OUR SENTARA CANCER NETWORK ARE ESPECIALLY INSTRUMENTAL IN CONNECTING PATIENTS WITH CLINICAL TRIALS. THROUGH COLLABORATION WITH THE NCI NATIONAL CLINICAL TRIALS NETWORK (NCTN), THE ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY AND NATIONAL RESEARCH GROUP ONCOLOGY, WE DEVELOP AND CONDUCT CLINICAL TRIALS WITH PROMISING NEW CANCER THERAPIES. THESE COLLABORATIVE EFFORTS ALLOW US TO UTILIZE THE BEST SCIENCE TO DEVELOP OPTIMAL TREATMENT AND PREVENTION STRATEGIES FOR CANCER, AS WELL AS RESEARCH METHODS TO ALLEVIATE SIDE EFFECTS OF CANCER AND CANCER TREATMENTS. FORM 990, PART III, LINE 4A C. ORTHOPEDICS: THROUGHOUT SENTARA, WE CONTINUALLY EMBRACE THE VALUE OF GOOD CLINICAL RESEARCH AND THE DIFFERENCE IT CAN MAKE IN PATIENT CARE. ORTHOPEDIC SURGEONS WHO PRACTICE AT SENTARA FACILITIES CONTINUE TO PURSUE CLINICAL IMPROVEMENTS THROUGH CLINICAL TRIALS AND RESEARCH, BOTH AT THE LOCAL AND NATIONAL LEVELS. ACROSS THE SENTARA REGIONS, THESE SURGEONS ARE PRESENTING THEIR FINDING AT NATIONAL ASSOCIATION MEETINGS AND BEING PUBLISHED IN SPECIALTY TRADE JOURNALS. VII. BUILDING FOR THE FUTURE A. SENTARA NORTHERN VIRGINIA MEDICAL CENTER (SNVMC), LOCATED IN WOODBRIDGE, VIRGINIA, IMPLEMENTED A SECOND CATHETERIZATION LAB FOLLOWING THE OPENING OF THE DEDICATED ELECTROPHYSIOLOGY LAB IN THE SENTARA HEART AND VASCULAR CENTER IN 2016. SNVMC EXPERIENCED AN INCREASE IN PACEMAKER VOLUME AND DIAGNOSTIC CATHETERIZATION VOLUME IN 2017 COMPARED TO 2016. ELECTROPHYSIOLOGISTS PERFORMED THE FIRST MICRA PACEMAKER IMPLANT AT SNVMC. SNVMC ADOPTED THE TECHNOLOGY FOLLOWING SENTARA HEART HOSPITAL'S ADOPTION IN 2016 AFTER FDA APPROVAL. THE MICRA PACEMAKER IS THE WORLD'S SMALLEST PACEMAKER. IT IS IMPLANTED INTO THE HEART THROUGH A VEIN IN THE LEG, THUS THERE IS NO CHEST INCISION SCAR OR BUMP. SNVMC INCREASED INPATIENT ORTHOPEDIC SURGICAL VOLUME IN 2017 COMPARED TO 2016. ORTHOPEDIC ACHIEVEMENTS ALSO INCLUDED THE INTRODUCTION OF THE FOOT & ANKLE PROGRAM AND THE LAUNCH OF THE BACK & NECK CENTER. B. SENTARA RMH MEDICAL CENTER (SRMH), LOCATED IN HARRISONBURG, VIRGINIA, BEGAN PERFORMING THE TAVR (TRANSCATHETER AORTIC VALVE REPLACEMENT) PROCEDURE AND CONDUCTED 24 CASES IN 2017 IN THEIR NEWLY OPENED HYBRID OR. THE CARDIAC PROGRAM CONTINUES TO SEE SIGNIFICANT GROWTH IN OPEN HEART SURGERY CASES, CARDIAC INTERVENTIONS AND DIAGNOSTIC CATHETERIZATIONS. SENTARA RMH MEDICAL GROUP OPENED A TRANSITION OF CARE CLINIC, WHICH IS A COLLABORATIVE EFFORT BETWEEN THE HOSPITALIST DEPARTMENT, THE MEDICAL GROUP AND HOSPITAL CASE MANAGEMENT DEPARTMENT. C. SENTARA MARTHA JEFFERSON HOSPITAL (SMJH), LOCATED IN CHARLOTTESVILLE, VIRGINIA, OPENED THE SENTARA ORTHOJOINT CENTER, WHICH HAS A SINGULAR FOCUS ON THE NEEDS OF ORTHOPEDIC SURGICAL PATIENTS UNDERGOING HIP OR KNEE REPLACEMENT. THE CENTER CONCENTRATES THEIR EFFORT ON A DEDICATED TEAM APPROACH INVOLVING NURSES, ANESTHESIOLOGISTS, SURGEONS, PHYSICAL THERAPISTS AND HOME CARE. SENTARA MARTHA JEFFERSON MEDICAL GROUP EXPANDED ITS FOOT PRINT AT SENTARA SPRING CREEK FAMILY MEDICINE AND ACQUIRED THE WAYNESBORO PRIMARY CARE PRACTICE. ADDITIONALLY, THE MEDICAL GROUP IMPLEMENTED INQUICKER FOR ED PATIENTS NEEDING PRIMARY CARE FOLLOW UP, ENABLING PATIENTS TO BE SEEN SOONER AT THE NEW 5TH STREET PRACTICE. D. HAMPTON ROADS (SOUTHEASTERN VIRGINIA) I. SENTARA PRINCESS ANNE HOSPITAL (SPAH), LOCATED IN VIRGINIA BEACH, VIRGINIA, KICKED OFF A $35 MILLION MASTER FACILITY PLAN EXPANSION AND MODERNIZATION PROJECT. THIS PROJECT WILL ENABLE OUR CARE TEAMS TO TREAT MORE PATIENTS AND PROVIDE AN ENHANCED, PATIENT-CENTRIC EXPERIENCE. COMPLETION IS SCHEDULED FOR SEPTEMBER 2018. II. SENTARA VIRGINIA BEACH GENERAL HOSPITAL (SVBGH), LOCATED IN VIRGINIA BEACH, VIRGINIA, STARTED OFFERING ROBOTIC-ARM ASSISTED TOTAL KNEE REPLACEMENT SURGERY. USING A VIRTUAL 3D MODEL, THE ROBOTIC SYSTEM ALLOWS SURGEONS TO CREATE A PERSONALIZED SURGICAL PLAN BASED ON EACH PATIENT'S UNIQUE ANATOMY. ADDITIONALLY, SVBGH BEGAN A $53 MILLION MODERNIZATION OF PATIENT CARE AREAS AND INFRASTRUCTURE. THREE ICUS WILL BE CONSOLIDATED INTO ONE 24 BED UNIT. SIX OPERATIONS ROOMS WILL BE REPLACED IN A NEWLY CONSTRUCTED SURGERY WING AND FOUR OTHER OPERATING ROOMS WILL BE RENOVATED. OTHER GENERAL INFRASTRUCTURE WILL BE MODERNIZED AND EMERGENCY GENERATORS WILL BE REPLACED. III. SENTARA NORFOLK GENERAL HOSPITAL (SNGH), LOCATED IN NORFOLK, VIRGINIA, CELEBRATED THE 35TH ANNIVERSARY OF THE NIGHTINGALE AIR AMBULANCE. ADDITIONALLY, SNGH WAS THE FIRST IN HAMPTON ROADS TO PERFORM CLOT-VAC, WHICH INVOLVES THE REMOVAL OF BLOOD CLOTS WITHOUT OPEN HEART SURGERY. WOMEN'S SERVICES LEADERS AT SNGH HAD AN IDEA TO TAKE WIC-WOMEN, INFANTS AND CHILDREN, A SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN AND THEIR YOUNG CHILDREN, TO THE MOTHER DURING THEIR STAY FOR DELIVERING THEIR BABY. THIS APPROACH ALLOWED WOMEN TO IMMEDIATELY ACCESS THE BENEFITS OF WIC AS OPPOSED TO HAVING MOMS VISIT THE WIC OFFICE (REQUIRING DISTANT/INCONVENIENT TRAVEL TO THE WIC OFFICE WHILE HAVING THE DEMANDS OF BEING A NEW MOM) AFTER THEY GET HOME FROM THE HOSPITAL IN ORDER TO ACCESS THESE SAME BENEFITS OFFERED THROUGH WIC. IV. SENTARA LEIGH HOSPITAL (SLH), LOCATED IN NORFOLK, VIRGINIA, DESIGNATED ITS 48-BED ORTHOPEDIC CENTER OF SENTARA LEIGH HOSPITAL AS THE ORTHOPEDIC HOSPITAL AT SENTARA LEIGH. THIS IS THE FIRST DESIGNATED ORTHOPEDIC HOSPITAL IN SOUTH HAMPTON ROADS AND WILL JOIN THE ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEX ON THE PENINSULA AS THE ONLY TWO IN THE HAMPTON ROADS REGION. V. SENTARA OBICI HOSPITAL (SOH), LOCATED IN SUFFOLK, VIRGINIA, BEGAN OFFERING STEREOTACTIC RADIOSURGERY AND RADIOTHERAPY, ALLOWING RESIDENTS IN WESTERN TIDEWATER TO RECEIVE TREATMENT CLOSER TO HOME. ADDITIONALLY, SENTARA BELLEHARBOUR, AN OUTPATIENT CAMPUS ASSOCIATED WITH SENTARA OBICI HOSPITAL, BROKE GROUND ON AN 85,000 SQ.FT. $33.5 MILLION BUILDING THAT WILL FEATURE AN AMBULATORY SURGERY CENTER, EXPANDED EMERGENCY DEPARTMENT, 14 OBSERVATION BEDS FOR THE EMERGENCY DEPARTMENT PATIENTS, NEW MEDICAL OFFICE SPACE AND A HELIPAD. VI. SENTARA CAREPLEX HOSPITAL (SCH), LOCATED IN HAMPTON, VIRGINIA, INTRODUCED MATERNITY SERVICES AND HAPPILY DELIVERED ITS FIRST HAMPTON NEWBORN ON DECEMBER 31, 2017. THIS SERVICE WAS DESIGNED WITH CONSIDERABLE CONSUMER INPUT SO AS TO PROVIDE THE OPTIMAL EXPERIENCE FOR MOM AND FAMILY WHEN EXPERIENCING THIS UNIQUE AND HAPPY LIFE MILESTONE. VII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER (SWRMC), LOCATED IN WILLIAMSBURG, VIRGINIA, OPENED THE SENTARA OUTPATIENT REHAB CENTER MOBILITY PARK HELPING REHAB PATIENTS OF ALL AGES WITH GAIT RELATED PROBLEMS TO HAVE MORE OPPORTUNITY TO PRACTICE THEIR WALKING SKILLS SAFELY. THE MOBILITY PARK, LOCATED OUTDOORS NEAR THE R.F. WILKINSON YMCA, WHICH HOUSES THE HOSPITAL'S LARGEST OUTPATIENT THERAPY CENTER, IS A PROJECT FUNDED THROUGH THE AUXILIARY OF SENTARA WILLIAMSBURG. VIII. SENTARA ALBEMARLE MEDICAL CENTER (SAMC), LOCATED IN ELIZABETH CITY, NC, COMPLETED ITS IMPLEMENTATION OF SENTARA ECARE (ELECTRONIC MEDICAL RECORD) SO IT IS NOW AVAILABLE TO PATIENTS RECEIVING HOSPITAL CARE AS WELL AS FOR PATIENTS IN OUR PHYSICIAN OFFICES. THE BREAST CENTER AT SAMC RECEIVED STEREOTACTIC ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIATION ONCOLOGY. SAMC INTRODUCED THE SENTARA ORTHOJOINT CENTER AND THE SPORTS MEDICINE CENTER. THE SENTARA ORTHOJOINT CENTER HAS A SINGULAR FOCUS TO MEET THE NEEDS OF ORTHOPEDIC SURGICAL PATIENTS UNDERGOING HIP OR KNEE REPLACEMENT. FORM 990, PART III, LINE 4A SOUTH BOSTON/HALIFAX SENTARA HALIFAX REGIONAL HOSPITAL (SHRH), LOCATED IN SOUTH BOSTON, VIRGINIA, BEGAN OFFERING CT LUNG CANCER SCREENINGS TO INDIVIDUALS WHO ARE AT A HIGHER RISK OF DEVELOPING LUNG CANCER ENABLING THE EARLIER DETECTION OF CANCER. SENTARA OBSTETRICS AND GYNECOLOGY OPENED IN HALIFAX OFFERING COMPREHENSIVE, HIGH-QUALITY WOMEN'S HEALTHCARE OPTIONS ON THE HOSPITAL CAMPUS. WITH TWO OB/GYN PROVIDERS ON BOARD, THERE IS MORE ACCESS AND OPTIONS FOR WOMEN WHO NEED THESE SERVICES CLOSE TO HOME. SHRH OPENED AN OUTPATIENT THERAPY PROGRAM AT SENTARA MEADOWVIEW TERRACE NURSING FACILITY IN CLARKSVILLE, VIRGINIA. F. SENTARA ENTERPRISES SENTARA HOME HEALTH, HOSPICE AND INFUSION HAD A STRONG YEAR IN TERMS OF ACCREDITATION BY THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC). ACHC HAS CMS DEEMING AUTHORITY FOR HOME HEALTH, HOSPICE, AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS AND SUPPLIES AND A QUALITY MANAGEMENT SYSTEM THAT IS ISO 9001: 2015 CERTIFIED. SENTARA ENTERPRISES ACHIEVED ACHC ACCREDITATION FOR 7 HOME HEALTH LEGACY LOCATIONS, 3 NEW HOME HEALTH PROVIDERS, ALL 3 HOSPICE PROVIDERS, AND IV INFUSION SERVICES. G. SENTARA LIFE CARE SENTARA LIFE CARE IS COMPRISED OF ASSISTED LIVING CENTERS, NURSING HOMES, MOBILE MEALS AND THE PROGRAM FOR THE ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). IN 2017, SENTARA LIFE CARE OPENED A NEW CARE AND REHABILITATION RESIDENCE IN CHESAPEAKE, VIRGINIA. THE 120 BED FACILITY FEATURES AN INNOVATIVE "HOUSEHOLD" DESIGN WITH 20-40 RESIDENTS EACH, AND A RESIDENT-CENTERED APPROACH TO CARE. SHORT-TERM REHABILITATION ADMISSIONS INCREASED COMPARED TO 2016. SENTARA LIFE CARE IMPLEMENTED A MEDICAL DIRECTOR/PCP MODEL IN THE TWO PACE (PROGRAM FOR THE ALL-INCLUSIVE CARE FOR THE ELDERLY) CENTERS. PACE IS A COMPREHENSIVE HEALTH CARE AND SUPPORTIVE SERVICES PROGRAM FOR FRAIL SENIORS WHO WISH TO REMAIN IN THEIR HOMES AND COMMUNITY. THE PROGRAM IS ONE THAT PROVIDES TOTAL CARE FOR PARTICIPANTS, INCLUDING COMPREHENSIVE MEDICAL AND REHABILITATIVE SERVICES, IN-HOME SERVICES AND TRANSPORTATION. H. SENTARA MEDICAL GROUP (900+ PROVIDERS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA) I. SENTARA MEDICAL GROUP (SMG) COMPLETED THE 2017 SMG STRATEGIC PLAN WITH A FOCUS ON CARE DELIVERY, CUSTOMER EXPERIENCE, PROVIDER AND EMPLOYEE ENGAGEMENT AND GROWTH AND INNOVATION. SMG ESTABLISHED A CENTRALIZED NURSE ADVICE LINE PILOTED AT SELECT PRACTICES TO CONNECT PATIENTS TO A TRIAGE CALL CENTER FOR HEALTHCARE ADVICE. THIS PROGRAM STREAMLINES WORKFLOWS AND HELPS PATIENTS ARRANGE SAME-DAY CARE. SMG RENOVATED 14 PRACTICES AND OPENED 10 NEW PRACTICE LOCATIONS. ADDITIONALLY, SMG CONTINUED ITS IMPRESSIVE GROWTH IN MYCHART ENROLLEES (ELECTRONIC MEDICAL RECORD) BY EXCEEDING ITS GOAL OF 270,000 WITH A TOTAL OF 281,431 ENROLLEES. VIII. QUALITY AND PATIENT SAFETY DISTINCTIONS 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 2017 AWARDS AND RECOGNITIONS: I. FOR THE 17TH CONSECUTIVE YEAR, THE CARDIOLOGY AND HEART SURGERY PROGRAM AT SENTARA NORFOLK GENERAL HOSPITAL (SENTARA HEART HOSPITAL) WAS LISTED AMONG THE TOP 50 HEART PROGRAMS IN THE U.S. NEWS & WORLD REPORT 'BEST HOSPITALS' RANKING #24 IN 2017. DIABETES AND ENDOCRINOLOGY AT SENTARA NORFOLK GENERAL HOSPITAL, A SPECIALTY AT EASTERN VIRGINIA MEDICAL SCHOOL, RANKED #43. II. NINE SENTARA HOSPITALS EARNED HIGHEST GRADE OF "A" FOR DELIVERING SAFE CARE FOR PATIENTS ACCORDING TO THE LEAPFROG HOSPITAL SAFETY SCORE. III. SENTARA HEALTHCARE WAS NAMED 1 OF 52 GREAT HEALTH SYSTEMS TO KNOW ACCORDING TO BECKER'S HOSPITAL REVIEW. AND, SENTARA HALIFAX REGIONAL HOSPITAL WAS RANKED IN THE TOP 100 RURAL AND COMMUNITY HOSPITALS IN 2017. IV. SENTARA LEIGH HOSPITAL WAS NAMED TO TRUVEN TOP 100 HOSPITALS FROM TRUVEN HEALTH ANALYTICS AND MODERN HEALTHCARE. B. SENTARA CAREPLEX HOSPITAL BECAME THE LATEST HOSPITAL WITHIN THE SENTARA FAMILY TO EARN THE NURSING MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET SPEAKS TO A SUPPORTIVE WORKING ENVIRONMENT FOR NURSES AND SUPERIOR CLINICAL CARE BASED ON STRICT CRITERIA THAT MAGNET HOSPITALS MUST MEET. IX. OPTIMA HEALTH A. PROGRAM AND PRODUCT DEVELOPMENT OPTIMA HEALTH LAUNCHED OPTIMA HEALTH COMMUNITY CARE (OHCC), A NEW MEDICAID PRODUCT THAT SERVES VIRGINIANS WITH COMPLEX HEALTH ISSUES, MANY OF WHOM REQUIRE LONG-TERM SUPPORT AS A RESULT OF AGING, CHRONIC ILLNESS OR DISABILITY. 17,893 MEMBERS WERE ASSIGNED TO OPTIMA HEALTH COMMUNITY CARE FROM AUGUST 1 - DECEMBER 31, 2017 FROM SIX REGIONS ACROSS THE COMMONWEALTH. OHCC MODEL OF CARE FACILITATES PERSON-CENTERED CARE, FEATURING BENEFITS SUCH AS COORDINATION AND MANAGEMENT OF ALL ASPECTS OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, LONG-TERM CARE AND COMMUNITY-BASED SERVICES. X. CONCLUSION: SENTARA HEALTHCARE IS COMMITTED TO IMPROVING HEALTH EVERY DAY. WE DO SO BY PROVIDING QUALITY CARE THROUGH EXPERT PROVIDERS, USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE - ALL WITH A CONSTANT FOCUS ON INNOVATION. WE LOOK FORWARD TO ANOTHER YEAR OF GROWTH AND INNOVATION IN 2018. 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 1,788 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 915,964 ADJUSTED PATIENT DAYS OF CARE DURING 2017. 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 2017. 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 HEALTHCARE 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. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE COMMITTEE MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH. 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 INTERESTS, 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 THE 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 32 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 CONFLICT OF INTERESTS. 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, SENIOR VICE PRESIDENT AND COO, SENIOR 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 XI, LINE 9: BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY: -75,091,482. PARTNERSHIP INCOME BOOK > TAX: 182,718. NET ASSET TRANSFER TO AFFILIATE -926,839. S CORP INCOME BOOK < TAX: -648,396. SECTION 351 TRANSFER FROM PARENT 13,354,198. 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 19 VOTING MEMBERS, 18 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. 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