2025-11-04T08:31:35-06:00 2024-12-31 990 2024-01-01 540261840 MARTHA JEFFERSON HOSPITAL MART 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ROBERT A BROERMANN TREASURER 7574557020 2025-11-04 1 2024 2025-03-06 01:10:19Z RITA A BUNCH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 408702042 0 X WWW.SENTARA.COM X 1929 VA AS PART OF SENTARA HEALTH'S INTEGRATED DELIVERY SYSTEM, WE IMPROVE HEALTH EVERY DAY. 9 5 1614 394 0 0 3976662 4765766 402636191 402798843 -388775 561975 368559 504621 406592637 408631205 6178213 6423071 0 0 176770645 182554774 0 0 0 237023088 248517886 419971946 437495731 -13379309 -28864526 257122440 247577448 61725967 60560942 195396473 187016506 X SEE SCHEDULE O 0 0 329418518 6423071 402798843 THE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE TO THE COMMUNITY BY OFFERING THE LATEST TECHNOLOGY AND THE BEST TECHNICAL EXPERTISE. THE HOSPITAL IS A 176-BED FACILITY FEATURING ALL PATIENT-FRIENDLY PRIVATE ROOMS AND PROVIDED 118,326 ADJUSTED PATIENT DAYS OF CARE DURING 2024. SENTARA MARTHA JEFFERSON HOSPITAL OFFERS MANY ADVANCED CLINICAL SERVICES. AMONG THE NUMEROUS SERVICES THE HOSPITAL OFFERS ARE CANCER CARE, CARDIAC CARE, EMERGENCY CARE MATERNITY, NEUROLOGY, ORTHOPEDICS AND SURGERY.SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTH SYSTEM AS A WHOLE FOR 2024. 329418518 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 0 1 X 68 0 1 1614 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 VA X CORPORATE OFFICERS 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ERIC CONLEY DIRECTOR (EFFECTIVE 8/24) 1.00 45.00 X 0 1142423 411776 PAUL A GADEN INT. PRESIDENT (EFF. 12/24)/DIRECTOR 1.00 46.40 X X 0 1100833 141071 DOUGLAS J MOYER DIRECTOR 1.00 42.00 X 0 776501 93230 E RAY MURPHY DIRECTOR 1.00 3.90 X 0 45000 0 CAROL HURT DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 JOSHUA J FISCHER MD DIRECTOR 1.00 0.00 X 0 0 0 LAWRENCE MARTIN DIRECTOR 1.00 0.00 X 0 0 0 LILLIAN R BEVIER DIRECTOR 1.00 0.00 X 0 0 0 PEGGY ECHOLS DIRECTOR 1.00 0.00 X 0 0 0 ROBERT A BROERMANN TREASURER 1.00 50.00 X 0 3111555 345144 EARL J BARNES II SECRETARY 1.00 51.00 X 0 1489106 152653 RITA A BUNCH PRESIDENT (THROUGH 9/2024) 40.00 2.40 X 495165 0 31068 BRUCE D CLEMONS KE (EXEC DIRECTOR, MEDICAL GROUP) 40.00 0.00 X 526971 0 56428 MICHELE CARROLL KE (VP, OPERATIONS) 40.00 0.00 X 306908 0 24840 STEPHEN A HOOVER PHYSICIAN 40.00 0.00 X 956159 0 41923 JOHN Z EDWARDS MD PHYSICIAN 40.00 0.00 X 949540 0 49601 JACOB YOUNG PHYSICIAN 40.00 0.00 X 896797 0 62593 CLARK BAUMBUSCH PHYSICIAN 20.00 20.00 X 571961 320417 19037 JEFFERSON PRICHARD PHYSICIAN 40.00 0.00 X 866343 0 42461 SUSAN M HUNT FORMER KE 40.00 0.00 X 185805 0 58594 5755649 7985835 1530419 376 1 1 0 TRIMEDX 5451 LAKEVIEW PARKWAY SOUTH DRIVE INDIANAPOLIS IN 46268 CLINICAL ASSET MANAGEMENT 5400080 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING SOLUTIONS 4873993 EMERGENCY MEDICINE ASSOCIATES PC PO BOX 645948 CINCINNATI OH 45264 MEDICAL PROFESSIONAL SERVICES 3143617 LANTZ CONSTRUCTION COMPANY 539 SOUTH MAIN STREET BROADWAY VA 22815 CONSTRUCTION 1797316 MARTIN HORN INC 210 CARLTON ROAD CHARLOTTESVILLE VA 22902 CONSTRUCTION 1415187 35 54035 1880531 463625 2367575 212270 4765766 PATIENT SERVICES 621500 397678372 397678372 OTHER PROGRAM SERVICE REVENUE 900099 5089427 5089427 PREMIUM CAPITATION 621500 31044 31044 402798843 473498 473498 315330 41382 273948 273948 273948 88477 0 88477 88477 88477 207981 54035 29455 178526 178526 CONVENIENCE STORE 445100 52147 52147 52147 408631205 402798843 0 1066596 6423071 6423071 1441380 1188418 252962 144935950 119499691 25436259 9201005 7586229 1614776 17653218 14555078 3098140 9323221 7686996 1636225 92595 76345 16250 1784 1471 313 18506872 18506872 87473 72121 15352 11342161 9351612 1990549 518667 427641 91026 11301390 9317996 1983394 319027 263038 55989 50955 42012 8943 2798008 2306958 491050 10275839 8472429 1803410 2916393 2404566 511827 MEDICAL SUPPLIES 89368489 89368489 SENTARA SERVICE EXPENSE 67443448 67443448 TAXES & LICENSES 24591199 24526479 64720 PURCHASED SERVICES 8232060 6787333 1444727 671526 553673 117853 437495731 329418518 108077213 0 2103946 1945126 563623 1145442 41847895 42407800 6074657 8788901 2953536 3226566 296367918 135375791 173256445 160992127 25868945 24628697 4453393 4442789 257122440 247577448 25522670 27587881 18679 17617 36184618 32955444 61725967 60560942 X 178736380 170517744 16660093 16498762 195396473 187016506 257122440 247577448 X -28864526 14152619 6331940 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24945649 4691301 1880531 17615 27738804 21721450 5458247 2218642 15406 24945649 29107197 -5863072 1894871 -372196 21721450 25898609 4795870 1587282 29107197 24909335 3071344 2082070 25898609 1.00000 0 1 1 10031158 22435000 32466158 134100833 38042602 96058231 1324718 1176812 147906 117232622 92286358 24946264 11243587 3870019 7373568 160992127 GENERAL RESERVE 875734 DUE TO 3RD PARTY PAYORS 648586 OTHER LIABILITIES 6066167 ROU LIABILITIES 25364957 32955444 PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUPPORT THE HEALTH CARE NEEDS OF THE COMMUNITY. CHAMPION'S GOLF 72800 5300 67500 19177 MARTHA'S MARKET 131611 21860 109751 8521 1 57605 26875 30730 1757 262016 54035 207981 29455 29455 178526 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 4914229 4914229 0.01120 57525949 52532510 4993439 0.01140 62440178 52532510 9907668 0.02260 1859613 1859613 0.00420 407327 260757 146570 0.00030 8 47337952 33717778 13620174 0.03110 3632732 3632732 0.00830 8 53237624 33978535 19259089 0.04390 8 115677802 86511045 29166757 0.06650 213847 213847 0.00050 9415 9415 0.00000 173474 173474 0.00040 6535 6535 0.00000 2907 2907 0.00000 259809 259809 0.00060 229063 229063 0.00050 259606 259606 0.00060 1154656 1154656 0.00260 1 12720448 81382120 97017017 -15634897 X 1 1 1 MARTHA JEFFERSON PHO MANAGED CARE 0.50000 0.50000 2 1 MARTHA JEFFERSON HOSPITAL 500 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE VA 22911 WWW.SENTARA.COM H-0001872 X X X 2 MARTHA JEFFERSON OUTPATIENT SURGERY CENTER 595 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE VA 22911 WWW.SENTARA.COM OSH-0000662 X OUTPATIENT SURGERY CENTER MARTHA JEFFERSON HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE SECTION C BELOW X X 1 22 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 MARTHA JEFFERSON OUTPATIENT SURGERY CENT 2 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE SECTION C BELOW X X 1 22 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X X 0 X X X 0 0 MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 5: MARTHA JEFFERSON HOSPITAL (MJH) PARTICIPATED WITH THE BLUE RIDGE HEALTH DEPARTMENT IN A COLLABORATIVE EFFORT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE SIX LOCALITIES (CHARLOTTESVILLE/ALBEMARLE, FLUVANNA, GREENE, LOUISA, NELSON) IN THE HEALTH DISTRICT. THE COLLABORATIVE CONSISTED OF REPRESENTATIVES FROM SMJH, BLUE RIDGE HEALTH DISTRICT, AND UNIVERSITY OF VIRGINIA HEALTH. THESE LOCALITIES ARE CONSIDERED MJH'S SERVICE AREA, ACCOUNTING FOR APPROXIMATELY 83.5% OF MJH'S INPATIENTS. OTHER PARTICIPANTS IN THIS PROCESS INCLUDED THE UNIVERSITY OF VIRGINIA SCHOOL OF PUBLIC HEALTH, THE AREA AGENCY ON AGING, THE UNITED WAY, THE AREA FREE CLINIC, THE PLANNING DISTRICT COMMISSION, THE COOPERATIVE EXTENSION SERVICE, ETC. REGIONAL COUNTY INTERAGENCY COUNCILS WITH MJH REPRESENTATION WERE USED TO COLLECT EXISTING HEALTH DATA, COMMUNITY MEMBER SURVEYS, AND KEY STAKEHOLDER FOCUS GROUPS TO CREATE THE ASSESSMENT AND PLAN. IN ADDITION TO THE STAKEHOLDER INSIGHT, SMJH AND THE COLLABORATIVE CARRIED OUT A SERIES OF MORE IN-DEPTH COMMUNITY FOCUS GROUPS THROUGH PHOTOVOICE TO OBTAIN GREATER INSIGHT FROM DIVERSE COMMUNITY MEMBERS. INPUT WAS ALSO SOUGHT FROM OTHER POPULATIONS IN THE COMMUNITY, INCLUDING REPRESENTATIVES OF UNDERSERVED COMMUNITIES AND CONSUMERS OF SERVICES. THE PROCESS TOOK INTO ACCOUNT INPUT FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 5: THE FACILITY RELIED ON THE ASSESSMENT CONDUCTED BY MARTHA JEFFERSON HOSPITAL (MJH) WHEN CONDUCTING ITS OWN ASSESSMENT. SEE THE RESPONSE UNDER MJH FOR ADDITIONAL INFORMATION. MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA OF SENTARA MARTHA JEFFERSON HOSPITAL (SMJH) WAS CONDUCTED WITH SENTARA MARTHA JEFFERSON OSC. THE JOINT MAPP2HEALTH REPORT, TO BE USED AS THE CHNA FOR SENTARA MARTHA JEFFERSON HOSPITAL AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, WAS COMPLETED IN COLLABORATION WITH BLUE RIDGE HEALTH DISTRICT, UVA HEALTH, SENTARA MARTHA JEFFERSON HOSPITAL, AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, WHICH HAVE THE IDENTICAL SERVICE AREAS OF THE CITY OF CHARLOTTESVILLE AND ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON COUNTIES. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 6A: THE CHNA OF SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER WAS CONDUCTED WITH SENTARA MARTHA JEFFERSON HOSPITAL. THE JOINT MAPP2HEALTH REPORT, TO BE USED AS THE CHNA FOR SENTARA MARTHA JEFFERSON HOSPITAL AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, WAS COMPLETED IN COLLABORATION WITH BLUE RIDGE HEALTH DISTRICT, UVA HEALTH, SENTARA MARTHA JEFFERSON HOSPITAL, AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, WHICH HAVE THE IDENTICAL SERVICE AREAS OF THE CITY OF CHARLOTTESVILLE AND ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON COUNTIES. MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 6B: THE JOINT MAPP2HEALTH REPORT, TO BE USED AS THE CHNA FOR SENTARA MARTHA JEFFERSON HOSPITAL AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, WAS COMPLETED IN COLLABORATION WITH BLUE RIDGE HEALTH DISTRICT, UVA HEALTH, SENTARA MARTHA JEFFERSON HOSPITAL, AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 6B: THE JOINT MAPP2HEALTH REPORT, TO BE USED AS THE CHNA FOR SENTARA MARTHA JEFFERSON HOSPITAL AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, WAS COMPLETED IN COLLABORATION WITH BLUE RIDGE HEALTH DISTRICT, UVA HEALTH, SENTARA MARTHA JEFFERSON HOSPITAL, AND SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER. MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS.THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS.THE DIRECT URL ADDRESSES FOR THE COMMUNITY HEALTH NEED ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 11: TO SELECT COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES, THE HANLON MODEL WAS USED TO RATE THE MAGNITUDE AND SERIOUSNESS OF THE HEALTH ISSUES AND THE FEASIBILITY OF ADDRESSING THEM AT THE LOCAL LEVEL. HOSPITAL AND OTHER PARTICIPANTS RECOGNIZED THAT RESOURCES NEEDED TO BE DIRECTED TO THE HIGHEST PRIORITY HEALTH PROBLEMS. THE HOSPITAL WORKS ACTIVELY ON A COLLABORATIVE BASIS WITH OTHER COMMUNITY PARTNERS IN THE EXECUTION OF THE IMPLEMENTATION STRATEGIES.IMPROVING THE MENTAL AND EMOTIONAL WELL-BEING OF ALL LIVING IN THE SMJH AND SMJOSC SERVICE AREA BY INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES IS AN IMPORTANT PRIORITY. SENTARA CONTINUES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES KNOWING THAT ONE IN FIVE ADULTS WILL HAVE A MENTAL ILLNESS SEVERE ENOUGH TO REQUIRE TREATMENT, AND MANY MORE WILL HAVE EMOTIONAL AND MENTAL HEALTH PROBLEMS THAT PREVENT THEM FROM FULLY ENJOYING THEIR LIVES. AT SENTARA, WE OFFER INPATIENT TREATMENT SERVICES THROUGH TELEPSYCHIATRY. OUR ADULT AND SENIOR BEHAVIORAL HEALTH INPATIENT PROGRAMS PROVIDE DIAGNOSTIC SERVICES AND TREATMENT FOR PEOPLE 18 AND OLDER WHO ARE IN CRISIS DUE TO MENTAL ILLNESS, EMOTIONAL DISTRESS, OR DESTRUCTIVE BEHAVIOR PATTERNS. BECAUSE OUR TREATMENT FACILITIES ARE LOCATED WITHIN SEVERAL OF OUR HOSPITALS, PATIENTS HAVE ACCESS TO THE FULL RANGE OF BOTH PSYCHIATRIC AND MEDICAL CARE. SENTARA WILL CONTINUE TO PARTNER WITH COMMUNITY MENTAL HEALTH PROGRAMS TO IDENTIFY ALTERNATE PLACEMENT OPTIONS FOR BEHAVIORAL HEALTH EMERGENCY DEPARTMENT PATIENTS.SMJH AND SMJOSC CONTINUE TO SUPPORT NATIONAL DRUG TAKE BACK EVENTS TO HELP TO KEEP UNUSED MEDICATION OUT OF LANDFILLS, WHERE THEY CAN POTENTIALLY BE RETRIEVED AND ABUSED, AND WATER SUPPLIES, WHICH CAN BE CONTAMINATED BY FLUSHING MEDICATIONS.TO MEET THE GROWING NEED FOR PEDIATRIC NEURODEVELOPMENTAL AND BEHAVIORAL HEALTH CARE IN CENTRAL VIRGINIA, UVA CHILDREN'S AND SENTARA MARTHA JEFFERSON HOSPITAL ARE PARTNERING TO CREATE A NEW OUTPATIENT CLINIC IN ALBEMARLE COUNTY. THE CLINIC WILL TRIPLE THE NUMBER OF PEDIATRIC MENTAL HEALTH PROVIDERS AT UVA FROM 6 TO 18, REDUCING WAIT TIMES AND EXPANDING ACCESS BY BRINGING TOGETHER DEVELOPMENTAL PEDIATRICIANS, PEDIATRIC PSYCHOLOGISTS, CHILD PSYCHIATRISTS, AND INTEGRATIVE MEDICINE SPECIALISTS. "COMMUNITY MEMBERS HAVE SHARED WITH US THE NEED FOR EASIER ACCESS TO MENTAL AND NEURODEVELOPMENTAL HEALTH CARE, AND THIS CLINIC IS DESIGNED TO DO THAT IN A COMFORTING AND THERAPEUTIC SETTING," SAID WENDY HORTON, PHARMD, MBA, CHIEF EXECUTIVE OFFICER OF UVA MEDICAL CENTER. "OUR GOAL AT THE CLINIC WILL BE TO PROVIDE A COMPASSIONATE AND HOLISTIC APPROACH TO CHILD HEALTH AND WELLNESS, AND WE APPRECIATE SENTARA MARTHA JEFFERSON HOSPITAL JOINING US IN THIS PARTNERSHIP TO PROVIDE THIS VITAL CARE." "A TRUE TEAM APPROACH IS NEEDED TO ENHANCE BEHAVIORAL HEALTH CARE FOR CHILDREN ACROSS CENTRAL VIRGINIA," SAID RITA A. BUNCH, MPH, PRESIDENT OF SENTARA MARTHA JEFFERSON HOSPITAL. "WE ARE EXCITED TO PARTNER WITH UVA HEALTH AND UVA CHILDREN'S TO PROVIDE ALL CHILDREN AND FAMILIES IN OUR COMMUNITY WITH THE CARE AND SUPPORT THEY NEED."TO INCREASE COMMUNITY AWARENESS AND REDUCE STIGMA, SENTARA PARTNERED WITH VIRGINIA STAGE COMPANY TO SUPPORT AN INSPIRATIONAL PLAY ABOUT MENTAL HEALTH. "EVERY BRILLIANT THING" IS AN INTIMATE, INTERACTIVE PERFORMANCE WHICH CONTINUES TO BE BROUGHT TO COMMUNITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA. SMJH AND SMJOSC ALSO PROMOTE COMMUNITY CONVERSATIONS WITH NBC29 NEWS, SHARING INFORMATION ABOUT ALL RESOURCES AVAILABLE TO THE COMMUNITY AT THE JEFFERSON SCHOOL. RESOURCES INCLUDED MENTAL HEALTH, HEALTH LITERACY, ECONOMIC BARRIERS SUPPORT, AND ORGANIZATIONS OPEN DOORS TO PUBLIC TO COME LEARN MORE.FOR INNOVATION, SMJH AND SMJOSC PROVIDE PET THERAPY WHICH IS OFFERED TO PATIENTS AND STAFF TO HELP REDUCE STRESS, LOWER BLOOD PRESSURE, AND ENHANCE OVERALL WELL-BEING, ALL WHILE BRINGING SMILES AND BOOSTING MORALE. "I AM CONTINUALLY INSPIRED BY THE ENTHUSIASM AND PROFOUND IMPACT OUR 11 PET THERAPY VOLUNTEERS AND THEIR FURRY COMPANIONS BRING INSIDE OUR BUILDING," SAID RENEE DINWIDDIE, TEAM COORDINATOR FOR VOLUNTEER SERVICES AT SMJH. "THESE COMMITTED MEMBERS OF OUR COMMUNITY GENEROUSLY GIVE OF THEIR TIME, COMPASSION, AND THE SPECIAL HEALING ABILITY OF THEIR PETS, BRINGING HAPPINESS AND SOLACE TO EVERYONE INSIDE OUR HOSPITAL. THEY EXEMPLIFY THE GENUINE MEANING OF COMPASSION IN HEALTHCARE, BRINGING JOY AND OPTIMISM NOT JUST TO OUR PATIENTS BUT ALSO TO OUR DEDICATED STAFF."SMJH AND SMJOSC PROVIDE MULTI-CULTURAL HEALTHY COOKING CLASSES, PARTNERING WITH CULINARY CONCEPTS AB TO PROVIDE HEALTHY EDUCATION AROUND FRESH AND HEALTHY FOOD AND CULINARY SKILLS TO THE COMMUNITY. A FIVE-WEEK CHRONIC DISEASE CLASS IS OFFERED IN GREENE COUNTY TO PROVIDE DIABETES EDUCATION FOR INDIVIDUALS WITH CHRONIC DISEASE. PARTNERING WITH GREENE CARE CLINIC IN GREENE COUNTY, SMJH AND SMJOSC BRING EDUCATION AND SUPPORT AROUND CHRONIC DISEASES FOR INDIVIDUALS IN THE COMMUNITY. THE PROGRAM COVERS INFORMATION ON DIABETES, HEART DISEASE, STROKE, CANCER, AND MORE. THEY ALSO OFFER A FRESH FARMACY PROGRAM PROVIDING FRESH FRUITS AND VEGETABLES BY PARTNERING WITH THE LOCAL FOOD HUB AND FOUNTAIN FUND. SMJH AND SMJOSC ALSO PROVIDED A TWO-PART WEBINAR TO HELP PEOPLE UNDERSTAND DEMENTIA AND ALZHEIMER'S DISEASE. SMJH AND SMJOSC STATE THAT WHILE ALZHEIMER'S IS THE MOST COMMONLY DIAGNOSED FORM OF DEMENTIA, IT IS NOT THE ONLY FORM OF DEMENTIA, AND IT IS NOT JUST MEMORY LOSS ASSOCIATED WITH OLD AGE. ACCORDING TO A RELEASE, CORRECTLY DIAGNOSING DEMENTIA CAN HELP FIND THE BEST TREATMENTS AND SUPPORT. SPECIFICALLY, ALZHEIMER'S IS A PROGRESSIVE AND FATAL BRAIN DISEASE.SMJH AND SMJOSC PARTNERED WITH CHARLOTTESVILLE AND ALBEMARLE SCHOOL BOARD FOR BACK-TO-SCHOOL EVENTS TO PROVIDE SPORTS PHYSICALS. THEY ALSO CONTINUE THEIR PARTNERSHIP WITH HABITAT FOR HUMANITY IN BUILDING SAFE HOUSING IN SOUTHWOOD, VIRGINIA. SJMJ AND SMJOSC PROVIDE COMMUNITY FITNESS CLASSES FOR LOW-INCOME POPULATIONS, AS WELL AS PROVIDING MONTHLY ACCESS TO HEALTHY DIET AND KNOWLEDGE OF HEALTHY DIET EDUCATION.TO BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITIES, SMJH AND SMJOSC PROVIDED COMMUNITY HEALTH EQUITY LISTEN TOURS. SENTARA, SMJH, SMJOSC AND MARTHA JEFFERSON HOSPITAL FOUNDATION PARTNERED WITH ORGANIZATIONS TO UNDERSTAND NEEDS AND CONNECT RESOURCES, TO ASSIST WITH CREATING PROGRAMMING AROUND HEALTH NEEDS. SESSIONS TOOK PLACE IN THE CITY OF CHARLOTTESVILLE, AND LOUISA, ALBEMARLE, NELSON, AND GREENE COUNTIES. DISCUSSIONS WERE ON HOW TO TAKE HEALTHCARE TO THE COMMUNITIES IN TRUE FORM OUTSIDE OF THE TRADITIONAL HEALTHCARE STRUCTURE.SMJH AND SMJOSC PROVIDE BREAST HEALTH SCREENING DAYS TO UNINSURED WOMEN. THEY ALSO PROVIDE TUESDAY EDUCATION SESSIONS ON HEALTHY GOAL SETTING AND PROVIDE CHRONIC DISEASE AND NUTRITIONAL EDUCATION.EACH HOSPITAL HAS ALSO IMPLEMENTED THE USE OF UNITE US, A CROSS-SECTOR COLLABORATION SOFTWARE ESTABLISHING A NEW STANDARD OF CARE THAT IDENTIFIES SOCIAL NEEDS IN COMMUNITIES, MANAGES ENROLLMENT OF INDIVIDUALS IN SERVICES, AND LEVERAGES MEANINGFUL OUTCOMES DATA AND ANALYTICS TO FURTHER DRIVE COMMUNITY INVESTMENT. TO INCREASE ECONOMIC GROWTH, JOB SECURITY, AND EDUCATIONAL OPPORTUNITIES, SMJH AND SMJOSC CONTINUE TO COLLABORATE WITH MULTIPLE COLLEGES AND UNIVERSITIES TO PROVIDE FELLOWSHIPS, INTERNSHIPS AND PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 11: THE FACILITY WORKED TOGETHER WITH MJH TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA AND WENT THROUGH THE SAME PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. SEE THE RESPONSE FOR MJH FOR FURTHER INFORMATION. MARTHA JEFFERSON HOSPITAL 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. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES. MARTHA JEFFERSON OUTPATIENT 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. MARTHA JEFFERSON HOSPITAL: PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER: PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. 22 1 - SENTARA MJ ORTHOPEDICS 595 MARTHA JEFFERSON DRIVE SUITE 180 CHARLOTTESVILLE VA 229034896 PHYSICIAN CLINIC 2 - SENTARA MJ ORTHOPEDIC SERVICES-N 3263 PROFFIT ROAD SUITE 202 CHARLOTTESVILLE VA 22901 PHYSICIAN CLINIC 3 - SENTARA BLUE RIDGE INTERNAL MEDICINE 2250 IVY ROAD SUITE 200 CHARLOTTESVILLE VA 229034896 PHYSICIAN CLINIC 4 - SENTARA FOREST LAKES FAMILY MEDICINE 3263 PROFFIT ROAD SUITE 201 CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC 5 - SENTARA MJ SLEEP MEDICINE CENTER 1793 RICHMOND ROAD CHARLOTTESVILLE VA 22911 DIAGNOSTIC CENTER 6 - SENTARA MJ WOUND CARE CENTER 595 MARTHA JEFFERSON DRIVE SUITE 140 CHARLOTTESVILLE VA 22911 WOUND CENTER 7 - MARTHA JEFFERSON HEALTH & WELLNESS 590 PETER JEFFERSON PKWY 2ND FLOOR CHARLOTTESVILLE VA 22911 CARDIAC REHAB 8 - SENTARA GREENE FAMILY MEDICINE 140 STONERIDGE DRIVE S SUITE 100 RUCKERSVILLE VA 229683096 PHYSICIAN CLINIC 9 - SENTARA MARTHA JEFFERSON FAM MEDICINE 920 EAST HIGH STREET STE 201 CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 10 - SENTARA MJ HEALTH SVCS SPRING CREEK 29 JEFFERSON COURT GORDONSVILLE VA 22942 PHYSICIAN CLINIC 11 - SENTARA MJ INTERNAL MEDICINE 590 PETER JEFFERSON PKWY STE 100 CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC 12 - SENTARA AFTON FAMILY MEDICINE 10950 ROCKFISH VALLEY HWY AFTON VA 229203203 PHYSICIAN CLINIC 13 - SENTARA FAMILY MED 5TH ST STATION 435 MERCHANT WALK SQ BLDG 900 400 CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 14 - FAMILY MEDICINE AT BELVEDERE 540 BELVEDERE BLVD SUITE 100 CHARLOTTESVILLE VA 229013215 PHYSICIAN CLINIC 15 - SENTARA CENTER FOR PLASTIC SURGERY 595 MARTHA JEFFERSON DRIVE SUITE 280 CHARLOTTESVILLE VA 229118837 PHYSICIAN CLINIC 16 - SENTARA MARTHA JEFFERSON VASC & VEIN 595 MARTHA JEFFERSON DRIVE SUITE 270 CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 17 - SENTARA PALMYRA MEDICAL ASSOCIATES 33 REBECCA DRIVE PALMYRA VA 22963 PHYSICIAN CLINIC 18 - SENTARA CROZET FAMILY MEDICINE 1646 PARK RIDGE DRIVE CROZET VA 229323155 PHYSICIAN CLINIC 19 - SENTARA WAYNESBORO INTERNAL MEDICINE 760 TOWN CENTER DRIVE STE 760A WAYNESBORO VA 22980 PHYSICIAN CLINIC 20 - SENTARA BREAST SURGERY SPECIALISTS 595 MARTHA JEFFERSON DRIVE SUITE 320 CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC 21 - SENTARA OB & GYN SPECIALISTS 920 EAST HIGH STREET STE 201 CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 22 - SENTARA STARR HILL HEALTH CENTER 233 FOURTH STREET NW CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC PART I, LINE 3C: IN ADDITION TO FPG, THE ORGANIZATION ALSO USED INSURANCE STATUS AND AN ASSET TEST AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE:- UNINSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 300% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.- INSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 200% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.- UNINSURED PATIENTS WITH A HOUSEHOLD INCOME ABOVE 300%, BUT AT OR BELOW 400%, OF THE FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR DISCOUNTED CARE AT 75% OFF OF GROSS CHARGES."AVAILABLE ASSETS" INCLUDE THE PATIENT HOUSEHOLD'S TOTAL AMOUNT OF ASSETS AVAILABLE, INCLUDING ANY LIQUID AND/OR FIXED ASSETS, FOR USE IN PAYING FOR MEDICAL CARE INCLUDING, BUT NOT LIMITED TO: CASH AND CASH EQUIVALENTS, BANK ACCOUNTS, CERTIFICATES OF DEPOSIT, INVESTMENTS, TRUST ACCOUNTS, AUTOMOBILES, RECREATIONAL VEHICLES AND OTHER FORMS OF LEISURE TRANSPORT, AND REAL ESTATE EQUITY IN REAL PROPERTY OTHER THAN THE PRINCIPAL PLACE OF RESIDENCE. SPECIFICALLY EXCLUDED FROM AVAILABLE ASSETS IS THE EQUITY IN AN APPLICANT'S PRINCIPAL PLACE OF RESIDENCE, PRIMARY SOURCE OF TRANSPORTATION, IRS RECOGNIZED RETIREMENT SAVINGS ACCOUNTS, BUSINESS ASSETS, AND 3.99 ACRES OF LAND. PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFITS REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTH, EIN 52-1271901, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. 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: $9,910,037 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION IS PART OF THE SENTARA HEALTH SYSTEM AND FUNDS THE SYSTEM'S COMMUNITY ENGAGEMENT DEPARTMENT AND ITS PROGRAM, SENTARA CARES. SENTARA CARES GOES ABOVE AND BEYOND THE DELIVERY OF MEDICAL CARE AND COMPREHENSIVE HEALTH SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH--THE CONDITIONS IN WHICH PEOPLE LIVE, WORK, AND LEARN--WHICH ARE PROVEN TO HAVE A SIGNIFICANT AND LASTING IMPACT ON HEALTH OUTCOMES. THROUGH THE PROGRAM, SENTARA COLLABORATES WITH COMMUNITY ORGANIZATIONS TO ELIMINATE HEALTH DISPARITIES AND PROMOTE EQUITABLE ACCESS TO NUTRITIOUS FOOD, EDUCATION, SAFE AND AFFORDABLE HOUSING, AND STABLE, REWARDING JOB OPPORTUNITIES. DURING THE CURRENT YEAR, THE PROGRAM INCLUDED PARTNERSHIPS WITH LOCAL YMCAS, SCHOOLS, FOOD BANKS, AND HOMELESS SHELTERS; HABITAT FOR HUMANITY; AND VETERAN AND SENIOR SERVICES ORGANIZATIONS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO WORK WITH COMMUNITY PARTNERS GRANTED FUNDS THROUGH SENTARA CARES ON COMMUNITY BUILDING ACTIVITIES WHICH INCLUDE THE FOLLOWING PARTNERS FOR THE SMJH SERVICE AREA:- PHYSICAL IMPROVEMENTS AND HOUSING - THE ORGANIZATION PARTNERED WITH FRIENDS OF DUNBAR, GREATER CHARLOTTESVILLE HABITAT FOR HUMANITY, INC., SALVATION ARMY-CHARLOTTESVILLE, AND THE UHURU FOUNDATION TO IMPROVE ACCESS TO HOUSING.- ECONOMIC DEVELOPMENT - THE ORGANIZATION PARTNERED WITH THE FOUNTAIN FUND TO INCREASE ECONOMIC OPPORTUNITIES FOR FORMERLY INCARCERATED PEOPLE IN CENTRAL VIRGINIA.- COMMUNITY SUPPORT - THE HOSPITAL ALSO PARTNERED WITH ORGANIZATIONS TO IMPROVE COMMUNITY SUPPORT WHICH INCLUDED BOTANICAL GARDEN SOCIETY, CITY OF PROMISE, CHARLOTTESVILLE FIRE AND RESCUE, BRIDGE MINISTRY, INC., ALBEMARLE COUNTY PUBLIC SCHOOLS- HENLEY MIDDLE, ALBEMARLE COUNTY PUBLIC SCHOOLS, CULTIVATE CHARLOTTESVILLE, DO GOOD C'VILLE, FLUVANNA COUNTY PUBLIC SCHOOLS, GAMMA ALPHA LAMBDA EDUCATION FOUNDATION INC., GREENE COUNTY SCHOOLS, HABITAT FOR HUMANITY OF GREATER CHARLOTTESVILLE, JEFFERSON AREA BOARD FOR AGING, INC., LOUISA COUNTY PUBLIC SCHOOLS, MEDIATION CENTER OF CHARLOTTESVILLE, SOUTHWOOD BOYS AND GIRLS CLUB, THE CENTER AT BELVEDERE (THE CENTER), THE HAVEN AT FIRST & MARKET, AND UNITED WAY.- COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE ORGANIZATION PARTNERED WITH MULTIPLE COMMUNITY ORGANIZATIONS INCLUDING ARC OF THE PIEDMONT, INC., CHILD HEALTH PARTNERSHIP, CHARLOTTESVILLE ALBEMARLE SPCA, CASA, CENTRAL VIRGINIA PARTNERSHIP FOR ECONOMIC DEVELOPMENT, ARS OF PANTOPS RECOVERY TREATMENT CENTER, ALBEMARLE COUNTY POLICE DEPARTMENT, ALZHEIMER'S ASSOCIATION, COMMON GROUND HEALING ARTS INC., LOUISA FORWARD FOUNDATION, PIEDMONT REGIONAL DENTAL CLINIC INC., SERVICE DOGS OF VIRGINIA INC., THE PIEDMONT ENVIRONMENTAL COUNCIL, TOWN OF GORDONSVILLE, UVA, VIRGINIA DEPARTMENT OF HEALTH BLUE RIDGE HEALTH DISTRICT, WOMEN UNITED, UNITED WAY, YANCEY COMMUNITY CENTER, AND YMCA.- WORKFORCE DEVELOPMENT - TO INCREASE THE WORKFORCE IN HEALTHCARE THE ORGANIZATION PARTNERED WITH ALBEMARLE COUNTY PUBLIC SCHOOLS- HENLEY MIDDLE, ALBEMARLE COUNTY PUBLIC SCHOOLS, ALBEMARLE COUNTY SCHOOLS, CHARLOTTESVILLE FIRE AND RESCUE, CHARLOTTESVILLE FIRE DEPARTMENT, FLUVANNA COUNTY PUBLIC SCHOOLS, LOUISA COUNTY PUBLIC SCHOOLS, PIEDMONT VIRGINIA COMMUNITY COLLEGE EDUCATIONAL FOUNDATION, AND SOUTHWOOD BOYS AND GIRLS CLUB.- OTHER - THE ORGANIZATION'S EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: AFRICAN AMERICAN PASTORS COUNCIL, BETHEL YOUTH ALIVE, CHARLOTTESVILLE COMMUNITY BIKES, COMMUNITY INVESTMENT COLLABORATIVE, FLUVANNA MEALS ON WHEELS INC., MEALS ON WHEELS OF CHARLOTTESVILLE- ALBEMARLE, PIEDMONT CASA, SHENANDOAH NATIONAL PARK TRUST, AND VIRGINIA CAREER WORKS PIEDMONT.IN ADDITION TO THE SYSTEM-WIDE SENTARA CARES PROGRAM, THE ORGANIZATION'S OWN PROGRAMS ARE FOCUSED ON THE BLUE RIDGE HEALTH DISTRICT, INCLUDING THE CITY OF CHARLOTTESVILLE, AND THE SURROUNDING COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA AND NELSON. RECOGNIZING THAT HEALTH AND WELLNESS ARE ACHIEVED NOT SOLELY BY THE ABSENCE OF DISEASE OR INFIRMITY, THE ORGANIZATION ESTABLISHES ITS COMMUNITY HEALTH GOALS WITH CONSIDERATION TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH TO HELP ITS COMMUNITY BETTER REALIZE A BALANCE OF PHYSICAL, MENTAL, AND SOCIAL WELL-BEING. PRIORITIES INCLUDE FOUR STRATEGIC AREAS INCLUDING HEALTHY EATING AND ACTIVE LIVING; MENTAL HEALTH INCLUDING SUBSTANCE USE CONCERNS; HEALTH EQUITY AND ACCESS TO CARE; AND HEALTHY AND CONNECTED COMMUNITIES FOR ALL AGES. THE ORGANIZATION WORKS COLLABORATIVELY WITH COMMUNITY HEALTH PARTNERS, INCLUDING THE BLUE RIDGE HEALTH DEPARTMENT AND UVA HEALTH, TO DEVELOP AND DELIVER PROGRAMS WITH A SPECIFIC FOCUS ON POPULATIONS MOST IMPACTED BY LACK OF ACCESS, INCLUDING PEOPLE OF COLOR, ELDERS, LOW-WEALTH INDIVIDUALS, AND CHILDREN. PROGRAMS INCLUDE A COLLABORATION WITH THE LOCAL FOOD HUB TO ADDRESS FOOD INSECURITY AND ENSURE THAT PEOPLE HAVE ACCESS TO HEALTHY FOODS; PROVIDING FREE COUNSELING OFFICE AND MEETING SPACE TO THE WOMEN'S INITIATIVE WHICH PROVIDES MENTAL HEALTH SERVICES TO WOMEN IN OUR COMMUNITY AT NO COST; FREE CHRONIC DISEASE MANAGEMENT CLASSES AND CLINIC VISITS AT THE SENTARA STARR HILL HEALTH CLINIC; AND PARTNERSHIPS WITH PIEDMONT VIRGINIA COMMUNITY COLLEGE AND REGIONAL PUBLIC SCHOOLS TO ADVANCE WORKFORCE DEVELOPMENT OPPORTUNITIES FOR YOUNG PEOPLE IN OUR 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 15-19 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 4: SEE FOOTNOTE 4 ON PAGES 15-19 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES IMPLICIT PRICE CONCESSIONS (FORMERLY BAD DEBT.) PART III, LINE 8: WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6. PART III, LINE 9B: UNDER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY, A HOSPITAL FACILITY MUST TAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN COLLECTION EFFORTS AGAINST A PATIENT. SUCH EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS AND IN THE SENTARA BILL PAY (SBP) ONLINE PORTAL ACCESSED BY PATIENTS THROUGH THE SENTARA WEBSITE, SENTARA MYCHART, OR THE SENTARA APP; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE THE APPROPRIATE DISCOUNT AMOUNT IS APPLIED TO THE PATIENT'S HOSPITAL ACCOUNTS AND THEY ARE ADVISED OF THE DISCOUNT. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 300% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS DEEMED UNCOLLECTIBLE IN THE HOSPITAL'S COLLECTION SYSTEM AND ALL ATTEMPTS TO COLLECT ON THAT BALANCE STOP. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS: - ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED IN THE DEVELOPMENT OF ORGANIZATIONAL PLANS. - OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY. - REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED, INCORPORATED INTO THE ORGANIZATION'S PLANS, AND SHARED WITH ORGANIZATIONAL DECISION MAKERS. - PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY. INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING. - INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS. PART VI, LINE 3: FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A LOCAL PHONE NUMBER IS GIVEN TO PATIENTS TO REACH CUSTOMER SERVICE REPRESENTATIVES DURING THE BUSINESS DAY FOR QUESTIONS OR CONCERNS. FINANCIAL ASSISTANCE PROGRAMS ARE ALSO PUBLISHED ON THE ORGANIZATION'S WEBSITE AND INCLUDED ON STATEMENTS AND OTHER NOTICES PROVIDED TO PATIENTS. THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE TO HELP PATIENTS COMPLETE APPLICATIONS FOR MEDICAID OR OTHER GOVERNMENT PAYMENT ASSISTANCE PROGRAMS, OR APPLY FOR CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF APPLICABLE. THE ORGANIZATION ALSO CONTRACTS WITH EXTERNAL MEDICAID ELIGIBILITY VENDORS (MEV'S) TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COST TO PATIENTS. PART VI, LINE 4: SENTARA MARTHA JEFFERSON HOSPITAL SERVES RESIDENTS OF THE CITY OF CHARLOTTESVILLE, AND THE COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON.BASED ON THE US CENSUS JULY 2022 POPULATION ESTIMATES, THE 2024 POPULATION OF THE SERVICE AREA IS 263,941 AND IS EXPECTED TO GROW OVER THE NEXT TEN YEARS, GROWING BY 8.6% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 5.7%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A HIGHER PERCENT OF THE POPULATION 65+ ( 19.9% VS. 17.3%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 19 YEARS ( 18.8 VS. 21.7%). A HIGHER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 91.9% VS. 89.1% FOR THE US OVERALL, WITH 47.9% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 34.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $ 79,601 VS. $ 75,149 FOR THE US, WITH THE SAME PERCENTAGE OF HOUSEHOLDS, 11.5% VS. 11.5%, LIVING IN POVERTY. RACIALLY, THE SERVICE AREA IS HOME TO 79.5% WHITES (VS. 75.5% FOR THE US), 12.2% BLACK/AFRICAN AMERICANS (VS. 13.6% US), 6.0% ASIANS (VS. 6.3% US), WITH 5.6% REPORTING TWO OR MORE RACES VS. 3.0% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 5.6% HISPANICS VS. 19.1% NATIONALLY, AND 75.1% NON-HISPANICS, VS. 58.9% NATIONALLY. PART VI, LINE 5: THE ORGANIZATION'S BOARD MEMBERSHIP IS DETERMINED ANNUALLY THROUGH APPOINTMENT OR RATIFICATION BY ITS SOLE MEMBER, SENTARA HOSPITALS, A 501(C)(3) SUBSIDIARY OF SENTARA HEALTH, A 501(C)(3) VIRGINIA NONSTOCK CORPORATION. SENTARA HEALTH'S COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTH, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTH SYSTEM ("SENTARA.") SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 34,000 EMPLOYEES (INCLUDING 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.1M MEMBERS IN VIRGINIA AND FLORIDA. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK. 1 SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 541547408 501(C)(3) 5389271 0 CORPORATE OVERHEAD ALLOCATIONS BIRTH SISTERS OF CHARLOTTESVILLE 1308 CHESAPEAKE STREET CHARLOTTESVILLE VA 22902 850967804 501(C)(3) 25000 0 COMMUNITY HEALTH ALBEMARLE FOUNDATION FOR EDUCATION 401 MCINTIRE ROAD 3RD FLOOR CHARLOTTESVILLE VA 22902 881905780 501(C)(3) 7000 0 COMMUNITY HEALTH UNIVERSITY OF VIRGINIA FOUNATION 1 BOARS HEAD POINTE CHARLOTTESVILLE VA 22903 541682176 501(C)(3) 1000000 0 COMMUNITY HEALTH 4 0 PART I, LINE 2: AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO SENTARA HEALTH, THE SECTION 501(C)(3) PARENT ORGANIZATION OF THE SYSTEM, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. MARTHA JEFFERSON HOSPITAL ALSO DONATES FUNDS IN FURTHERANCE OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY MAINTAINING, ENHANCING AND RESTORING PERSONAL HEALTH AND WELL BEING. ASSISTANCE IS GIVEN BASED ON DIRECTION FROM THE BOARD OF DIRECTORS AND COMMUNITY NEED. X 1 1 0 1 0 0 0 0 0 1 0 ROBERT A BROERMANN TREASURER 0 1353258 0 1462129 0 296168 0 313933 0 31211 0 3456699 0 0 EARL J BARNES II SECRETARY 0 735550 0 624708 0 128848 0 120410 0 32243 0 1641759 0 0 ERIC CONLEY DIRECTOR (EFFECTIVE 8/24) 0 818982 0 154204 0 169237 0 396184 0 15592 0 1554199 0 0 PAUL A GADEN INT. PRESIDENT (EFF. 12/24)/DIRECTOR 0 602947 0 416380 0 81506 0 105592 0 35479 0 1241904 0 7933 JOHN Z EDWARDS MD PHYSICIAN 874188 0 50000 0 25352 0 8792 0 40809 0 999141 0 0 0 STEPHEN A HOOVER PHYSICIAN 918674 0 33700 0 3785 0 7630 0 34293 0 998082 0 0 0 JACOB YOUNG PHYSICIAN 828107 0 40000 0 28690 0 32795 0 29798 0 959390 0 0 0 CLARK BAUMBUSCH PHYSICIAN 519976 320417 49694 0 2291 0 10590 5484 2963 0 585514 325901 0 0 JEFFERSON PRICHARD PHYSICIAN 794663 0 30000 0 41680 0 8909 0 33552 0 908804 0 0 0 DOUGLAS J MOYER DIRECTOR 0 536375 0 176273 0 63853 0 55568 0 37662 0 869731 0 27271 BRUCE D CLEMONS KE (EXEC DIRECTOR, MEDICAL GROUP) 467055 0 55014 0 4902 0 14414 0 42014 0 583399 0 0 0 RITA A BUNCH PRESIDENT (THROUGH 9/2024) 283098 0 170917 0 41150 0 21102 0 9966 0 526233 0 0 0 MICHELE CARROLL KE (VP, OPERATIONS) 215746 0 77052 0 14110 0 2873 0 21967 0 331748 0 0 0 SUSAN M HUNT FORMER KE 132616 0 23306 0 29883 0 24904 0 33690 0 244399 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID EXECUTIVE TRAVEL DEEMED TO BE TAXABLE COMPENSATION, INCLUDING 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 HEALTH, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION STUDY. THE MOST RECENT COMPENSATION ANALYSIS AND RECOMMENDATIONS WERE SUBMITTED TO THE COMPENSATION COMMITTEE IN 2024. SENTARA HEALTH RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. PART I, LINE 4B ROBERT BROERMANN, DOUGLAS MOYER, PAUL GADEN, EARL BARNES, II, ERIC CONLEY, AND RITA BUNCH PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PROGRAM. SUCH PLANS ARE COMMONLY OFFERED TO NOT-FOR-PROFIT HEALTH CARE EXECUTIVES TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT LIMITATIONS IN QUALIFIED PLANS. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTH'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. EFFECTIVE JANUARY 1, 2023, VESTING OF CONTRIBUTIONS EXPANDED TO INCLUDE AGE 60 WITH 5 YEARS OF SERVICE FROM THE DATE OF HIRE, OR AGE 65 WITH 2 YEARS OF SERVICE FROM THE CAA PLAN ENTRY DATE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). FICA AND FUTA TAXATION OF PRE-2009 CONTRIBUTIONS MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DURING 2024, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($245,580); DOUGLAS MOYER ($39,182); AND PAUL GADEN ($9,878). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. PART I, LINE 7 DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS WILL 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 AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. PHYSICIAN PERFORMANCE INCENTIVE - AN INCENTIVE DESIGNED TO ENCOURAGE AND RECOGNIZE THE CONTRIBUTIONS AND STEWARDSHIP OF PHYSICIANS IN SENTARA'S INTEGRATED DELIVERY SYSTEM. AWARDS ARE BASED ON THE ACHIEVEMENT OF CLINICAL QUALITY, PATIENT SATISFACTION, FISCAL RESPONSIBILITY AND SYSTEM ALIGNMENT GOALS. PART I LINE 4 CERTAIN SENIOR EXECUTIVES OF THE SENTARA HEALTH SYSTEM ARE COVERED BY THE SENTARA HEALTH EXECUTIVE CHANGE IN CONTROL AND SEVERANCE BENEFIT PLAN. THE PLAN PROVIDES FOR SPECIFIED SEVERANCE PAY AND BENEFITS IN THE EVENT OF INVOLUNTARY TERMINATION OF EMPLOYMENT THAT OCCURS: (1) IN THE ORDINARY COURSE OF EMPLOYMENT OR (2) WITHIN TWO YEARS FOLLOWING A QUALIFYING CHANGE IN CONTROL TO ELIGIBLE INDIVIDUALS AS DEFINED IN THE PLAN. PLAN BENEFITS VARY BASED UPON AN ELIGIBLE INDIVIDUAL'S TIER LEVEL AND WHETHER THE TERMINATION IS OR IS NOT WITHIN TWO YEARS FOLLOWING A CHANGE IN CONTROL, BUT GENERALLY RANGE BETWEEN 12-18 MONTHS. THE PLAN IS UNFUNDED AND DESIGNED AS AN ERISA TOP HAT WELFARE BENEFIT PLAN. INDIVIDUALS THAT ARE NOT ELIGIBLE TO PARTICIPATE IN THE PLAN MAY BE COVERED UNDER INDIVIDUAL ARRANGEMENTS DEPENDING ON POSITION AND QUALIFYING CIRCUMSTANCES. AMY HUNT FAMILY MEMBER OF SUSAN HUNT, FORMER KEY EMPLOYEE 115854 EMPLOYMENT 0 CARDIOVASCULAR ASSOCIATES OF CHARLO PROFESSIONAL FEES 472311 RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 35%-CONTROLLED ENTITY OF DIRECTOR JOSHUA J. FISCHER 0 X 10 212270 COST OR SELLING PRICE 0 1 1 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. PART I, LINE 32B: MARTHA JEFFERSON HOSPITAL USES EXTERNAL PARTIES TO COORDINATE AN ARMS-LENGTH SALE OF NON-CASH CONTRIBUTIONS. FOR EXAMPLE, A LICENSED STOCK BROKER WAS USED THIS YEAR TO SELL GIFTS OF STOCK. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTH I. SENTARA HEALTH-OVERVIEW SENTARA HEALTH CELEBRATES MORE THAN 136 YEARS IN PURSUIT OF ITS MISSION-"WE IMPROVE HEALTH EVERY DAY." SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 34,000 EMPLOYEES (INCLUDING 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.1 MILLION MEMBERS IN VIRGINIA AND FLORIDA. SENTARA IS NATIONALLY RECOGNIZED FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK. SENTARA ALSO PARTICIPATES IN AN ACCOUNTABLE CARE ORGANIZATION (ACO), WHICH SUPPORTS COORDINATED CARE EFFORTS AND VALUE-BASED INITIATIVES TO IMPROVE PATIENT OUTCOMES AND REDUCE HEALTHCARE COSTS. IN 2024, SENTARA CONTINUED THE BRAND EVOLUTION FROM SENTARA HEALTHCARE TO SENTARA HEALTH. THE NEW NAME REFLECTS OUR ENHANCED FOCUS ON PROMOTING THE OVERALL HEALTH AND WELL-BEING OF OUR CONSUMERS-OUR PATIENTS, MEMBERS, AND COMMUNITIES-WHO ARE AT THE CENTER OF EVERYTHING WE DO. THIS CHANGE ALSO REPRESENTS THE DEEPENING ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND HEALTH PLANS. EFFORTS ARE CENTERED ON MAKING THE CONSUMER EXPERIENCE SIMPLE, SEAMLESS, PERSONAL, AND MORE AFFORDABLE, AND ADDING VALUE TO THE COMMUNITIES WE SERVE. SENTARA STRIVES TO SERVE ALL OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT FOR OTHER NOT-FOR-PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. AS AN INTEGRATED DELIVERY NETWORK (IDN), SENTARA PROVIDES BOTH HEALTH CARE SERVICES AND HEALTH INSURANCE PLANS, WHICH ENABLES SENTARA TO FULLY UNDERSTAND AND DELIVER ON THE NEEDS OF OUR CONSUMERS IN A UNIQUE AND INSIGHTFUL WAY. ADDITIONALLY, SERVING AS AN IDN PROVIDES US WITH THE OPPORTUNITY TO IMPACT AND LIFT OUR COMMUNITIES GIVEN THE COMPREHENSIVE NATURE OF OUR ABILITY TO DELIVER CARE AND RESOURCES WITHIN THE WALLS OF OUR CARE SITES AS WELL AS DEEP WITHIN THE COMMUNITY. II. COMMITMENT TO THE COMMUNITY SENTARA PROVIDES MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE VALUE OF COMMUNITY BENEFIT TOTALED $329 MILLION IN 2024. SENTARA PROVIDED $174 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $96 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $40 MILLION IN COMMUNITY GIVING; AND $19 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA AND ITS TEAM MEMBERS CONTRIBUTED NEARLY $2.4 MILLION TO THE UNITED WAY THROUGH DIRECT EMPLOYEE CONTRIBUTIONS AND THE EMPLOYEE MATCHING PROGRAM. A. PREVIOUSLY LAUNCHED IN 2022, SENTARA COMMUNITY CARE (SCC) IS AN INNOVATIVE MODEL OF CARE THAT INTEGRATES PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES AND FOCUSES ON ADDRESSING THE ROOT FACTORS THAT GREATLY INFLUENCE A PERSON'S HEALTH AND WELL-BEING BEYOND THE CARE THAT SENTARA DELIVERS INSIDE OF OUR MEDICAL FACILITIES. IN 2024: I. SCC LAUNCHED AN INNOVATIVE SCHOOL-BASED TELEHEALTH PROGRAM IN PARTNERSHIP WITH HAMPTON AND HARRISONBURG, VIRGINIA SCHOOL SYSTEMS, DELIVERING ACUTE PRIMARY CARE SERVICES DIRECTLY TO STUDENTS AND FACULTY IN THEIR OWN SCHOOLS. SENTARA PLANS TO EXPAND TO MORE THAN 25 TITLE I SCHOOLS ACROSS THE COMMONWEALTH OF VIRGINIA. II. SCC OPENED A NEW COMMUNITY CARE CENTER IN HENRICO COUNTY, VIRGINIA. THE NEW CENTER OFFERS COMPREHENSIVE PRIMARY CARE, PEDIATRIC CARE, PRENATAL CARE, BEHAVIORAL HEALTH, ADDICTION MEDICINE, AND SOCIAL CARE SERVICES; A COMMUNITY FOOD PANTRY; AND GREATER ACCESS TO ESSENTIAL COMMUNITY RESOURCES-ALL IN ONE LOCATION. III. A SIXTH SCC "SENTARA MOBILE CARE" VEHICLE WAS INTRODUCED IN SOUTHERN VIRGINIA TO EXPAND ACCESS TO HIGH-QUALITY MEDICAL CARE AND SOCIAL CARE SERVICES ACROSS THE SENTARA NETWORK. IV. SCC PARTNERED WITH THE FOODBANK OF SOUTHEASTERN VIRGINIA AND THE EASTERN SHORE TO OPEN A NEW FOODBANK LOCATION NEXT DOOR TO OUR SCC CENTER IN NORFOLK, VIRGINIA. B. SENTARA CONTINUES OUR EFFORTS THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES SENTARA SERVES IN THE MOST IMPACTFUL WAY. SENTARA IS COMMITTED TO SUPPORTING COMMUNITY-BASED HEALTH OPPORTUNITY PROGRAMS THAT FOCUS ON IMPROVING PUBLIC HEALTH, TACKLING HEALTH INEQUITIES, ADDRESSING SOCIAL DRIVERS OF HEALTH, AND PROMOTING EQUITABLE ACCESS TO CARE IN TRADITIONALLY UNDERSERVED COMMUNITIES. I. SENTARA AWARDED APPROXIMATELY $10 MILLION IN SENTARA CARES GRANTS AND MICROGRANTS TO 219 COMMUNITY ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS LIVING IN THE COMMUNITIES WE SERVE. II. SENTARA INVESTED $3 MILLION IN A BEHAVIORAL HEALTH INNOVATION FUND AIMED AT IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THIS FUND FOCUSES ON ENHANCING THE RESPONSE SYSTEM FOR BEHAVIORAL HEALTH NEEDS, IMPROVING ACCESS TO CARE, FOSTERING INNOVATION THAT CAN BE SCALABLE, AND STRENGTHENING PARTNERSHIPS WITH SAFETY NET PROVIDERS IN THIS SPACE. A. SENTARA PARTNERED WITH THE VIRGINIA STAGE COMPANY (VSC) TO BRING "EVERY BRILLIANT THING," AN INSPIRATIONAL PLAY ABOUT MENTAL HEALTH TO COMMUNITIES. IN 2024, VSC PRESENTED 42 PERFORMANCES OF "EVERY BRILLIANT THING" AT OVER 30 VENUES, REACHING 5,535 ATTENDEES. III. SENTARA FOUNDED THE HAMPTON ROADS LOCAL INITIATIVES SUPPORT CORPORATION (LISC) OFFICE IN 2019, WHICH IS A COMMUNITY DEVELOPMENT FINANCE INSTITUTION AND A NATIONALLY RECOGNIZED NONPROFIT THAT WORKS WITH LOCAL GOVERNMENT, COMMUNITY DEVELOPERS, AND OTHER NONPROFITS TO REVITALIZE NEIGHBORHOODS AND CATALYZE OPPORTUNITIES IN UNDERSERVED COMMUNITIES. AS PART OF THE PARTNERSHIP WITH LISC, SENTARA SUPPORTED THE PREDEVELOPMENT OF AN UPCOMING 50-UNIT MULTI-FAMILY RENTAL FACILITY CALLED NEWPORT GARDENS; CONSTRUCTION OF 40 ADDITIONAL STUDIO APARTMENTS; AND AWARDING FORKIDS A GRANT TO PROVIDE EMERGENCY SHELTER FOR FAMILIES AND CHILDREN. IV. IN RESPONSE TO MEDICAL STAFF SHORTAGES PLAGUING OUR U.S. HEALTHCARE SYSTEM, SENTARA CONTINUED SENTARA SCHOLARS, ITS PIPELINE DEVELOPMENT PROGRAM TO PROVIDE FINANCIAL SUPPORT TO STUDENTS PURSUING HEALTHCARE CAREERS. IN 2024, SENTARA SCHOLARS PROVIDED $1.18 MILLION IN FINANCIAL SUPPORT TO STUDENTS ACROSS 13 UNIVERSITIES AND EDUCATIONAL INSTITUTIONS. V. SENTARA PARTNERED WITH THE FIVE CITIES OF SOUTH HAMPTON ROADS TO SECURE A $833,800 GRANT FROM THE VIRGINIA OPIOID ABATEMENT AUTHORITY TO PROVIDE A MOBILE CARE VEHICLE DEDICATED TO TREATMENT AND SERVICES FOR INDIVIDUALS WITH OPIOID USE DISORDER IN THE CITIES OF CHESAPEAKE, NORFOLK, PORTSMOUTH, SUFFOLK, AND VIRGINIA BEACH. THE VEHICLE IS PLANNED TO LAUNCH IN 2025. C. SENTARA COMMITTED $350 MILLION OVER 10 YEARS IN SUPPORT OF THE MERGER OF EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND OLD DOMINION UNIVERSITY (ODU) TO FORM THE LARGEST ACADEMIC HEALTH SCIENCE CENTER IN VIRGINIA. THE MERGED UNIVERSITY-MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY-IS THE LARGEST HEALTH SCIENCES CENTER IN VIRGINIA WITH MORE THAN 50 DEGREES OFFERED, SEVERAL OF WHICH ARE NOT AVAILABLE ANYWHERE ELSE IN THE COMMONWEALTH. D. SENTARA HAS LONG BEEN COMMITTED TO SUPPORTING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE THROUGH A VARIETY OF PREVENTION AND WELLNESS PROGRAMS. THESE INCLUDE THE EATING FOR LIFE PROGRAM, WHICH PROMOTES BALANCED NUTRITION AND HEALTHY MEAL PLANNING, MOVEMENT RESOURCES THAT ENCOURAGE PHYSICAL ACTIVITY AND STRENGTH-BUILDING ROUTINES, AND YOGA AND MEDITATION TO SUPPORT MINDFULNESS AND STRESS MANAGEMENT. MONTHLY HEALTH AND WELLNESS WEBINARS ARE AVAILABLE ON TOPICS SUCH AS DIABETES MANAGEMENT, HEART HEALTH, NUTRITION, AND PREVENTIVE SCREENINGS. E. SENTARA ORGANIZES AND HOSTS NUMEROUS COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT CRUCIAL HEALTH ISSUES ALIGNED WITH KEY AWARENESS MONTHS. SENTARA CURRENTLY RECOGNIZES EIGHT KEY AREAS OF FOCUS: HEART AND VASCULAR HEALTH, STROKE AWARENESS, BEHAVIORAL HEALTH, COLON CANCER, PROSTATE CANCER, BREAST CANCER, LUNG CANCER, AND CANCER SURVIVORSHIP. THESE EFFORTS INCLUDE PROMOTING PREVENTIVE CARE AND EARLY DETECTION THROUGH HEALTH SCREENINGS, WEBINARS, AND WELLNESS RESOURCES. FORM 990, PART III, LINE 4A F. THROUGH OUR FORESIGHT VIOLENCE INTERVENTION PROGRAM, SENTARA NORFOLK GENERAL HOSPITAL CONTINUED TO UTILIZE GRANT FUNDING THAT SUPPORTS COMMUNITY HEALTH WORKERS TO PROVIDE CASE MANAGEMENT SERVICES FOR SURVIVORS OF GUN VIOLENCE, ASSAULTS, AND STABBINGS ADMITTED TO THE TRAUMA SERVICE OR DISCHARGED FROM THE EMERGENCY DEPARTMENT. THE PURPOSE OF THE PROGRAM IS TO ASSIST SURVIVORS OF VIOLENCE, ASSESS THEIR SOCIAL DETERMINANTS OF HEALTH AND BASED ON THE RESULTS, DEVELOP AN INTERVENTION PLAN. THE GOAL IS TO PROVIDE SKILLS AND KNOWLEDGE TO AID INDIVIDUAL SURVIVORS AND THEIR FAMILIES IN IMPROVING THE QUALITY OF THEIR LIVES AND TACKLING THE GUN VIOLENCE EPIDEMIC. G. SENTARA'S 3D MOBILE MAMMOGRAPHY VAN-ORIGINALLY UNVEILED IN 2023-IS BUILDING DOZENS OF PARTNERSHIPS TO INCREASE BREAST CANCER SCREENINGS IN UNDERSERVED COMMUNITIES. IN 2024, THE MOBILE VAN PARTICIPATED IN SEVERAL COMMUNITY EVENTS IN PORTSMOUTH, VA AS PART OF HEALTHY PORTSMOUTH'S "YEAR OF MAMMOGRAPHY PROJECT" TO COMBAT THE CITY'S HIGH RATE OF BREAST CANCER DEATHS. THE VAN CONTINUES TO INCREASE ITS OUTREACH, INCLUDING A NEW PARTNERSHIP WITH OLD DOMINION UNIVERSITY COMMUNITY CARE AND AN UPDATED AGREEMENT WITH VIRGINIA BEACH CITY PUBLIC SCHOOLS. H. SENTARA HIRED A DIRECTOR OF SUSTAINABILITY TO REDUCE ITS CARBON FOOTPRINT AND MAXIMIZE HEALTHY ENVIRONMENTS FOR PATIENTS AND EMPLOYEES. THE SYSTEM EFFORT BEGAN WITH EVALUATING THOUSANDS OF PRODUCTS PURCHASED THROUGH SENTARA SUPPLY CHAIN AND EXTENDS TO AIR CONDITIONING AND HEATING SCHEDULES, RECYCLING, COMPOSTING, GREEN SPACES, AND WATER AND ENERGY CONSUMPTION. I. PARTNERING TO IMPROVE HEALTH AND WELLNESS: I. SENTARA PARTNERED WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND COMMUNITY ORGANIZATIONS TO HOST A REGIONAL MATERNAL HEALTH CONVENING, BRINGING TOGETHER HEALTHCARE PROFESSIONALS, ACADEMIC INSTITUTIONS, PROVIDERS, INSURERS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS TO SHARE BEST PRACTICES AND RECOMMENDATIONS TO REDUCE DISPARITIES IN MATERNAL HEALTH. II. SENTARA IS PART OF A $2 MILLION REGIONAL PARTNERSHIP PROJECT AIMING TO REDUCE GUN VIOLENCE IN HAMPTON ROADS BY MERGING COMMUNITY-BASED PROGRAMS AND RESEARCH. UNDER THE INITIATIVE, GUN VIOLENCE VICTIMS AND AFFECTED PEOPLE WHO RECEIVE SUPPORT THROUGH HOSPITAL-BASED INTERVENTION PROGRAMS WILL BE CONNECTED WITH COMMUNITY PARTNERS AND SUPPORTED THROUGH THE SAFER TOGETHER PROGRAM. III. SENTARA PARTNERED WITH 10 BLACK CHURCHES IN HAMPTON ROADS TO STUDY THE BEST WAY TO CONTROL HIGH BLOOD PRESSURE, OR HYPERTENSION, WHICH DISPROPORTIONALLY IMPACTS BLACK COMMUNITIES. IV. AS PART OF NATIONAL MINORITY HEALTH MONTH, SENTARA PARTNERED WITH THE REGIONAL CANCER DISPARITIES COLLABORATIVE TO HOST THE THIRD ANNUAL HEALTH EQUITY PANEL: "LET'S GET TO THE BOTTOM OF CANCER." THE PURPOSE OF THE EVENT WAS TO EDUCATE COMMUNITY MEMBERS ABOUT COLORECTAL CANCER, ENCOURAGE SCREENINGS, AND PROVIDE RESOURCES TO THOSE IN NEED. V. SENTARA HOSTED A BLACK MEN IN WHITE COATS YOUTH SUMMIT, AN EVENT WHICH ENCOURAGES YOUNG PEOPLE OF COLOR, BOTH MALE AND FEMALE, TO PURSUE CAREERS IN THE MEDICAL FIELD. VI. SENTARA HEALTH PLANS AND VIRGINIA CHILDREN'S CARE NETWORK ANNOUNCED A NEW VALUE-BASED CARE PARTNERSHIP FOCUSING ON COMPREHENSIVE CARE COORDINATION FOR MEDICAID MEMBERS AND REDUCING AVOIDABLE HEALTHCARE EVENTS. THE PARTNERSHIP EXPECTS TO DRIVE BETTER CHILDHOOD HEALTH OUTCOMES, PARTICULARLY WITH CHILDHOOD IMMUNIZATIONS AND WELLNESS VISITS. VII. SENTARA HEALTH PLANS PARTNERED WITH HAMPTON ROADS PUBLIC SCHOOLS TO INTRODUCE A PIONEERING PROGRAM DESIGNED TO ADDRESS THE SOCIAL DRIVERS OF HEALTH AFFECTING STUDENTS, AND TO CONNECT THEM WITH VITAL COMMUNITY RESOURCES. THE PILOT PROGRAM ASSIGNS A DEDICATED LIAISON TO PUBLIC SCHOOLS IN THE VIRGINIA DEPARTMENT OF EDUCATION'S TIDEWATER REGION, WORKING CLOSELY WITH SCHOOL COUNSELORS, TEACHERS, AND ADMINISTRATORS TO CREATE A TAILORED APPROACH THAT MEETS THE UNIQUE NEEDS OF EACH SCHOOL AND REGION. III. COMMITMENT TO OUR TEAM MEMBERS A. DIRECTLY INVESTING IN OUR COLLEAGUES REMAINS A TOP PRIORITY. I. NEARLY ALL OF OUR EMPLOYEES RECEIVED PAY INCREASES THROUGH A MERIT AND/OR MARKET ADJUSTMENT. II. SENTARA CONTRIBUTED $75 MILLION IN RETIREMENT SAVINGS MATCHES AND WAS ABLE TO PROVIDE OUR TEAM MEMBERS WITH A YEAR-END BONUS TOTALING $17 MILLION. III. SENTARA CONTINUES TO INVEST IN EDUCATION AND LEARNING BENEFITS WITH $37.7 MILLION PAID TOWARDS EDUCATIONAL ASSISTANCE AND STUDENT LOAN REPAYMENTS. B. SENTARA ADDED MORE THAN 7,800 NEW PEOPLE TO OUR TEAM AND IS SEEING GREAT IMPROVEMENTS IN OUR RETENTION EFFORTS. TOTAL TURNOVER IN 2024 WAS 14.4% COMPARED TO THE INDUSTRY AVERAGE OF 20.7%. NURSING TURNOVER WAS 13.2%, VERSUS THE INDUSTRY AVERAGE OF 18.4%. C. SENTARA IMPLEMENTED AND EXPANDED SEVERAL WORKPLACE VIOLENCE PREVENTION PROGRAMS, INCLUDING THE FOLLOWING: I. IN 2024, SENTARA CONTINUED THE EXPANSION OF A TWO-YEAR PILOT WITH A CONCEALED WEAPON DETECTION SYSTEM IN OUR HOSPITALS. THE SYSTEM DETECTS FIREARMS, KNIVES, CHEMICAL MACE, AND OTHER WEAPONS AS VISITORS WALK THROUGH, SO ARMED SECURITY PERSONNEL CAN INTERCEPT. II. MORE THAN 100 SENTARA SECURITY OFFICERS HAVE UNDERGONE A VIRGINIA DEPARTMENT OF CRIMINAL JUSTICE SERVICES TRAINING PROGRAM, WHICH WILL PERMIT OFFICERS TO STAFF AND CARRY FIREARMS AT THE WEAPON DETECTION SYSTEMS. OFFICERS ARE ALSO TRAINED ON 'STOP THE BLEED' PROTOCOLS. III. SENTARA EXPANDED COMPUTER-BASED DE-ESCALATION TRAINING TO ALL COLLEAGUES, BEYOND THE REQUIRED TRAINING FOR WORKERS IN EDS, ICUS, AND FAMILY MATERNITY UNITS. IV. SENTARA STREAMLINED THE PROCESS FOR TEAM MEMBERS TO REPORT WORKPLACE VIOLENCE INCIDENTS. MOST HOSPITALS ARE INSTALLING TELEMAGISTRATE SYSTEMS THAT ENABLE TEAM MEMBERS TO TALK TO A MAGISTRATE AND FILE CHARGES FROM THE HOSPITAL, MAKING IT EASIER TO REQUEST A WARRANT AT ALL HOURS. V. OVERHEAD SECURITY ALERTS ARE NOW ANNOUNCED THROUGH A TIERED PROCESS OF THREE CATEGORIES TO ENSURE APPROPRIATE LEVELS OF RESPONSE BY SECURITY OFFICERS. D. SINCE 2003, SENTARA HAS ALLOCATED OVER $6.65 MILLION TO OUR EMPLOYEES THROUGH THE H.O.P.E.(HELPING OVERCOME PERSONAL EMERGENCY) FUND. SENTARA'S COMPASSION HAS PROVIDED FINANCIAL RESOURCES FOR FELLOW SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE H.O.P.E. FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2024, MORE THAN $865,000 WENT TO APPROXIMATELY 500 EMPLOYEES IN CRISIS. E. SENTARA OBICI HOSPITAL IS THE FIRST HOSPITAL IN VIRGINIA AND NORTH CAROLINA-AND ONE OF ONLY 101 IN THE COUNTRY-TO PARTICIPATE IN THE FEDERALLY FUNDED COMMUNITIES AND HOSPITALS ADVANCING MATERNITY PRACTICES OR CHAMPS. THE PROGRAM OFFERS TRAINING FOR STAFF ON BEST PRACTICES TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES THROUGH BREASTFEEDING SUPPORT. F. TO ADDRESS THE NATIONWIDE SHORTAGE OF RESPIRATORY THERAPISTS, SENTARA AND TIDEWATER COMMUNITY COLLEGE (TCC) ESTABLISHED THE RESPIRATORY THERAPY APPRENTICESHIP PROGRAM, WHICH ALLOWS STUDENTS ENROLLED IN THE TWO-YEAR PROGRAM AT TCC TO BECOME FULL-TIME EMPLOYEES OF SENTARA, AND COVERS NEARLY $18,000 WORTH OF TUITION, BOOKS, SCRUBS, AND CERTIFICATION. G. SENTARA LAUNCHED A TRANSITION TO PRACTICE PROGRAM, WHICH AIMS TO SUPPORT 750 NEW NURSES A YEAR, PROVIDING SPECIALIZED SKILL TRAINING, MENTORING FROM VETERAN NURSES, AND CONFIDENCE-BUILDING EXERCISES. THE GOAL IS TO HELP NEW NURSES TRANSITION SEAMLESSLY INTO A RANGE OF POSITIONS ACROSS SENTARA'S ACUTE, POST-ACUTE AND AMBULATORY SYSTEM. IV. GROWTH IN SENTARA HEALTH A. OUR TRANSFORMATION OFFICE MANAGED 1,199 INITIATIVES LED BY 850 INITIATIVE OWNERS IN SUPPORT OF OUR STRATEGIC PLAN. B. SENTARA CONTINUED THE INTEGRATION OF FLORIDA-BASED AVMED INTO OUR SENTARA HEALTH PLANS OPERATIONS. C. SENTARA ANNOUNCED A $37 MILLION INCREASE ON ITS ORIGINAL INVESTMENT TO CONSTRUCT A NEW ACUTE CARE REPLACEMENT HOSPITAL FOR THE CURRENT SENTARA HALIFAX REGIONAL HOSPITAL, FROM $70 MILLION TO $107 MILLION. THE NEW HOSPITAL, SCHEDULED FOR COMPLETION IN 2025-2026, WILL HAVE A HIGH-EFFICIENCY, PATIENT-CENTRIC LAYOUT REPRESENTING THE TREND TOWARD PREVENTIVE CARE, OUTPATIENT SERVICES AND SHORTER HOSPITAL STAYS. D. SENTARA MEDICAL GROUP OPENED OR EXPANDED THE FOLLOWING NEW PRACTICES: I. SENTARA FAMILY MEDICINE PHYSICIANS (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA II. SENTARA FAMILY MEDICINE & PEDIATRICS IN HAMPTON, VIRGINIA III. SENTARA BEHAVIORAL HEALTH SPECIALISTS IN HAMPTON, VIRGINIA IV. SENTARA OBSTETRICS, GYNECOLOGY & MIDWIFERY SPECIALISTS IN HARRISONBURG, VIRGINIA (ACQUISITION) V. VELOCITY URGENT CARE (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA VI. SENTARA OBSTETRICS, GYNECOLOGY & MIDWIFERY SPECIALISTS IN ELIZABETH CITY, NORTH CAROLINA (ADDED MIDWIFERY) VII. THE CENTER FOR PLASTIC SURGERY AT SENTARA PRINCESS ANNE IN VIRGINIA BEACH, VIRGINIA (ADDED PROCEDURAL SUITE) FORM 990, PART III, LINE 4A E. SENTARA THERAPY SERVICES OPENED OR EXPANDED THE FOLLOWING PRACTICES: I. SENTARA THERAPY CENTER (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA II. SENTARA THERAPY CENTER (TANGLEWOOD PEDIATRICS) IN ELIZABETH CITY, NORTH CAROLINA (RELOCATION) F. SENTARA NORFOLK GENERAL HOSPITAL UNVEILED A NEWLY RENOVATED ANTEPARTUM UNIT FOR HIGH-RISK PREGNANT WOMEN, EXPANDING FROM 15 TO 21 BEDS TO INCREASE ACCESS TO CARE FOR WOMEN ACROSS HAMPTON ROADS. G. SENTARA OBSTETRICS, GYNECOLOGY, AND MIDWIFERY SPECIALISTS PARTNERED WITH HARRISONBURG OBGYN TO EXPAND AND ENHANCE WOMEN'S HEALTH SERVICES IN HARRISONBURG, VIRGINIA. H. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VIRGINIA, INVESTED $1 MILLION IN IMPROVEMENTS TO ITS EMERGENCY DEPARTMENT TO INCREASE FUNCTIONALITY, ENHANCE THE PATIENT EXPERIENCE, AND STRENGTHEN SECURITY MEASURES FOR VISITORS AND STAFF. I. SENTARA ANNOUNCED PLANS TO ROUGHLY DOUBLE RESIDENCY POSITIONS IN THE NEXT SIX YEARS, SIGNIFICANTLY INCREASING THE PIPELINE OF FUTURE PHYSICIANS. SENTARA WILL ADD RESIDENCIES AND FELLOWSHIPS AT SENTARA NORFOLK GENERAL HOSPITAL IN NORFOLK, VIRGINIA, AND ESTABLISH NEW RESIDENCY PROGRAMS IN NORTHERN VIRGINIA, THE VIRGINIA PENINSULA, AND NORTHEASTERN NORTH CAROLINA. I. SENTARA ALSO IS PARTNERING WITH THE NEWLY FORMED MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY TO BOOST TRAINING OPPORTUNITIES AND GROW THE HEALTHCARE WORKFORCE IN HAMPTON ROADS. J. ALL 12 SENTARA HOSPITALS IN VIRGINIA AND NORTH CAROLINA ARE ADDING THE PRITIKIN INTENSIVE CARDIAC REHAB PROGRAM TO HELP ENSURE THAT PATIENTS MAKE FULL AND LASTING RECOVERIES FROM CARDIAC EVENTS. THE PRITIKIN PROGRAM EMBRACES THREE PILLARS: EXERCISE, NUTRITION, AND A HEALTHY MINDSET TO EMPOWER PATIENTS TO MAKE GOOD, HEALTHY CHOICES. K. SENTARA HEALTH AND MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY JOINED FORCES TO LAUNCH THE SENTARA-EVMS COMPREHENSIVE SICKLE CELL PROGRAM, THE FIRST ADULT SICKLE CELL CLINIC IN HAMPTON ROADS. L. SENTARA NORFOLK GENERAL HOSPITAL BEGAN OFFERING HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) TO TREAT OVARIAN CANCER. M. SENTARA OPENED A NEW CLINIC FOR BEHAVIORAL HEALTH CARE IN HAMPTON, VIRGINIA. THE NEW OUTPATIENT CENTER IS SENTARA'S FIRST DEDICATED BEHAVIORAL HEALTHCARE CLINIC ON THE VIRGINIA PENINSULA, HELPING TO EXPAND ACCESS IN THE REGION. V. BY THE NUMBERS 1.1 MILLION PATIENTS AND 1.1 MILLION HEALTH PLAN MEMBERS SERVED; 7,800 NEW COLLEAGUES; 135,000 ADULT HOSPITAL ADMISSIONS; 859,206 EMERGENCY DEPARTMENT VISITS; 15,404 BABIES DELIVERED; 746 LIFE-SAVING TRIPS FROM THE NIGHTINGALE REGIONAL AIR AMBULANCE; AND 117,776 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VI. DIGITAL & TECHNOLOGY INITIATIVES AND INVESTMENTS A. SENTARA LAUNCHED A MULTI-YEAR IT INVESTMENT PLAN (2023-2026) IN SUPPORT OF IT FOUNDATIONAL NEEDS. I. SENTARA ESTABLISHED CORE IT FOUNDATIONAL AND INNOVATION INVESTMENTS AROUND CLINICAL ACCESS AND CARE IMPROVEMENTS, CONSUMER RELATIONSHIP MANAGEMENT, WORKFORCE EFFICIENCIES, AND GENAI. II. SENTARA ESTABLISHED THREE ADDITIONAL CENTERS OF EXCELLENCE: TESTING, AUTOMATION, AND AGILE TRANSFORMATION. III. AS PART OF ITS COMMITMENT TO EXPAND ACCESS TO CARE, SENTARA LAUNCHED VIRTUAL EXPRESS CARE, A NEW, ON-DEMAND SERVICE THAT OFFERS VIDEO VISITS TO ADDRESS SIMPLE CONCERNS BY A TEAM OF VIRTUAL CARE PROVIDERS. WITH LESS THAN A 30-MINUTE AVERAGE WAIT, PATIENTS HAVE ACCESS TO THIS PROGRAM FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY. IV. SENTARA CREATED AN AI OVERSIGHT PROGRAM STAFFED BY SENIOR LEADERS TO OVERSEE USE CASES AND DEVELOPMENT OF AI TOOLS ACROSS SENTARA. THE COMMITTEE DEVISED EIGHT AI PRINCIPLES TO ENSURE THAT SENTARA DEVELOPS AND USES AI SOLUTIONS SAFELY, RESPONSIBLY, AND IN A TRUSTWORTHY FRAMEWORK. V. SENTARA LAUNCHED A CLINICAL ACCESS CENTER THAT IS NOW SERVING 188 MEDICAL PRACTICES AND IMAGING/DIAGNOSTIC TESTING FOR 12 HOSPITALS. VI. SENTARA MEDICAL GROUP BEGAN USING AN ARTIFICIAL INTELLIGENCE TOOL CALLED DAX COPILOT TO AUTOMATE CLINICAL NOTES, PART OF AN INITIATIVE TO REDUCE PROVIDER WORKLOAD WHILE IMPROVING PATIENT CARE. VII. AS THE HEALTHCARE INDUSTRY FACES ONGOING WORKFORCE CHALLENGES, SENTARA IMPLEMENTED A VIRTUAL NURSING SYSTEM TO REDUCE ADMINISTRATIVE WORKLOAD AND ASSIST WITH TASKS SUCH AS PATIENT ADMISSIONS, DISCHARGES, AND PATIENT EDUCATION. NEW TECHNOLOGY IS DEPLOYING ACROSS ALL 12 SENTARA HOSPITALS TO IMPROVE NURSING RETENTION/RECRUITING AND PATIENT EXPERIENCE. B. SENTARA CARDIOLOGY SPECIALISTS ADOPTED A NEW TECHNOLOGY FOR CONTROLLING ATRIAL FIBRILLATION, OR IRREGULAR HEARTBEAT. THE FARAPULSE PULSED FIELD ABLATION SYSTEM USES ELECTRICAL PULSES, RATHER THAN HEAT OR COLD, TO ABLATE THE HEART TISSUES CAUSING IRREGULAR HEART RHYTHMS. C. THE SURGERY TEAM AT SENTARA ALBEMARLE MEDICAL CENTER WELCOMED A DA VINCI ROBOTIC SURGERY SYSTEM TO PERFORM GYNECOLOGICAL AND GENERAL SURGERY CASES. D. AFTER BECOMING THE SOLE OWNER OF VELOCITY URGENT CARE IN DECEMBER 2023, SENTARA MOVED ITS 17 VELOCITY URGENT CARE CENTERS ONTO ITS EPIC ELECTRONIC MEDICAL RECORD. E. SENTARA EQUIPPED CLINICIANS AT ALL 12 HOSPITALS WITH NEARLY 6,000 SPECIALIZED SMARTPHONES THAT STREAMLINE COMMUNICATION AND IMPROVE PATIENT CARE. SMARTPHONES ARE EXPECTED TO FACILITATE FASTER ADMISSIONS TO THE EMERGENCY DEPARTMENT, REDUCE HOSPITAL LENGTH OF STAY, AND ACCELERATE THE AVERAGE NURSE RESPONSE TIME. VII. EXPANDING RESEARCH OPPORTUNITIES A. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA AND IN OUR COMMUNITIES. LOCATED IN ONE OF THE MOST CULTURALLY DIVERSE REGIONS OF THE UNITED STATES, SENTARA HEALTH RESEARCH CENTER SERVES AS A PREMIER RESEARCH PARTNER. SENTARA IS UTILIZING THE RESEARCH CAPABILITY AND SCOPE OF OUR HEALTHCARE SYSTEM TO ADVANCE HEALTH THROUGHOUT THE COMMUNITIES SENTARA SERVES. B. SENTARA IS ONE OF THREE VIRGINIA HEALTH SYSTEMS THAT TOGETHER WILL SERVE AS ONE OF EIGHT GROUPS IN THE U.S. TO CONDUCT GROUNDBREAKING RESEARCH FOR THE CANCER SCREENING RESEARCH NETWORK (CSRN), LAUNCHED BY THE NATIONAL CANCER INSTITUTE, PART OF THE NATIONAL INSTITUTES OF HEALTH. THE NEW CLINICAL TRIALS NETWORK CREATES A NATIONAL INFRASTRUCTURE TO STUDY EMERGING CANCER SCREENING AND PREVENTION TECHNOLOGIES, WITH THE GOAL OF REDUCING CANCER-RELATED ILLNESSES AND DEATHS. THE CSRN WILL AMPLIFY EFFORTS TO EVALUATE THE BENEFITS AND HARMS OF PROMISING NEW TECHNOLOGIES FOR CANCER SCREENING AND TO IDENTIFY EFFECTIVE STRATEGIES TO INCORPORATE THESE TECHNOLOGIES INTO THE STANDARD OF CARE. C. A NEW STUDY BY SENTARA RESEARCHERS OFFERS AN IN-DEPTH ANALYSIS OF HIGH BLOOD PRESSURE TRENDS IN SENTARA'S PATIENT POPULATION, WHICH SPANS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE RESEARCH, WHICH ANALYZES DATA FROM THE REGION, WILL HELP SENTARA CREATE TARGETED LOCAL HEALTHCARE INITIATIVES. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. AS ALWAYS, SENTARA IS PROUD AND HUMBLED BY THE VARIOUS AWARDS AND RECOGNITIONS THE COMPANY RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS "WE IMPROVE HEALTH EVERY DAY." TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION-DRIVEN WORK. HERE ARE A FEW OF THE 2024 ACCOMPLISHMENTS, AWARDS, AND RECOGNITIONS: I. APPROACHING TOP QUARTILE FOR PATIENT EXPERIENCE AND LENGTH OF STAY AGAINST PEER ORGANIZATIONS. II. APPROACHING TOP QUARTILE FOR SEPSIS SEP-1 BUNDLE COMPLIANCE AGAINST PEER ORGANIZATIONS. INCREASED COMPLIANCE BY 83% SINCE 2022. III. ACHIEVED 62% REDUCTION IN HOSPITAL ACQUIRED INFECTIONS SINCE 2016 (565 IN 2016 VERSUS 216 IN 2024). IV. APPROACHING TOP DECILE PERFORMANCE FOR RATE YOUR PROVIDER AMBULATORY CUSTOMER SATISFACTION SCORE. V. 13 OF 17 SENTARA EMERGENCY DEPARTMENTS (ED) ARE IN THE 61ST PERCENTILE OR ABOVE FOR ED TURNAROUND TIME, WITH THE MAJORITY BEING ABOVE THE 80TH PERCENTILE. VI. SENTARA WAS RECOGNIZED AS ONE OF "AMERICA'S BEST-IN-STATE EMPLOYERS" BY FORBES IN 2024. SENTARA RANKED 32 OUT OF 90 VIRGINIA EMPLOYERS ON THE LIST AND IS THE SECOND-RANKED HEALTHCARE EMPLOYER. VII. THREE SENTARA HOSPITALS EARNED RECOGNITION IN NEWSWEEK'S BEST-IN-STATE HOSPITALS 2024 RANKINGS, HIGHLIGHTING THE LEADING HOSPITALS IN EVERY STATE. THE RANKINGS ARE COMPILED USING PATIENT SAFETY AND QUALITY METRICS DATA FROM MORE THAN 700 OF THE NATION'S HOSPITALS, RESULTS FROM PATIENT EXPERIENCE SURVEYS, AND RESULTS FROM MEDICAL PROFESSIONAL SURVEYS. A. SENTARA MARTHA JEFFERSON HOSPITAL-CHARLOTTESVILLE, VIRGINIA B. SENTARA LEIGH HOSPITAL-NORFOLK, VIRGINIA C. SENTARA NORFOLK GENERAL HOSPITAL-NORFOLK, VIRGINIA FORM 990, PART III, LINE 4A VIII. FOUR SENTARA HOSPITALS WERE RECOGNIZED BY U.S. NEWS & WORLD REPORT AS AMONG THE BEST HOSPITALS IN VIRGINIA FOR MATERNITY CARE: A. SENTARA LEIGH HOSPITAL-NORFOLK, VIRGINIA B. SENTARA MARTHA JEFFERSON HOSPITAL-CHARLOTTESVILLE, VIRGINIA C. SENTARA RMH MEDICAL CENTER-HARRISONBURG, VIRGINIA D. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER-WILLIAMSBURG, VIRGINIA IX. TWO SENTARA PROGRAMS AND TWO SENTARA TEAM MEMBERS WERE HONORED WITH 2024 "HEALTH CARE HEROES" AWARDS BY INSIDE BUSINESS IN THE FOLLOWING CATEGORIES: COMMUNITY SERVICE, CORPORATE ACHIEVEMENT IN HEALTH CARE, PHYSICIAN, AND HEALTH CARE STAFF. X. SENTARA WAS ONCE AGAIN ACKNOWLEDGED AS THE LEADING COMPANY IN THE ANNUAL "GENEROUS VIRGINIANS" REPORT PUBLISHED BY VIRGINIA BUSINESS MAGAZINE FOR THE 5TH YEAR IN A ROW. XI. SENTARA COLLEGE OF HEALTH SCIENCES WON THE "BEST OF COASTAL VIRGINIA" MAGAZINE'S READERS' POLL FOR THE EIGHTH CONSECUTIVE YEAR, EARNING SOUTHSIDE GOLD FOR BEST TECHNICAL SCHOOL AND SOUTHSIDE SILVER FOR BEST PRIVATE COLLEGE/UNIVERSITY. XII. SENTARA'S CHIEF QUALITY & SAFETY OFFICER AND CHIEF NURSING OFFICER WERE JOINTLY AWARDED THE 2024 SENIOR LEADER QUALITY AND PATIENT SAFETY AWARD BY THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) TO RECOGNIZE THEIR POWERFUL PARTNERSHIP AND COMMITMENT TO PATIENT SAFETY. XIII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER BECAME THE FIRST MEDICAL FACILITY IN VIRGINIA TO BE CERTIFIED AS SENSORY INCLUSIVE. THE INITIATIVE HELPS THE HOSPITAL WELCOME AND CARE FOR THOSE WITH SENSORY NEEDS, A GROUP THAT INCLUDES PEOPLE WITH AUTISM, PTSD, EARLY ONSET DEMENTIA, ANXIETY, STROKE, AND MORE. XIV. TWO SENTARA LEADERS RECEIVED THE VIRGINIA CENTER FOR INCLUSIVE COMMUNITIES HUMANITARIAN AWARD. THE ANNUAL AWARD RECOGNIZES INDIVIDUALS WHO HAVE DEMONSTRATED A PERSONAL COMMITMENT TO THE PROMOTION OF RESPECT AND UNDERSTANDING AMONG PEOPLE OF DIVERSE RACIAL, ETHNIC, AND RELIGIOUS BACKGROUNDS. XV. ALL 12 SENTARA HOSPITALS HAVE EARNED THE HIGH PERFORMER DESIGNATION FOR 2024 FROM THE HUMAN RIGHTS CAMPAIGN, A NATIONWIDE ORGANIZATION WORKING TO ACHIEVE EQUALITY AND INCLUSION FOR LGBTQ+ PERSONS. XVI. THE SENTARA EPILEPSY CENTER AT SENTARA NORFOLK GENERAL HOSPITAL BECAME A LEVEL IV EPILEPSY CENTER, THE HIGHEST LEVEL POSSIBLE. THE ACCREDITATION RECOGNIZES THE ADVANCED CARE OFFERED TO EPILEPSY PATIENTS. AS PART OF THE THREE-YEAR PROCESS TO BECOME A LEVEL IV CENTER, THE SENTARA EPILEPSY CENTER DEMONSTRATED THE CAPACITY TO PROVIDE THE MOST COMPLEX FORMS OF MONITORING AND TREATMENT, INCLUDING A RANGE OF SURGICAL PROCEDURES. XVII. SENTARA NORTHERN VIRGINIA MEDICAL CENTER EARNED MAGNET WITH DISTINCTION RECOGNITION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK, AND SUPERIORITY IN PATIENT CARE. THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM IS THE HIGHEST NATIONAL HONOR FOR NURSING EXCELLENCE AND IDENTIFIES SUPERIOR QUALITY IN NURSING CARE. XVIII. ELEVEN SENTARA HOSPITALS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S JOINT 'GET WITH THE GUIDELINES' AWARDS FOR PROVIDING EXCELLENT STROKE CARE AND FOLLOWING GUIDELINES THAT LEAD TO MORE LIVES SAVED AND SHORTER RECOVERY TIMES. XIX. EIGHT SENTARA HOSPITALS WERE AWARDED AMERICAN COLLEGE OF CARDIOLOGY CHEST PAIN CENTER ACCREDITATION BASED ON RIGOROUS ONSITE EVALUATION OF THE STAFF'S ABILITY TO EVALUATE, DIAGNOSE, AND TREAT PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK. XX. SENTARA NORTHERN VIRGINIA MEDICAL CENTER ACHIEVED ACCREDITATION FROM SURGICAL REVIEW CORPORATION AS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY AND ROBOTIC SURGERY. THIS ACCREDITATION RECOGNIZES THE HOSPITAL'S COMMITMENT AND HIGH STANDARD OF DELIVERY OF QUALITY PATIENT CARE AND SAFETY. CONCLUSION: SENTARA HEALTH REMAINS COMMITTED TO OUR MISSION-WE IMPROVE HEALTH EVERY DAY. SENTARA PROVIDES QUALITY CARE AND SERVICE USING DEDICATED CLINICIANS, CUTTING-EDGE TECHNOLOGY, AND EXCELLENT CUSTOMER SERVICE-ALL WITH A CONSTANT FOCUS ON INNOVATION. SENTARA IS COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE, CREATING A VIBRANT PLACE OF EMPLOYMENT, AND PROVIDING SOLUTIONS TO HEALTH INEQUITIES THROUGH VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND PARTNERSHIPS. FORM 990, PART V, LINE 1A SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS IN WHICH SENTARA HEALTH OR ITS SUBSIDIARIES HAVE AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION, AND A CLASS OF DIRECTORS NOMINATED BY MARTHA JEFFERSON HEALTH SERVICES CORPORATION, A VIRGINIA NONSTOCK CORPORATION, AND RATIFIED BY SENTARA HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SENTARA HOSPITALS HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO THE OVERSIGHT OF THE ORGANIZATION'S BOARD OF DIRECTORS. SENTARA HOSPITALS HAS THE FOLLOWING RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION AND ANY OF ITS CURRENT OR FUTURE CONTROLLED SUBSIDIARIES ("CONTROLLED AFFILIATE"): (I) SUBJECT TO THE RIGHTS SET FORTH IN THE AFFILIATION AGREEMENT, APPROVE OR ADOPT ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION AND/OR A CONTROLLED AFFILIATE, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION AND/OR A CONTROLLED AFFILIATE, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION AND/OR CONTROLLED AFFILIATE; (II) APPROVE THE STRATEGIC OR LONG-RANGE BUSINESS PLANS, ANNUAL OPERATING OR CAPITAL BUDGET, OTHER STRATEGIC OR OPERATIONAL PLANS OF THE ORGANIZATION, ANY MODIFICATION OR AMENDMENT THERETO, AND ANY ACTION TO BE TAKEN INCONSISTENT WITH SUCH PLAN; (III) CREATE OR ACQUIRE ANY DIRECT OR INDIRECT SUBSIDIARY, OR INTERESTS OF ANY KIND IN OR OF ANY OTHER CORPORATION OF WHICH IT IS TO BE A MEMBER, OR ENTER INTO ANY JOINT VENTURE, PARTNERSHIP OR SIMILAR ARRANGEMENT WITH ANY OTHER ENTITY OR PERSON, OR DISSOLVE, TERMINATE OR OTHERWISE CHANGE ANY SUCH ENTITY OR PERSON OR LEGAL RELATIONSHIP EXISTING AS OF THE AFFILIATION DATE; (IV) HIRE, TERMINATE, OR ENTER INTO, TERMINATE, RENEW OR CHANGE ANY AGREEMENT, COMMITMENT OR OBLIGATION (WHETHER WRITTEN OR NOT) RELATING TO THE EMPLOYMENT OF THE PRESIDENT OF THE ORGANIZATION, SET THE COMPENSATION OF THE CORPORATE EXECUTIVES OF THE ORGANIZATION, INCLUDING THE PRESIDENT OF THE ORGANIZATION; (V) CHANGE THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS OR AUDITORS, TAX YEAR, ACCOUNTING METHODS OR PRACTICES, PROCEDURES OR POLICIES, EXCEPT TO THE EXTENT MANDATED BY A CHANGE IN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES; (VI) ENTER INTO ANY TRANSACTION, AGREEMENT OR COMMITMENT, WHETHER WRITTEN OR NOT, WITH ANY OFFICER, MANAGER OR DIRECTOR OF THE ORGANIZATION OR A CONTROLLED AFFILIATE, ANY MEMBER OF THE MEDICAL STAFF OF THE ORGANIZATION, ANY FAMILY MEMBER OF ANY OF THE FOREGOING, OR ANY ENTITY OF WHICH ANY OF THE EQUITY, RIGHT TO RECEIVE PROFITS OR VOTING INTERESTS ARE OWNED BY ANY OF THE FOREGOING; (VII) APPROVE ANY UNBUDGETED CAPITAL EXPENDITURE(S) FOR THE ORGANIZATION THAT IN THE AGGREGATE ON A CONSOLIDATED BASIS FOR THE ORGANIZATION AND ITS FACILITIES EXCEEDS $500,000 DURING ANY FISCAL YEAR; (VIII) INCUR INDEBTEDNESS OR OTHER FINANCIAL OBLIGATIONS, OR GUARANTY THE INDEBTEDNESS OF ANY THIRD PARTY, WHETHER SECURED OR UNSECURED, NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER, AND INCLUDING, BUT NOT LIMITED TO, LEASES, WITH RESPECT TO THE ORGANIZATION OR ITS CONTROLLED AFFILIATES; (IX) COMMENCE OR SETTLE ANY LITIGATION OR ARBITRATION OR OTHER PROCEEDING, OR CONFESS A JUDGMENT AGAINST THE ORGANIZATION OR ITS CONTROLLED AFFILIATES; (X) COMMENCE OR SETTLE ANY LITIGATION OR ARBITRATION OR OTHER PROCEEDING RELATED TO THE ORGANIZATION WHILE THE ORGANIZATION IS INSURED THROUGH SENTARA'S CAPTIVE INSURANCE COMPANY; (XI) ENTER INTO, TERMINATE OR CHANGE ANY THIRD PARTY PAYOR CONTRACT; OR (XII) AGREE OR COMMIT TO DO OR ALLOW ANY OF THE FOREGOING. DURING THE COVENANT PERIOD, THE AFOREMENTIONED ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF A MAJORITY OF THE CLASS A DIRECTORS OF THE BOARD, VOTING AS A SEPARATE CLASS, AND THE MEMBER. UPON THE EXPIRATION OF THE COVENANT PERIOD, THE MEMBER SHALL HAVE THE AUTHORITY TO TAKE SUCH ACTIONS WITHOUT THE APPROVAL OF THE CLASS A DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION WAS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. THE PARENT OF THE SYSTEM IS SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, BOARD OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. EACH ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE BODY MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE ORGANIZATION IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE ORGANIZATION PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE ORGANIZATION'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM PUBLISHED SURVEY SOURCES BASED ON EACH SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 29 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 38 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, VARIOUS CLINICAL QUALITY METRICS AND PATIENT SATISFACTION. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A) ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETINGS AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S TREASURER AND SECRETARY, WHO ALSO SERVED AS EXECUTIVE VICE PRESIDENT AND CFO, AND EXECUTIVE VICE PRESIDENT AND SECRETARY/CLO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, WHO IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION. RESULTS WERE PRESENTED TO THE PRESIDENT AND CEO OF THE SYSTEM FOR REVIEW AND APPROVAL RATHER THAN THE SYSTEM'S COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTH AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VI, LINE 1B THE BOARD OF DIRECTORS, WHICH SERVES AS THE ORGANIZATION'S GOVERNING BODY, IS COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE MEMBER, SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION, AND A CLASS OF DIRECTORS NOMINATED BY MARTHA JEFFERSON HEALTH SERVICES CORPORATION, A VIRGINIA NONSTOCK CORPORATION, AND APPROVED BY THE MEMBER. THE BOARD MEMBERS OF SENTARA HOSPITALS ARE ELECTED ANNUALLY BY ITS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARA HEALTH IS A COMMUNITY-BASED BOARD COMPRISED OF 15 VOTING MEMBERS, 14 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. FORM 990, PART XI, LINE 9: BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY 6,133,055. CHANGE IN BENEFICIAL INTEREST 198,885. 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