SENTARA ENTERPRISES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SENTARA ENTERPRISES (EIN 54-1917649)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201703179349301995
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T11:58:32-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	541917649	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT A BROERMANN	PersonNm
Person Title	TREASURER/DIRECTOR	PersonTitleTxt
Phone	7574557020	PhoneNum
Signature	2017-11-13	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	163.230.250.197	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-13	IPDt
IP Tm	12:57:08	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5DE4645C05D0C16B02C5EBC66FC9207F882F5D80	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5DE4645C05D0C16B02C5EBC66FC9207F882F5D80	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LINDA R HUFFER	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$159,923,228	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SENTARA.COM	WebsiteAddressTxt
Type Of Organization Assoc	Yes (X)	TypeOfOrganizationAssocInd
Formation	1998	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE ORGANIZATION, WE IMPROVE HEALTH EVERYDAY.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	1107	TotalEmployeeCnt
Total Volunteers	111	TotalVolunteersCnt
Total Gross UBI	$26,877,546	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,164,465	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,169	PYContributionsGrantsAmt
CY Contributions Grants	$31,151	CYContributionsGrantsAmt
PY Program Service Revenue	$124,860,373	PYProgramServiceRevenueAmt
CY Program Service Revenue	$153,883,793	CYProgramServiceRevenueAmt
PY Investment Income	-$17,434	PYInvestmentIncomeAmt
CY Investment Income	$153,425	CYInvestmentIncomeAmt
PY Other Revenue	$483,960	PYOtherRevenueAmt
CY Other Revenue	$426,064	CYOtherRevenueAmt
PY Total Revenue	$125,348,068	PYTotalRevenueAmt
CY Total Revenue	$154,494,433	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,476,658	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,053,072	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$78,454,149	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$74,517,074	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$55,147,101	PYOtherExpensesAmt
CY Other Expenses	$84,450,032	CYOtherExpensesAmt
PY Total Expenses	$135,077,908	PYTotalExpensesAmt
CY Total Expenses	$160,020,178	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,729,840	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,525,745	CYRevenuesLessExpensesAmt
Total Assets BOY	$46,463,880	TotalAssetsBOYAmt
Total Assets EOY	$53,651,037	TotalAssetsEOYAmt
Total Liabilities BOY	$15,410,159	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,204,237	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$31,053,721	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$35,446,800	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE ORGANIZATION, WE IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH CARE FACILITIES AND SERVICES FOR SICK, INJURED, DISABLED, INDIGENT, AND AGED PERSONS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$130,898,718	ExpenseAmt
Grant	$1,053,072	GrantAmt
Revenue	$127,432,992	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$130,898,718	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1107	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7574557020	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TERESA L EDWARDS
DIRECTOR (EFFEC 7/16)	1.00	40.00	Yes (X)	$0	$584,893	$114,508
HOWARD P KERN
DIRECTOR	1.00	50.00	Yes (X)	$0	$2,428,937	$1,918,643
DEBRA N MILLER
DIRECTOR (THRU 7/16)	1.00	40.00	Yes (X)	$0	$0	$0
DAVID L BERND
DIRECTOR/CHAIRMAN (THRU 7/16)	1.00	50.00	Yes (X)	$0	$7,825,434	$81,327	Yes (X)
ROBERT A BROERMANN
DIRECTOR/TREASURER	1.00	52.00	Yes (X)	$0	$1,503,780	$71,355	Yes (X)
MICHAEL V GENTRY
DIRECTOR/CHAIRMAN (EFFEC 7/16)	1.00	53.00	Yes (X)	$0	$1,044,814	$143,725	Yes (X)
LINDA R HUFFER
DIRECTOR (EFFEC 7/16)/PRESIDENT	40.00	0.00	Yes (X)	$338,431	$0	$55,318	Yes (X)
SAMUEL HAWLEY
ASSISTANT SECRETARY	1.00	44.00		$0	$159,506	$23,483	Yes (X)
JEFFREY P KING
SECRETARY	1.00	48.00		$0	$664,448	$100,828	Yes (X)
MONICA S HULLINGER
KE (VP, HOME CARE)	40.00	0.00		$221,956	$0	$50,618		Yes (X)
JAMES R SCHWAMBURGER
KE (DIRECTOR, PHARMACY OPS, SE)	40.00	0.00		$186,731	$0	$42,991		Yes (X)
MELISSA GALLEGOS
MANAGER, PHARMACY	40.00	0.00		$170,810	$0	$24,689			Yes (X)
EARL D MORRIS
MANAGER, PHARMACY	40.00	0.00		$163,994	$0	$33,069			Yes (X)
DONALD E LOVIS
PHYSICAL THERAPIST SE/RU	40.00	0.00		$136,032	$0	$26,759			Yes (X)
LAURA E BOROWSKI
TEAM COORDINATOR, PHARMACY	40.00	0.00		$135,439	$0	$44,454			Yes (X)
KIMBERLY A WALKER
CLINICAL PHARMACIST	40.00	0.00		$131,814	$0	$36,660			Yes (X)
GRACE R HINES
FORMER OFFICER	0.00	40.00		$0	$582,223	$87,764				Yes (X)
RUSSELL B BLOW
FORMER KE	0.00	0.00		$82,412	$29,284	$40,253				Yes (X)
ROBERT L SOUDERS
FORMER T5	0.00	40.00		$0	$153,543	$51,671				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,567,619	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,976,862	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,948,115	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	52	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MCBEE ASSOCIATES INC
PO BOX 37135	BALTIMORE	MD	21297	CONSULTING SERVICES	$1,869,294
AMN HEALTHCARE INC
2735 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HEALTHCARE STAFFING SOLUTIONS	$1,011,408
SUSSEX DEVELOPMENT CORP
109 S LYNNHAVEN ROAD SUITE 200	VIRGINIA BEACH	VA	23452	CONSTRUCTION	$801,428
DRINKER BIDDLE AND REATH LLP
18TH CHERRY STREETS	PHILADELPHIA	PA	19103	PROFESSIONAL SERVICES	$357,065
MEDSERV MGMT SERVICES LLC
2901 WMSBRG TERRACE STE G	PLATTE CITY	MO	64079	MEDICAL MANAGEMENT SERVICES	$212,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$31,151	AllOtherContributionsAmt
Total Contributions	$31,151	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$114,318,910	$114,318,910
PHARMACY REVENUE	446110	$34,686,859	$8,220,785	$26,466,074
DME	900099	$5,094,649	$4,662,667	$431,982
EQUITY IN AFFILIATES	900099	-$216,625	-$216,625

Field	Value	IRS element (for citing)
Total Program Service Revenue	$153,883,793	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,552	TotalRevenueColumnAmt
Exclusion	$12,552	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$32,165	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$32,468	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$303	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$303	TotalRevenueColumnAmt
Exclusion	-$303	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$5,005,100	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,864,227	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$140,873	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$140,873	TotalRevenueColumnAmt
Exclusion	$140,873	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$500,000	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$532,100	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$32,100	TotalRevenueColumnAmt
Unrelated Business Revenue	-$32,100	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INTEREST CHARGES	900099	$350,656	$350,656
INCOME FR. PARTNERSHIP	900099	$107,811	$96,599	$11,590	-$378

Field	Value	IRS element (for citing)
Other Revenue Total	$458,467	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,494,433	TotalRevenueColumnAmt
Related Or Exempt Func Income	$127,432,992	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,877,546	UnrelatedBusinessRevenueAmt
Exclusion	$152,744	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,053,072	TotalAmt
Program Services	$1,053,072	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$896,045	TotalAmt
Program Services	$698,915	ProgramServicesAmt
Management And General	$197,130	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,543,710	TotalAmt
Program Services	$45,664,094	ProgramServicesAmt
Management And General	$12,879,616	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,808,196	TotalAmt
Program Services	$2,970,393	ProgramServicesAmt
Management And General	$837,803	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,979,112	TotalAmt
Program Services	$5,443,707	ProgramServicesAmt
Management And General	$1,535,405	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,290,011	TotalAmt
Program Services	$3,346,209	ProgramServicesAmt
Management And General	$943,802	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$255	TotalAmt
Program Services	$199	ProgramServicesAmt
Management And General	$56	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$401,684	TotalAmt
Program Services	$313,314	ProgramServicesAmt
Management And General	$88,370	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,705,948	TotalAmt
Program Services	$5,093,995	ProgramServicesAmt
Management And General	$611,953	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$30,915	TotalAmt
Program Services	$24,114	ProgramServicesAmt
Management And General	$6,801	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,982,763	TotalAmt
Program Services	$3,106,555	ProgramServicesAmt
Management And General	$876,208	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$890,605	TotalAmt
Program Services	$694,672	ProgramServicesAmt
Management And General	$195,933	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,844,723	TotalAmt
Program Services	$1,438,884	ProgramServicesAmt
Management And General	$405,839	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,952,196	TotalAmt
Program Services	$1,522,713	ProgramServicesAmt
Management And General	$429,483	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$38,276	TotalAmt
Program Services	$29,855	ProgramServicesAmt
Management And General	$8,421	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$147	TotalAmt
Program Services	$115	ProgramServicesAmt
Management And General	$32	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,604,049	TotalAmt
Program Services	$2,031,158	ProgramServicesAmt
Management And General	$572,891	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,640,837	TotalAmt
Program Services	$1,279,853	ProgramServicesAmt
Management And General	$360,984	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXP	$52,421,834	$52,421,834
SENTARA SERVICE EXP	$8,796,065		$8,796,065
BAD DEBT PROVISION	$2,436,699	$2,436,699
UBIT	-$2,006	-$1,565	-$441

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,705,042	TotalAmt
Program Services	$1,329,933	ProgramServicesAmt
Management And General	$375,109	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$160,020,178	TotalAmt
Program Services	$130,898,718	ProgramServicesAmt
Management And General	$29,121,460	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$91,164	BOYAmt
EOY	$42,293	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$2,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,438,482	BOYAmt
EOY	$33,091,218	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,289,356	BOYAmt
EOY	$6,103,987	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,368,888	BOYAmt
EOY	$3,201,022	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$100,313	BOYAmt
EOY	$70,921	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$34,754,063	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$25,560,356	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,104,546	BOYAmt
EOY	$9,193,707	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,737,815	BOYAmt
EOY	$1,737,815	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$333,316	BOYAmt
EOY	$208,074	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,463,880	BOYAmt
EOY	$53,651,037	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,981,522	BOYAmt
EOY	$4,162,707	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$97,892	BOYAmt
EOY	$2,080,915	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,330,745	BOYAmt
EOY	$11,960,615	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,410,159	BOYAmt
EOY	$18,204,237	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,878,137	BOYAmt
EOY	$35,270,540	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$175,584	BOYAmt
EOY	$176,260	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,053,721	BOYAmt
EOY	$35,446,800	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$46,463,880	BOYAmt
EOY	$53,651,037	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,525,745	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$9,918,824	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$50,812	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$63,402	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,251	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,169	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,151	CurrentTaxYearAmt
Total	$207,785	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$122,288,022	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$135,410,589	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$128,349,268	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$123,612,354	CurrentTaxYearMinus1YearAmt
Current Tax Year	$127,127,140	CurrentTaxYearAmt
Total	$636,787,373	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$122,338,834	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$135,473,991	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$128,390,519	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$123,633,523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$127,158,291	CurrentTaxYearAmt
Total	$636,995,158	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,000	CurrentTaxYearMinus4YearsAmt
Total	$10,000	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,000	CurrentTaxYearMinus4YearsAmt
Total	$10,000	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$636,985,158	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$66	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,454	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,245	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,623	CurrentTaxYearMinus1YearAmt
Current Tax Year	$44,840	CurrentTaxYearAmt
Total	$75,228	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$66	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,454	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,245	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,623	CurrentTaxYearMinus1YearAmt
Current Tax Year	$44,840	CurrentTaxYearAmt
Total	$75,228	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$122,338,900	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$135,485,445	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$128,397,764	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$123,645,146	CurrentTaxYearMinus1YearAmt
Current Tax Year	$127,203,131	CurrentTaxYearAmt
Total	$637,070,386	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99990	PublicSupportCY509Pct
Public Support PY509	0.99960	PublicSupportPY509Pct
Investment Income CY	0.00010	InvestmentIncomeCYPct
Investment Income PY	0.00030	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,615	OtherActivitiesAmt
Total Lobbying Expenditures	$2,615	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS INVOLVED IN INDIRECT LOBBYING ACTIVITIES THROUGH PAYMENT OF MEMBERSHIP DUES TO THE NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AND THE VIRGINIA ASSOCIATION OF HOME CARE & HOSPICE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$175,584	BeginningYearBalanceAmt
Contributions	$31,151	ContributionsAmt
Other Expenditures	$30,475	OtherExpendituresAmt
End Year Balance	$176,260	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$173,097	BeginningYearBalanceAmt
Contributions	$21,169	ContributionsAmt
Other Expenditures	$18,682	OtherExpendituresAmt
End Year Balance	$175,584	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$160,885	BeginningYearBalanceAmt
Contributions	$41,251	ContributionsAmt
Other Expenditures	$29,039	OtherExpendituresAmt
End Year Balance	$173,097	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,694	BeginningYearBalanceAmt
Contributions	$63,402	ContributionsAmt
Other Expenditures	$44,211	OtherExpendituresAmt
End Year Balance	$160,885	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$128,689	BeginningYearBalanceAmt
Contributions	$50,812	ContributionsAmt
Other Expenditures	$37,807	OtherExpendituresAmt
End Year Balance	$141,694	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,331,912	OtherCostOrOtherBasisAmt
Depreciation	$529,916	DepreciationAmt
Book Value	$1,801,996	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,097,440	OtherCostOrOtherBasisAmt
Depreciation	$796,927	DepreciationAmt
Book Value	$300,513	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,100,623	OtherCostOrOtherBasisAmt
Depreciation	$24,229,409	DepreciationAmt
Book Value	$6,871,214	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$224,088	OtherCostOrOtherBasisAmt
Depreciation	$4,104	DepreciationAmt
Book Value	$219,984	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,193,707	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$401,983
DUE TO AFFILIATES	$26,552
GENERAL RESERVE	$4,068,817
OTHER CURRENT LIABILITIES	$7,463,263

Field	Value	IRS element (for citing)
Total Liability	$11,960,615	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	TEMPORARILY RESTRICTED CONTRIBUTIONS ARE TO SPECIFIC PURPOSE FUNDS. HOSPICE FUNDS ARE TO BE USED FOR THE EDUCATION OF STAFF, VOLUNTEER EXPENSES, AND FOR THE FUNDING OF ANNUAL BEREAVEMENT CAMPS; HOME CARE PATIENT NEED FUND PROVIDES MODEST AND TEMPORARY FINANCIAL ASSISTANCE TO PATIENTS AND THEIR CAREGIVERS IN ORDER TO IMPROVE PATIENT CARE, COMFORT, AND/OR SAFETY; AND CLINICAL EDUCATION EXCELLENCE INITIATIVE FUND IS FOR A NURSING SCHOLARSHIP INTIATIVE.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Recipient EIN	521271901	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,053,072	CashGrantAmt
Purpose Of Grant	CORPORATE ALLOCATION TO PARENT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. 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 WHO PROMOTE HEALTH WITHIN THE COMMUNITY. SUCH ORGANIZATIONS HAVE COMMUNITY BOARDS WHICH OVERSEE THE PROPER EXPENDITURES OF SUCH FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TERESA L EDWARDS
DIRECTOR (EFFEC 7/16)	$0	$373,255	$0	$158,587	$0	$53,051	$0	$93,529	$0	$20,979	$0	$699,401	$0	$18,845
HOWARD P KERN
DIRECTOR	$0	$1,292,371	$0	$892,734	$0	$243,832	$0	$1,897,938	$0	$20,705	$0	$4,347,580	$0	$0
DAVID L BERND
DIRECTOR/CHAIRMAN (THRU 7/16)	$0	$841,431	$0	$1,546,313	$0	$5,437,690	$0	$57,745	$0	$23,582	$0	$7,906,761	$0	$2,319,488
ROBERT A BROERMANN
DIRECTOR/TREASURER	$0	$761,691	$0	$577,570	$0	$164,519	$0	$52,625	$0	$18,730	$0	$1,575,135	$0	$0
MICHAEL V GENTRY
DIRECTOR/CHAIRMAN (EFFEC 7/16)	$0	$642,866	$0	$328,762	$0	$73,186	$0	$126,898	$0	$16,827	$0	$1,188,539	$0	$55,185
LINDA R HUFFER
DIRECTOR (EFFEC 7/16)/PRESIDENT	$257,249	$0	$78,859	$0	$2,323	$0	$52,645	$0	$2,673	$0	$393,749	$0	$0	$0
SAMUEL HAWLEY
ASSISTANT SECRETARY	$0	$136,906	$0	$20,284	$0	$2,316	$0	$13,208	$0	$10,275	$0	$182,989	$0	$0
JEFFREY P KING
SECRETARY	$0	$451,951	$0	$150,361	$0	$62,136	$0	$77,120	$0	$23,708	$0	$765,276	$0	$26,371
MONICA S HULLINGER
KE (VP, HOME CARE)	$168,849	$0	$52,462	$0	$645	$0	$23,788	$0	$26,830	$0	$272,574	$0	$0	$0
JAMES R SCHWAMBURGER
KE (DIRECTOR, PHARMACY OPS, SE)	$145,817	$0	$16,324	$0	$24,590	$0	$30,403	$0	$12,588	$0	$229,722	$0	$0	$0
MELISSA GALLEGOS
MANAGER, PHARMACY	$138,218	$0	$25,000	$0	$7,592	$0	$0	$0	$24,689	$0	$195,499	$0	$0	$0
EARL D MORRIS
MANAGER, PHARMACY	$145,086	$0	$10,337	$0	$8,571	$0	$25,539	$0	$7,530	$0	$197,063	$0	$0	$0
DONALD E LOVIS
PHYSICAL THERAPIST SE/RU	$134,975	$0	$219	$0	$838	$0	$8,783	$0	$17,976	$0	$162,791	$0	$0	$0
LAURA E BOROWSKI
TEAM COORDINATOR, PHARMACY	$132,441	$0	$2,615	$0	$383	$0	$36,100	$0	$8,354	$0	$179,893	$0	$0	$0
KIMBERLY A WALKER
CLINICAL PHARMACIST	$125,950	$0	$876	$0	$4,988	$0	$28,544	$0	$8,116	$0	$168,474	$0	$0	$0
GRACE R HINES
FORMER OFFICER	$0	$311,684	$0	$189,195	$0	$81,344	$0	$66,415	$0	$21,349	$0	$669,987	$0	$0
RUSSELL B BLOW
FORMER KE	$39,466	$0	$26,509	$0	$16,437	$29,284	$35,824	$0	$2,613	$1,816	$120,849	$31,100	$0	$0
ROBERT L SOUDERS
FORMER T5	$0	$126,590	$0	$16,288	$0	$10,665	$0	$32,813	$0	$18,858	$0	$205,214	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION STUDY.
PART I, LINES 4A-B	RECEIVED SEVERANCE, SUPPLEMENTAL RETIREMENT, EQUITY-BASED COMPENSATION: RUSSELL BLOW, FORMER KEY EMPLOYEE, RECEIVED $29,644 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND PARTICIPATED IN THE SENTARA OPTION PLAN FOR EXECUTIVES. THIS PLAN IS UNRELATED TO "EQUITY" OF THE EMPLOYER. PARTICIPATION IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF SENTARA HEALTHCARE AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. DURING 2016, MR. BERND RECEIVED $5,243,877 UPON EXERCISE OF OPTIONS GRANTED UNDER THE PLAN. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II. DAVID BERND, HOWARD KERN, ROBERT BROERMANN, MICHAEL GENTRY, TERESA EDWARDS, GRACE HINES, JEFFREY KING, AND LINDA HUFFER 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 2016 THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($115,509 ); ROBERT BROERMANN ($138,886); TERESA EDWARDS ($29,257); MICHAEL GENTRY ($58,192); GRACE HINES ($47,777); HOWARD KERN ($202,907); AND JEFFREY KING ($40,639). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	NON-FIXED COMPENSATON PAYMENTS: DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. PERFORMANCE PLUS - ELIGIBLE FULL-TIME AND PART-TIME EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN MAY EARN ADDITIONAL COMPENSATION IF THEIR BUSINESS UNIT MEETS FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE GOALS, AND THE SYSTEM NET OPERATING MARGIN GOAL HAS BEEN MET. INDIVIDUAL PAYOUT IS BASED ON JOB CLASSIFICATION, BUSINESS UNIT GOAL SUCCESS AND PERCENTAGE OF POOL AVAILABLE FOR DISTRIBUTION. GOALS AND THE PERCENTAGE OF POOL AVAILABLE FOR DISTRIBUTION ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AS DETERMINED BY THE BOARD; BUSINESS UNIT RESULTS FOR FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE; AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

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FORM 990, PART III, LINE 4:	SENTARA HEALTHCARE I. SENTARA HEALTHCARE - YOUR NOT FOR PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE BASED IN NORFOLK, VA, CELEBRATES MORE THAN 128 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, ALABAMA AND OHIO, AND A TEAM OF PROFESSIONALS NEARLY 30,000 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 2016, SENTARA COMMUNITY BENEFIT REACHED $341,145,000. SENTARA PROVIDED $310,123,000 IN NET UNCOMPENSATED PATIENT CARE; $18,923,000 IN MEDICAL EDUCATION; AND $12,099,000 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 FUNDED 31 COMMUNITY GRANTS IN 2016 TOTALING $580,000. THE RMH FOUNDATION FUNDED 7 COMMUNITY HEALTH GRANTS, AWARDING $87,000. ADDITIONALLY, THEY PROVIDED FUNDING FOR THE NEW HYBRID OPERATING ROOM AND CREATED A NEW FUND TO PROVIDE PREVENTIVE SCREENINGS FOR CANCER PATIENTS IN THE COMMUNITY. THE MARTHA JEFFERSON HOSPITAL FOUNDATION RAISED FUNDS TO SUPPORT WOMEN'S HEALTH IN THE COMMUNITY. ALL THREE FOUNDATIONS RALLIED AROUND SUPPORT FOR NURSING EXCELLENCE AND INNOVATION, FUNDING 168 SCHOLARSHIPS FOR REGISTERED NURSES WHO ARE PURSUING THEIR BACHELORS OF SCIENCE IN NURSING. 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 2016, THE HOPE FUND AWARDED $183,743 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 2016: -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. -CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAICHI AND YOGA. -THE FLU PATROL ADMINISTERED A TOTAL OF 5,802 IMMUNIZATIONS. 5,124 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 - HEALTH PLAN MEMBERS. -THE TOBACCO CESSATION PROGRAM CREATED SEVERAL NEW LITERATURE PIECES FOR THE GREAT AMERICAN SMOKEOUT. 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, 18,720 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 21,549 REGISTERED MEMBERS OF WHICH 15,076 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: DON'T SIT ON COLON CANCER. THROUGH THE SENTARA CANCER NETWORK, WE HOSTED A 5K AT SENTARA PRINCESS ANNE HOSPITAL IN VIRGINIA BEACH. THROUGH SENTARA HEART, WE PROMOTED THE "28 DAYS OF HEART" IN FEBRUARY, 2016 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, ALABAMA 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 2016 INCLUDED THE FOLLOWING: A. SENTARA QUALITY CARE NETWORK (SQCN): SQCN IS A CLINICALLY INTEGRATED NETWORK (CIN) SERVING THE COMMUNITIES OF HAMPTON ROADS, CHARLOTTESVILLE AND HARRISONBURG REGIONS IN VIRGINIA. SQCN IS A COLLABORATION AMONG INDEPENDENT/PRIVATE PRACTICE AND EMPLOYED PHYSICIANS AND A HOSPITAL OR HEALTH SYSTEM, TO DEVELOP A CLINICAL INTEGRATION PROGRAM; A CLINICAL INTEGRATION PROGRAM IS AN ACTIVE AND ONGOING PROGRAM OF CLINICAL INITIATIVES TO IMPROVE THE QUALITY AND DELIVERY OF HEALTH CARE SERVICES, LEADING TO GREATER EFFICIENCY IN CARE DELIVERY AND COST SAVINGS. THE SENTARA QUALITY CARE NETWORK INCREASED TO 2,981 PROVIDERS (2,754 IN 2015) AND 67,573 PATIENTS (30,647 IN 2015) ACROSS VIRGINIA. B. SENTARA DEVELOPED THE FIRST EVER SYSTEM-WIDE BEHAVIORAL HEALTH STRATEGIC PLAN. THE PLAN PROVIDES THE STRATEGIC DIRECTION FOR THE COMPANY AS TO HOW TO PROVIDE APPROPRIATE, COMPASSIONATE, AND TIMELY CARE TO A VULNERABLE POPULATION OF PATIENTS AND MEMBERS. SENTARA VIRGINIA BEACH GENERAL HOSPITAL, LOCATED IN VIRGINIA BEACH, VIRGINIA, AND SENTARA OBICI HOSPITAL, LOCATED IN SUFFOLK, VIRGINIA, INCREASED THEIR BEHAVIORAL HEALTH ADMISSIONS BY 10+%. IV. NEW INITIATIVES A. SENTARA JOINED SIXTEEN OTHER HEALTHCARE INSTITUTIONS TO COLLABORATE WITH IBM'S WATSON HEALTH IN A LARGE - SCALE MEDICAL IMAGING EFFORT TO IMPROVE PATIENT DIAGNOSIS AND CARE. IBM WATSON HEALTH IS A TECHNOLOGY PLATFORM THAT USES NATURAL LANGUAGE PROCESSING MACHINE LEARNING TO REVEAL INSIGHTS FROM LARGE AMOUNTS OF UNSTRUCTURED DATA. B. SENTARA KICKED OFF THE IMPLEMENTATION OF TWO EPIC PRODUCTS, "PRELUDE AND "RESOLUTE." PRELUDE IS THE EPIC SYSTEM RELATED TO REGISTRATION AND RESOLUTE IS THE BILLING SYSTEM. THIS IMPLEMENTATION WILL TAKE PLACE SYSTEM-WIDE OVER THE NEXT SEVERAL YEARS.
FORM 990, PART III, LINE 4A	C. SENTARA EXPANDED OUR TELEHEALTH SERVICES THROUGHOUT THE SYSTEM. SENTARA PRINCESS ANNE HOSPITAL, LOCATED IN VIRGINIA BEACH, VIRGINIA, INSTALLED A "VIRTUAL VISITATION" SERVICE IN ITS NEONATAL INTENSIVE CARE UNIT TO CONNECT REMOTE FAMILY MEMBERS WITH PATIENTS. SENTARA EXPANDED ITS EICU REMOTE MONITORING SYSTEM FOR ICU BEDS AT SENTARA OBICI HOSPITAL, LOCATED IN SUFFOLK, VIRGINIA. A TOTAL OF 119 ICU BEDS IN SEVERAL HOSPITALS HAVE ACCESS TO THE REMOTE MONITORING SYSTEM. TELESTROKE WAS INTRODUCED AT SENTARA ALBEMARLE MEDICAL CENTER, LOCATED IN ELIZABETH CITY, NORTH CAROLINA. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, LOCATED IN WILLIAMSBURG, VIRGINIA, EXPANDED INPATIENT TELENEUROLOGY SERVICES. SENTARA EXPANDED ITS TELEPSYCH SERVICES TO SIX EMERGENCY DEPARTMENTS TO REMOTELY ASSESS PSYCHIATRIC PATIENTS. MORE THAN HALF OF THE PSYCHIATRIC EVALUATIONS IN SENTARA EMERGENCY ROOMS ARE PERFORMED BY VIRTUAL TECHNOLOGIES. TELEMAGISTRATE SERVICES WERE EXPANDED TO SENTARA NORFOLK GENERAL HOSPITAL, LOCATED IN NORFOLK, VIRGINIA AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, LOCATED IN WILLIAMSBURG, VIRGINIA ALLOWING MAGISTRATES TO REMOTELY CONNECT WITH PSYCHIATRIC EVALUATORS TO DETERMINE IF EMERGENCY OR TEMPORARY DETENTION ORDERS SHOULD BE ISSUED FOR PATIENTS. D. SENTARA VOLUNTARILY BECAME A PARTICIPANT IN THE CMS BUNDLED PAYMENT FOR CLINICAL IMPROVEMENT PROGRAM (BPCI) AND PARTNERED WITH SQCN TO DEVELOP CRITICALLY IMPORTANT MULTI-DISCIPLINARY AND MULTI-DIVISION 90 DAY PLANS FOR CARE FOR THE EFFECTIVE MANAGEMENT OF PATIENTS FOLLOWING TRANSITION FROM A HOSPITAL WITH SPECIFIC ATTENTION TO CARE IN THE POST - ACUTE AND AMBULATORY VENUES. E. IN ITS SECOND YEAR, CLINICAL PERFORMANCE IMPROVEMENT (CLINICAL PI), AN INITIATIVE TO DRIVE CHANGE AND CREATE RAPID PROCESS IMPROVEMENT IN TARGETED CLINICAL AREAS, RESULTED IN ALL 8 FOCUS AREAS EXCEEDING THEIR GOALS, BUT MORE IMPORTANTLY, MADE AN INCREDIBLE POSITIVE IMPACT ON QUALITY AND OUTCOMES COLLECTIVELY IMPACTING MORE THAN 750,000 PATIENTS AND MEMBERS. V. OFFERING NEW PROCEDURES AND TECHNOLOGIES CLINICAL BREAKTHROUGHS: SENTARA INTRODUCED MANY NEW CLINICAL BREAKTHROUGHS THAT BENEFITED THE PATIENT IN MANY AREAS OF CARE, INCLUDING CARDIAC AND VASCULAR. A. CARDIAC: I. SENTARA CARDIAC SPECIALISTS PLACED HAMPTON ROADS' (SOUTHEASTERN VIRGINIA) FIRST DISSOLVABLE STENT AT SENTARA HEART HOSPITAL. "ABSORB" IS THE FIRST FULLY DISSOLVING DEVICE OF ITS KIND - A DRUG ELUTING CORONARY STENT THAT DISSOLVES, COMPLETELY AND NATURALLY, IN THE BODY OVER TIME. THE DEVICE DISAPPEARS IN APPROXIMATELY THREE YEARS, ONCE IT HAS DONE THE JOB OF KEEPING A CLOGGED ARTERY OPEN AND PROMOTING HEALING OF THE ARTERY. II. SENTARA HEART HOSPITAL IS THE FIRST HOSPITAL IN HAMPTON ROADS (SOUTHEASTERN VIRGINIA) AND THE SECOND IN VIRGINIA TO IMPLANT THE WORLD'S SMALLEST PACEMAKER, MICRA TRANSCATHETER PACING SYSTEM (TPS). THE MICRA DEVICE IS MUCH SMALLER THAN A TRADITIONAL PACEMAKER, COMPARABLE IN SIZE TO A LARGE VITAMIN. THE SMALL SIZE ALLOWS THE DEVICE TO BE DELIVERED THROUGH A CATHETER AND IMPLANTED DIRECTLY INTO THE HEART, WITHOUT THE NEED FOR CARDIAC WIRE LEADS. B. VASCULAR: THE VEIN CENTER OF VIRGINIA, OPERATED BY SENTARA MEDICAL GROUP, BECAME THE FIRST CIVILIAN MEDICAL CENTER IN SOUTHEAST VIRGINIA TO USE THE VENASEAL CLOSURE SYSTEM TO TREAT VARICOSE VEINS - VENOUS REFLUX DISEASE -A CONDITION AFFECTING MORE THAN 30 MILLION AMERICANS. THE VENASEAL SYSTEM IS A NEW, MINIMALLY INVASIVE PROCEDURE PROVEN TO TREAT VENOUS REFLUX DISEASE. THE DISEASE OCCURS WHEN VALVES IN THE VEINS OF THE LOWER LEG NO LONGER FUNCTION PROPERLY. BLOOD REFLUXES (FLOWS BACKWARD), RESULTING IN VARICOSE VEINS AND OTHER SYMPTOMS. 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 2016, SENTARA MARKED FURTHER PROGRESS TOWARD ACHIEVING OUR GOAL OF 80% OF SENTARA NURSES HAVING A BSN BY 2020. IN 2016 SENTARA HAD 56.4% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 19.6% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. SENTARA IS MOVING THE NEEDLE ON THIS MEASURE AND THE SENTARA FOUNDATIONS ARE AN ENORMOUS SUPPORT. ALL SENTARA FOUNDATIONS RALLIED AROUND ADVANCING NURSING EDUCATION BY FUNDING 168 SCHOLARSHIPS IN 2016 FOR RNS WHO ARE PURSUING THEIR BSN. VII. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. HERE ARE A FEW EXAMPLES OF OUR WORK WITHIN THE RESEARCH REALM: A. COPPER: SENTARA CONDUCTED THE WORLD'S LARGEST STUDY ON THE USE OF COPPER INFUSED MATERIALS (SHEETS, BLANKETS, PILLOW CASES, GOWNS, TOWELS, WASHCLOTHS, BEDSIDE TABLES, HANDRAILS AND OTHER SURFACES) IN REDUCING HOSPITAL ACQUIRED INFECTIONS. A 10-MONTH CLINICAL TRIAL AT SENTARA LEIGH HOSPITAL DETERMINED THAT HARD SURFACES AND LINENS INFUSED WITH COPPER OXIDE COMPOUNDS CONTRIBUTED TO A STATISTICALLY SIGNIFICANT REDUCTION IN C-DIFFICILE, MULTI-DRUG RESISTANT ORGANISMS AND HOSPITAL ACQUIRED INFECTIONS. THESE RESULTS OCCURRED IN A HOSPITAL WITH A ROBUST PROTOCOL FOR MANAGING INFECTION RISK CERTIFIED BY THE HEALTH CARE ACCREDITING BODY DNV-GL HEALTHCARE. RESULTS OF THE TRIAL WERE PUBLISHED IN THE PEER-REVIEWED AMERICAN JOURNAL OF INFECTION CONTROL ON SEPTEMBER 28, 2016. THE RESULTS WERE ASTOUNDING AND SENTARA IS NOW PLACING THESE MATERIALS IN ALL 12 HOSPITALS. B. 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 NO. 1 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. C. CANCER: WITHIN THE SENTARA CANCER NETWORK, CLINICIANS AND ACADEMIC RESEARCHERS WORK TOGETHER TO ELEVATE CARE FOR CURRENT AND FUTURE PATIENTS. THIS COLLABORATIVE PHILOSOPHY FOSTERS INNOVATION IN THE NETWORK AND DRIVES ACCESS TO CLINICAL TRIAL OPTIONS FOR OUR PATIENTS. OUR PARTICIPATION IN CLINICAL TRIALS AND RESEARCH ALSO CONTRIBUTES TO CANCER STUDIES VIA TISSUE DONATION, RETROSPECTIVE CHART STUDIES AND CONTROL GROUP PARTICIPATION. THROUGH COLLABORATION WITH THE NCI NATIONAL CLINICAL TRIALS NETWORK (NCTN), THE ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY AND NRG ONCOLOGY, OUR PHYSICIANS HAVE ACCESS TO THE SCIENCE TO DEVELOP OPTIMAL TREATMENT AND PREVENTION STRATEGIES FOR CANCER, AS WELL AS RESEARCH METHODS TO ALLEVIATE SIDE EFFECTS OF CANCER AND CANCER TREATMENTS. THERE ARE PROMISING CLINICAL TRIALS BEING CONDUCTED ALL OVER THE COUNTRY FOR PATIENTS WITH CANCER, AND BY MAKING THEM ACCESSIBLE LOCALLY, WE DEMONSTRATE THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER PRINCIPLE TO DELIVER QUALITY CARE CLOSE TO HOME. OUR CLINICAL TRIALS INCLUDE EFFICACY AND SAFETY TRIALS FOR INVESTIGATIONAL BIOLOGICS; COMBINATION TRIALS FOR ONCOLOGY DRUGS; SURGICAL AND RADIATION THERAPY RESEARCH TRIALS; ADJUVANT AND MAINTENANCE DRUG TRIALS, POSTOPERATIVE ONCOLOGY OPTIONS; AND RETROSPECTIVE CHART REVIEWS. THE SENTARA CANCER NETWORK CURRENTLY MAINTAINS ACADEMIC RESEARCH PARTNERSHIPS WITH EASTERN VIRGINIA MEDICAL SCHOOL AND GEORGE MASON UNIVERSITY. VIII. BUILDING FOR THE FUTURE A. SENTARA NORTHERN VIRGINIA MEDICAL CENTER, LOCATED IN WOODBRIDGE, VIRGINIA, OPENED A DEDICATED ELECTROPHYSIOLOGY LAB IN THE SENTARA HEART AND VASCULAR CENTER. SENTARA MEDICAL GROUP INTRODUCED A NEW PRIMARY CARE LOCATION, SENTARA FAMILY MEDICINE PHYSICIANS, IN DUMFRIES, VIRGINIA AND ACQUIRED AN INDEPENDENT PRIMARY CARE PRACTICE IN LAKE RIDGE RESULTING IN THE OPENING OF SENTARA FAMILY AND INTERNAL MEDICINE PHYSICIANS.
FORM 990, PART III, LINE 4A	B. SENTARA RMH MEDICAL CENTER (SRMH), LOCATED IN HARRISONBURG, VIRGINIA, IMPLEMENTED SENTARA ECARE AND MYCHART, THE EPIC ELECTRONIC MEDICAL RECORD USED THROUGHOUT SENTARA. SENTARA RMH MEDICAL CENTER OPENED THE SENTARA ROCKINGHAM ORTHOPEDICS CENTER, A NEW BUILDING ON THE HOSPITAL CAMPUS. SRMH COMPLETED THE CONSTRUCTION OF THE NEW HYBRID CARDIAC OPERATING ROOM IN SUPPORT OF THE STRUCTURAL HEART PROGRAM LAUNCH IN 2017. SRMH ALONG WITH CARILION CLINIC BROKE GROUND ON THE FUTURE BRIDGEWATER HEALTH CENTER. THE FACILITY WILL HOUSE SENTARA LAB SERVICES, SENTARA THERAPY SERVICES, AND SENTARA IMAGING SERVICES. CARILION WILL MOVE ITS BRIDGEWATER FAMILY MEDICINE CLINIC TO THIS NEW FACILITY ONCE COMPLETE. ADDITIONALLY, SRMH MEDICAL GROUP OPENED A PRIMARY CARE PRACTICE AT THE SENTARA EAST MARKET STREET HEALTH CENTER. SENTARA RMH MEDICAL GROUP OPENED SENTARA RMH TIMBER WAY HEALTH CENTER AND COMBINED THE OPERATIONS OF PRIMARY CARE CLINICS IN BROADWAY AND TIMBERVILLE IN A NEW STATE OF THE ART FACILITY. C. SENTARA MARTHA JEFFERSON HOSPITAL (SMJH), LOCATED IN CHARLOTTESVILLE, VIRGINIA, IMPLEMENTED SENTARA ECARE AND MYCHART, THE EPIC ELECTRONIC MEDICAL RECORD USED THROUGHOUT SENTARA. SMJH INTRODUCED A NEW HELIPAD IN JULY 2016. THE MEDEVAC SERVICE WILL ALLOW FASTER TRANSPORT TO SMJH FOR CRITICALLY ILL PATIENTS, INCLUDING PATIENTS EXPERIENCING A STROKE OR HEART ATTACK. WITH THE NEW HELIPAD, TRAINED PERSONNEL WILL BE ABLE TO BRING PATIENTS VIA HELICOPTER DIRECTLY TO THE EMERGENCY DEPARTMENT FROM OUTLYING COUNTIES WHERE SERVICES ARE NOT READILY AVAILABLE. ADDITIONALLY, SMJH INTRODUCED NEURO-INTERVENTIONAL RADIOLOGY, WHICH CAN BE USED TO TREAT SEVERE STROKES AND OTHER ACUTE ENDOVASCULAR ISSUES. SMJH LAUNCHED AN ADVANCED ENDOSCOPY PROGRAM THROUGH THE ADDITION OF A HIGHLY SKILLED GASTROENTEROLOGIST, GREATLY EXPANDING THE SERVICES AVAILABLE TO PATIENTS. THE SMJH BARIATRIC CARE CENTER WAS AWARDED FULL ACCREDITATION AS A COMPREHENSIVE BARIATRIC CARE CENTER FROM THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM. THROUGH THE SENTARA CANCER NETWORK, SMJH INTRODUCED LOW-DOSE CT LUNG SCREENINGS FOR THE EARLY DETECTION OF LUNG CANCER. FINALLY, SMJH INTRODUCED A NEW WALK-IN SPORTS INJURY CLINIC SPECIALIZING IN SPORTS MEDICINE WITH THE ABILITY TO CARE FOR ATHLETES OF ALL AGES AND ABILITIES. D. HAMPTON ROADS (SOUTHEASTERN VIRGINIA): I. SENTARA HEART AT SENTARA PRINCESS ANNE HOSPITAL, LOCATED IN VIRGINIA BEACH, VIRGINIA, LAUNCHED THE DR. DEAN ORNISH HEART REVERSAL PROGRAM FOR CARDIAC DISEASE PATIENTS. THIS PROGRAM HAS BEEN CLINICALLY SHOWN TO REVERSE THE EFFECTS OF HEART DISEASE. SENTARA PRINCESS ANNE HOSPITAL IS THE FIRST TO OFFER THIS PROGRAM IN VIRGINIA. SENTARA PRINCESS ANNE HOSPITAL RECEIVED CERTIFICATE OF PUBLIC NEED (COPN) APPROVAL FOR 14 ADDITIONAL INPATIENT BEDS BRINGING THE INPATIENT BED COUNT TO 174 FROM THE ORIGINAL 160 BEDS WHEN IT OPENED IN 2011. TEN OBSERVATIONAL BEDS ALSO WILL BE PUT INTO PLACE. SENTARA PRINCESS ANNE HOSPITAL INTRODUCED A NEW SENTARA BACK & NECK CENTER. SENTARA PRINCESS ANNE HOSPITAL WAS AWARDED MAGNET STATUS IN NURSING - THE SIXTH HOSPITAL IN SENTARA TO ACHIEVE THIS DISTINCTION. II. SENTARA VIRGINIA BEACH GENERAL HOSPITAL, LOCATED IN VIRGINIA BEACH, VIRGINIA, OPENED THE SENTARA WOMEN'S HEALTH CENTER, WHICH IS A MULTI-DISCIPLINARY SERVICE FOCUSED ON THE UNIQUE HEALTH NEEDS OF WOMEN OF ALL AGES. THE CENTER IS DEDICATED TO PROVIDING WOMEN WITH SEAMLESS AND CONVENIENT ACCESS TO QUALITY MEDICAL CARE AND A VARIETY OF SPECIALIZED WOMEN'S HEALTHCARE SERVICES. III. SENTARA NORFOLK GENERAL HOSPITAL, LOCATED IN NORFOLK, VIRGINIA, KICKED OFF THE $199M, 5 YEAR EXPANSION AND MODERNIZATION PROJECT TO BRING FACILITIES UP TO MODERN STANDARDS AND ENHANCE THE OFFERINGS OF THIS MID-ATLANTIC MEDICAL DESTINATION CENTER. THE PROJECT WILL ADD THREE FLOORS, EXPAND THE EMERGENCY DEPARTMENT, EXPAND AND MODERNIZE 18 OPERATING ROOMS, REPLACE A 48 BED WARD STYLE SPECIAL CARE NURSERY WITH A STATE OF THE ART UNIT AND CONSOLIDATE THE HOSPITAL'S 54 ICU BEDS ON TWO FLOORS. SENTARA NORFOLK GENERAL HOSPITAL INTRODUCED A NEW SENTARA BACK & NECK CENTER. IV. SENTARA LEIGH HOSPITAL, LOCATED IN NORFOLK, VIRGINIA, COMPLETED ITS MULTI - YEAR CONSTRUCTION PROJECT RESULTING IN THE RENOVATION OF THE SURGERY RELATED DEPARTMENTS, EXPANDING THE EMERGENCY DEPARTMENT TO 34 BEDS FROM 21, AND TWO NEW FIVE-STORY PATIENT TOWERS. V. SENTARA OBICI HOSPITAL, LOCATED IN SUFFOLK, VIRGINIA, RECEIVED CERTIFICATE OF PUBLIC NEED (COPN) APPROVAL FOR STEREOTACTIC RADIOSURGERY, WHICH IS A MINIMALLY INVASIVE FORM OF RADIATION ONCOLOGY THAT USES A THREE-DIMENSIONAL COORDINATES SYSTEM TO LOCATE SMALL TARGETS INSIDE THE BODY. IMPLEMENTATION WILL TAKE PLACE IN QUARTER 2, 2017. VI. SENTARA CAREPLEX HOSPITAL, LOCATED IN HAMPTON, VIRGINIA, RECEIVED CERTIFICATE OF PUBLIC NEED (COPN) APPROVAL TO INTRODUCE OBSTETRIC SERVICES. ORTHOPEDIC HOSPITAL AT SENTARA CAREPLEX, LOCATED IN HAMPTON, VIRGINIA, INTRODUCED THE SENTARA BACK & NECK CENTER. THIS SPECIALIZED PROGRAM BRINGS TOGETHER A TEAM INCLUDING EXPERT SURGEONS WITH CARING AND SPECIALLY TRAINED NURSES, THERAPISTS AND OTHER HEALTH PROFESSIONALS. VII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER (SWRMC), LOCATED IN WILLIAMSBURG, VIRGINIA, EXPANDED INPATIENT TELENEUROLOGY SERVICES. ADDITIONALLY, TELEMAGISTRATE SERVICES ARE NOW AVAILABLE AT SWRMC ALLOWING MAGISTRATES TO REMOTELY CONNECT WITH PSYCHIATRIC EVALUATORS TO DETERMINE IF EMERGENCY OR TEMPORARY DETENTION ORDERS SHOULD BE ISSUED FOR PATIENTS. VIII. SENTARA ALBEMARLE MEDICAL CENTER (SAMC), LOCATED IN ELIZABETH CITY, NC, NOW PROVIDES LOW-DOSE CT LUNG SCREENING FOR THE EARLY DETECTION OF LUNG CANCER IN DEFINED POPULATIONS. SAMC BEGAN CONSTRUCTION ON THE $1M ORTHOPEDIC CENTER THAT WILL INCLUDE THE FUTURE SENTARA ORTHOJOINT CENTER, SENTARA SPORTS MEDICINE AND ORTHOPEDIC PHYSICIAN OFFICES. SAMC KICKED OFF ITS EPIC ELECTRONIC MEDICAL RECORD IMPLEMENTATION AND EXPECTS TO LAUNCH SENTARA ECARE AND MYCHART IN OCTOBER, 2017. SAMC LAUNCHED THE "MEDS TO BEDS" PROGRAM, WHICH FULFILLS MEDICATION PRESCRIPTIONS TO PATIENTS BEFORE THEY LEAVE THE HOSPITAL. THIS WILL ENHANCE MEDICATION COMPLIANCE WITH THE AIM OF ASSURING A STRONG RECOVERY AND REDUCING THE OPPORTUNITY FOR READMISSION. IX. SENTARA LAUNCHED THE SENTARA REGIONAL TRANSFER CENTER, WHICH IS A CENTRALIZED RESOURCE DEVELOPED TO FACILITATE TRANSFERS OF APPROPRIATE PATIENTS FOLLOWING THE PRINCIPLE OF RIGHT PLACE, RIGHT TIME, RIGHT LEVEL OF CARE TO PARTICIPATING SENTARA HOSPITALS WITHIN HAMPTON ROADS (SOUTHEASTERN VIRGINIA.) THE CENTER SERVICES 8 SENTARA HOSPITALS AND 3 SENTARA OUTPATIENT EMERGENCY DEPARTMENTS.
FORM 990, PART III, LINE 4A	E. SOUTH BOSTON/HALIFAX: SENTARA HALIFAX REGIONAL HOSPITAL, LOCATED IN SOUTH BOSTON, VIRGINIA, OPENED THE 10TH SENTARA ORTHOJOINT CENTER IN THE SENTARA SYSTEM. SENTARA CLARKSVILLE FAMILY MEDICINE EXPANDED THEIR PRACTICE TO BETTER SERVE THE RESIDENTS OF MECKLENBURG COUNTY. THIS EXPANSION ALLOWS FOR GROWTH OF THE EXISTING PRIMARY CARE PRACTICE AS WELL AS FOR SPECIALISTS TO COME TO THE PRACTICE AND PROVIDE APPOINTMENTS TO MECKLENBURG COUNTY RESIDENTS IN A MORE CONVENIENT LOCATION. SENTARA HALIFAX PEDIATRICS IS THE FIRST PRACTICE IN SENTARA TO INTRODUCE "BABY BOX", A STARTER KIT FOR NEW BABIES WITH THE AIM OF REDUCING INFANT MORTALITY THROUGH THE PROVISION OF INFANT CARE ITEMS AND WITH EDUCATION OF PROPER SLEEP PRACTICES. F. SENTARA ENTERPRISES: SENTARA HOME CARE SERVICES OF ALLEGHANY, VIRGINIA AND ELIZABETH CITY, NC, WERE EACH NAMED AS A TOP AGENCY OF THE 2016 HOME CARE ELITE. THIS AWARD RECOGNIZES THE TOP-PERFORMING HOME HEALTH AGENCIES IN THE UNITED STATES. SENTARA HOME CARE SERVICES INTRODUCED PITCH (PROMOTING INDEPENDENCE THROUGH CARE AT HOME) TO REDUCE READMISSIONS IN THE HOME HEALTH POPULATION. SENTARA ENTERPRISES SUCCESSFULLY DESIGNED, BUILT AND HIRED STAFF TO OPEN "PROPRIUM PHARMACY", THE SENTARA SPECIALTY PHARMACY. THIS SPECIALTY PHARMACY WILL ENHANCE CARE COORDINATION AND REDUCE COSTS FOR THESE HIGH COST, COMPLEX DRUGS THAT MAY REQUIRE UNIQUE ADMINISTRATION. 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 2016, SENTARA LIFE CARE CELEBRATED THE 20TH ANNIVERSARY OF PACE. 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. SENTARA PACE IS OFFERED IN NORFOLK, VIRGINIA BEACH, CHESAPEAKE, SUFFOLK AND PORTSMOUTH. SENTARA LIFE CARE ACHIEVED NICHE (NURSING IMPROVING CARE FOR HEALTHSYSTEM ELDERS) CERTIFICATION. H. SENTARA MEDICAL GROUP (900+ PROVIDERS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA): I. EASE OF PATIENT ACCESS AND GROWING OUR SERVICES ARE MAJOR AREAS OF FOCUS FOR SENTARA MEDICAL GROUP (SMG). SMG LAUNCHED AN IMPROVED PRIMARY CARE ONLINE SCHEDULING TOOL FOR NEW PATIENTS VIA WWW.SENTARA.COM. THIS ENHANCED ACCESS POINT GIVES CONSUMERS DIRECT LINE OF SITE TO AVAILABLE APPOINTMENT TIMES AND LOCATIONS. IN THE SPIRIT OF TRANSPARENCY AND GIVING THE CUSTOMER WHAT THEY ARE ASKING FOR, SMG NOW POSTS PROVIDER REVIEWS ONLINE VIA WWW.SENTARA.COM. THESE STAR RATINGS ARE THE RESULT OF SURVEYS TAKEN BY PATIENTS SEEN IN THE OFFICE BY A PROVIDER. IX. 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 2016 AWARDS AND RECOGNITIONS: I. FOR THE 16TH 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' EDITION AND IMPROVED ITS RANKING FROM 41ST IN 2014 TO 31ST IN 2015 TO #24 IN 2016. DIABETES AND ENDOCRINOLOGY AT SENTARA NORFOLK GENERAL HOSPITAL, A SPECIALTY AT EASTERN VIRGINIA MEDICAL SCHOOL, IS RANKED #24. II. SENTARA LEIGH HOSPITAL WAS NAMED BY BECKER'S HOSPITAL REVIEW AS ONE OF ITS "100 HOSPITALS WITH GREAT ORTHOPEDIC PROGRAMS" FOR 2016. THE LIST HIGHLIGHTS NATIONALLY LEADING PROGRAMS IN ORTHOPEDIC CARE AND THE ORGANIZATIONS INCLUDED HAVE RECEIVED RECOGNITION FOR EXCELLENCE FROM VARIOUS PUBLICATIONS, INDUSTRY-LEADING ORGANIZATIONS AND ACCREDITING ORGANIZATIONS. III. SENTARA HALIFAX REGIONAL HOSPITAL (SHRH) IS ONE OF SEVEN HOSPITALS IN VIRGINIA AND MARYLAND TO RECEIVE THE VHQC'S 2015 QUALITY INNOVATION AWARD. VHQC IS A NONPROFIT HEALTH QUALITY CONSULTING COMPANY THAT STUDIES HOSPITAL PERFORMANCE. THE AWARD RECOGNIZES HOSPITALS THAT ARE ACHIEVING REDUCTIONS IN HOSPITAL-ACQUIRED INFECTIONS (HAIS) AND CREATING A CULTURE OF PATIENT SAFETY. ALL HOSPITALS CONSIDERED FOR THIS AWARD WERE ENROLLED IN THE VHQC MARYLAND-VIRGINIA HAI IMPROVEMENT NETWORK AND WERE ELIGIBLE BASED ON THEIR PERFORMANCE IN 2015. IV. SENTARA HEALTHCARE WAS THE FIRST HEALTH CARE SYSTEM IN THE U.S. TO RECEIVE MULTI-SITE CERTIFICATION IN THE ISO 9001 QUALITY MANAGEMENT SYSTEM FROM OUR ACCREDITING BODY, DNV-GL. THE CERTIFICATION VALIDATES SENTARA PROCESSES AND PROMOTES ACCOUNTABILITY. IT REFLECTS OUR FOCUS ON THE PATIENTS AND OUR COMMITMENT TO REDUCE VARIABILITY AND INCREASE CONSISTENCY THROUGH RAPID DEPLOYMENT OF BEST PRACTICES ACROSS THE SYSTEM. V. SENTARA ALBEMARLE MEDICAL CENTER (SAMC) WAS SELECTED AS ONE OF THE 2016 TOP 100 RURAL & COMMUNITY HOSPITALS. THE SELECTION OF HOSPITALS IS BASED ON IVANTAGE'S HOSPITAL STRENGTH INDEX(R) - AN ANALYSIS OF MORE THAN 70 DIFFERENT PERFORMANCE MEASURES INCLUDING QUALITY, OUTCOMES, PATIENT PERSPECTIVE, AFFORDABILITY, POPULATION RISK AND EFFICIENCY. DATA USED IN THE ANALYSIS IS GATHERED FROM PUBLICALLY AVAILABLE SOURCES, WHICH IS USED TO COMPARE THE PERFORMANCE OF HOSPITALS NATIONWIDE. THE RESULTS DEMONSTRATE THE HARD WORK OF THE SAMC PROVIDERS AND STAFF TO DELIVER A CRITICAL SERVICE OF QUALITY HEALTHCARE TO THE COMMUNITIES THEY SERVE. VI. THE RESPECTED PEER-REVIEWED JOURNAL MEDICAL LABORATORY OBSERVER NAMED SENTARA LAB SERVICES 'LAB OF THE YEAR' FOR 2016. THE SENTARA LAB SERVICES (SLS) TEAM OFFERED A COMPELLING NOMINATION COVERING SIX REQUIRED CATEGORIES: CUSTOMER SERVICE, PRODUCTIVITY, TEAMWORK, EDUCATION AND TRAINING, STRATEGIC OUTLOOK AND INSPECTION RESULTS. WHILE MANY LAB TESTS ARE PERFORMED FOR HOSPITAL INPATIENTS, THERE IS ALSO SIGNIFICANT USE OF LABS BY OUTPATIENTS. VII. EIGHT SENTARA HOSPITALS EARNED THE HIGHEST GRADE OF "A" FOR DELIVERING SAFE CARE FOR PATIENTS ACCORDING TO THE LEAPFROG HOSPITAL SAFETY SCORE (2016) INCLUDING: SENTARA CAREPLEX HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA MARTHA JEFFERSON HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA PRINCESS ANNE HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. VIII. THE PRESTIGIOUS TRUVEN HEALTH 100 TOP HOSPITALS ANNUAL AWARDS PROGRAM HAS NAMED SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AS ONE OF THE HIGHEST-PERFORMING HOSPITALS IN THE NATION. USING INDEPENDENT PUBLIC DATA AND PROPRIETARY ANALYTICS, THE 100 TOP HOSPITALS STUDY RECOGNIZES HOSPITALS THAT HAVE CLEARLY DEMONSTRATED THE VISION TO DEVELOP LONG-TERM EXCELLENCE IN CARE, EFFICIENCY, AND COMMUNITY VALUE. AS A 2016 AWARD WINNER, OUR LEADERSHIP TEAM, MEDICAL STAFF, AND EMPLOYEES - TOGETHER AS A TEAM - HAVE MET NATIONAL BENCHMARKS FOR THE HIGHEST-BALANCED PERFORMANCE IN THE U.S. IX. OPTIMA HEALTH WAS VERY PLEASED TO HAVE RECEIVED AN OVERALL STAR RATING OF 4.5 OUT OF 5 FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FOR ITS 2017 MEDICARE ADVANTAGE PLAN AND PRESCRIPTION DRUG PLAN KNOW AS OPTIMA MEDICARE. ADDITIONALLY, OPTIMA MEDICARE WAS ALSO LISTED IN THE U.S. NEWS BEST MEDICARE ADVANTAGE PLANS 2017. B. SENTARA PRINCESS ANNE 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. X. OPTIMA HEALTH PROGRAM AND PRODUCT DEVELOPMENT: THROUGH AN EXTENSIVE COMMONWEALTH OF VIRGINIA RFP PROCESS OPTIMA HEALTH WAS AWARDED PARTICIPATION IN VIRGINIA'S NEW MLTSS (MANAGED LONG TERM SERVICES AND SUPPORT) INITIATIVE, ONE OF SEVEN HEALTH PLANS SELECTED TO SERVE SIX REGIONS THROUGHOUT THE STATE OF VIRGINIA. LAUNCH IS SLATED FOR AUGUST 1, 2017 IN THE TIDEWATER REGION WITH THE REMAINING 5 REGIONS TO FOLLOW. SENTARA ADVANTEDGE, A PROGRAM THAT ESTABLISHED STRATEGIC HEALTH PLAN PARTNERSHIPS OUTSIDE OF VIRGINIA, CONTINUED TO SERVE AS THE THIRD PARTY ADMINISTRATOR (TPA) FOR OHIO HEALTH EMPLOYEES, WITH TOTAL MEMBERSHIP GROWING BY ABOUT 2,000 FROM 2015 TO 2016. OPTIMA MEDICARE INTRODUCED A $0 PREMIUM OPTION AND ADDED BENEFIT ENHANCEMENTS COMPETITIVE WITH OTHERS IN THE MARKET. XI. 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 2017.
FORM 990, PART III, LINE 4A	SENTARA ENTERPRISES PROVIDES A WIDE RANGE OF SERVICES FOR RECOVERING, DISABLED OR CHRONICALLY ILL PERSONS IN NEED OF SKILLED NURSING, PRIVATE DUTY NURSING, REHABILITATION SERVICES (I.E., PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY), INFUSION SERVICES, OR COMPANION SERVICES. SENTARA HOME CARE SERVICES ALSO OFFERS SPECIALTY PROGRAMS IN MENTAL HEALTH, HIGH-RISK OBSTETRICAL CARE, HIGH-RISK NEWBORN CARE, ASTHMA, DIABETES AND PEDIATRICS. SENTARA ENTERPRISES ALSO OPERATES MEDICAL TRANSPORT, A GROUND AMBULANCE AND WHEELCHAIR TRANSPORT SERVICE. MEDICAL TRANSPORT HAS 128 AMBULANCES, 4 WHEELCHAIR VANS, AND 1 REHAB VAN, AND PROVIDED 64,372 BASIC, ADVANCED LIFE SUPPORT AND WHEELCHAIR TRANSPORTS DURING 2016. ALL SERVICES ARE PROVIDED TO THE COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. THE COST OF UNCOMPENSATED CARE PROVIDED BY SENTARA ENTERPRISES TO THE COMMUNITY DURING 2016 WAS OVER $6.8 MILLION.
FORM 990, PART V, LINE 1A: FORM 1096	THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, SENTARA HEALTHCARE, 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 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 4	EFFECTIVE JULY 21, 2016, THE ORGANIZATION'S BYLAWS WERE AMENDED AS FOLLOWS: A. DIRECTORS. ARTICLE III, SECTION 3, WHICH REQUIRED DIRECTORS TO ALSO BE AN OFFICER, DIRECTOR OR TRUSTEE OF THE MEMBER (SENTARA HEALTHCARE), WAS DELETED IN ITS ENTIRETY. B. PRESIDENT. ARTICLE II, SECTION 4(X), WHICH REQUIRED THE PRESIDENT OF THE CORPORATION SERVE AS AN OFFICER OF THE MEMBER (SENTARA HEALTHCARE) WAS DELETED IN ITS ENTIRETY.
FORM 990, PART VI, SECTION A, LINE 6	EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS: THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY: THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTHCARE, A 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	RESERVED POWERS OVER GOVERNANCE DECISIONS: AS SOLE MEMBER, SENTARA HEALTHCARE 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	FORM 990 REVIEW PROCESS: 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	MONITORING AND ENFORCEMENT OF COI POLICY: 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	REBUTTABLE PRESUMPTION PROCESS: AS PART OF THE SENTARA HEALTHCARE 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 31 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 AND TREASURER; WHO ALSO SERVE AS PRESIDENT AND CEO AND SENIOR VICE PRESIDENT AND CFO 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	PROVISION OF GOVERNING DOCS, COI POLICY AND FINANCIALS TO PUBLIC: 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, PT VI, LINES 1A AND B	GOVERNING BODY INDEPENDENCE: THE ORGANIZATION'S BOARD OF DIRECTORS IS ELECTED ANNUALLY BY SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 16 VOTING MEMBERS, 15 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.
FORM 990, PART XI, LINE 9:	RECLASS OF INTERCOMPANY ACCTS TO EQUITY 9,902,710. PARTNERSHIP INCOME TAX > BOOK 16,114.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEDICAL TRANSPORT LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	204510710	MEDICAL TRANSPORT	VA	$21,572,739	$5,777,269	SENTARA ENTERPRISES
NORTHERN VIRGINIA HOME CARE LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	453940053	HOME HEALTH CARE	VA	$0	$0	SENTARA ENTERPRISES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CLARKSVILLE SENIOR CARE LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541957066	SENIOR CARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes (1)
HALIFAX REGIONAL DEV FOUNDATION INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541801459	HLTH/WELFARE	VA	501(C)(3)	LINE 7	HALIFAX REGIONAL HOSPITAL	Yes (1)
HALIFAX REGIONAL HOSPITAL INCORPORATED
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540648699	HEALTHCARE	VA	501(C)(3)	LINE 3	SENTARA HEALTHCARE	Yes (1)
HALIFAX REGIONAL LONG TERM CARE INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	546074529	SENIOR CARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes (1)
SENTARA HALIFAX REGIONAL PROPERTIES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541801463	HLTH/WELFARE	VA	501(C)(3)	LINE 12A, I	HALIFAX REGIONAL HOSPITAL	Yes (1)
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	273208969	HEALTH CARE	VA	501(C)(3)	LINE 3	SENTARA HOSPITALS	Yes (1)
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	LINE 3	SENTARA HEALTHCARE	Yes (1)
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	LINE 7		0	N/A
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	Yes (1)
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	LINE 12A, I	SENTARA HEALTHCARE	Yes (1)
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	LINE 3	SENTARA HEALTHCARE	Yes (1)
SENTARA RMH MEDICAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540506331	HEALTH CARE	VA	501(C)(3)	LINE 3	SENTARA BLUE RIDGE LLC	Yes (1)
VALLEY WELLNESS CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LINE 10	SENTARA RMH MEDICAL CENTER	Yes (1)
MJH FOUNDATION
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541401357	INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	LINE 12A, I	MARTHA JEFFERSON HOSPITAL	Yes (1)
MARTHA JEFFERSON HOSPITAL FOUNDATION
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	300041113	FUNDRAISING	VA	501(C)(3)	LINE 12A, I	MARTHA JEFFERSON HOSPITAL	Yes (1)
MARTHA JEFFERSON HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540261840	HEALTH CARE	VA	501(C)(3)	LINE 3	SENTARA BLUE RIDGE LLC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	N/A
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA	N/A
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA	N/A
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	N/A
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA	N/A
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VIRGINIA BEACH	VA	23462	200942600	HEALTH CARE	VA	N/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA		SE	RELATED	$107,811	$1,384,859	0	Yes (1)	0.25000
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	N/A
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA	N/A
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA		SE	RELATED	-$5,497	$5,352,579	0	Yes (1)	0.70000
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	N/A
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA	N/A
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA	N/A
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	N/A
MNS SUPPLY CHAIN NETWORK LLC
11525 N COMMUNITY HOUSE RD STE 450	CHARLOTTE	NC	28277	454235238	GPO	DE	N/A
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204	WOODBRIDGE	VA	22192	455347932	HEALTH CARE	VA	N/A
ALETA HEALTH LLC
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	465661314	MSO	DE	N/A
OPACC I LLC
18000 W SARAH LANE SUITE 250	BROOKFIELD	WI	53045	392021431	RE RENTAL	WI	N/A
PORT WARWICK II LLC
18000 W SARAH LANE SUITE 250	BROOKFIELD	WI	53045	202739075	RE RENTAL	WI	N/A
MEDSTREAMING LLC
9840 WILLOWS ROAD NE SUITE 200	REDMOND	WA	98052	451573625	SOFTWARE DEV	WA	N/A
HIGHLAND CORE FIXED INCOME FUND
C/O GTC 12 GILL ST SUITE 2600	WOBURN	MA	01801	474618533	POOLED INV FD	DE	N/A
HIGHLAND EQUITY FUND
C/O GTC 12 GILL ST SUITE 2600	WOBURN	MA	01801	474606269	POOLED INV FD	DE	N/A
HIGHLAND PUBLIC INFLATION HEDGES FD
C/O GTC 12 GILL ST SUITE 2600	WOBURN	MA	01801	474601867	POOLED INV FD	DE	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA	N/A	C	Yes (1)
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA	N/A	C	Yes (1)
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA	N/A	C	Yes (1)
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA	N/A	C	Yes (1)
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA	N/A	C	Yes (1)
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA	N/A	C	Yes (1)
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA	N/A	C	Yes (1)
SENTARA STRATEGIC SOLUTIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA	N/A	C	Yes (1)
SENTARA HEALTH PLANS OF OHIO INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	471509408	TPA	OH	N/A	C	Yes (1)
SENTARA HEALTH INSURANCE CO OF NC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	471888140	HEALTH INSURANCE	NC	N/A	C	Yes (1)
SENTARA HEALTH PLANS OF NC INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	465510421	TPA	NC	N/A	C	Yes (1)
SENTARA SOUTHSIDE HEALTH SERVICES INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541417772	HEALTH SERVICES	VA	N/A	C	Yes (1)
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541060357	PHYS PRACTICE	VA	N/A	C	Yes (1)
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA	N/A	C	Yes (1)
POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541441420	PHARMACY	VA	N/A	C	Yes (1)
ROCKINGHAM HEALTH SERVICES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541721387	CONTRACTING SVCS	VA	N/A	C	Yes (1)
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	22911	541841528	MEDICAL BILLING SVCS	VA	N/A	C	Yes (1)
BAY PRIMEX INSURANCE COMPANY LTD
				980704114	INSURANCE		N/A	C	Yes (1)	PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	264592192	PHYS PRACTICE	NC	N/A	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SENTARA HOSPITALS
C	$2,334,488	CORP BOOKS/REC
SENTARA HOSPITALS
L	$3,226,040	CORP BOOKS/REC
SENTARA HOSPITALS
M	$5,599,327	CORP BOOKS/REC
SENTARA HOSPITALS
N	$1,354,762	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
B	$812,758	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
L	$637,890	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
L	$295,934	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
Q	$395,980	CORP BOOKS/REC
SENTARA MEDICAL GROUP
C	$479,675	CORP BOOKS/REC
SENTARA MEDICAL GROUP
M	$178,428	CORP BOOKS/REC
SENTARA LIFE CARE CORP
C	$792,195	CORP BOOKS/REC
SENTARA LIFE CARE CORP
K	$162,688	CORP BOOKS/REC
SENTARA LIFE CARE CORP
L	$73,817	CORP BOOKS/REC
SENTARA LIFE CARE CORP
M	$611,583	CORP BOOKS/REC
OPTIMA HEALTH PLAN
L	$29,017,189	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
A	$350,656	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
D	$6,074,694	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
B	$72,708	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
L	$154,332	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
B	$297,721	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
L	$255,709	CORP BOOKS/REC
MPB
B	$14,037,553	CORP BOOKS/REC