SENTARA HOSPITALS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SENTARA HOSPITALS (EIN 54-1547408)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201703179349303905
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 B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T11:59:21-06:00	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	541547408	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT A BROERMANN	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	7574557020	PhoneNum
Signature	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	12:16:42	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	HOWARD P KERN	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,363,265,790	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SENTARA.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	14766	TotalEmployeeCnt
Total Volunteers	2630	TotalVolunteersCnt
Total Gross UBI	$21,053,971	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$291,394	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,703,987	PYContributionsGrantsAmt
CY Contributions Grants	$1,328,712	CYContributionsGrantsAmt
PY Program Service Revenue	$2,184,632,807	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,351,435,328	CYProgramServiceRevenueAmt
PY Investment Income	$1,683,318	PYInvestmentIncomeAmt
CY Investment Income	$2,460,106	CYInvestmentIncomeAmt
PY Other Revenue	$8,169,378	PYOtherRevenueAmt
CY Other Revenue	$7,492,267	CYOtherRevenueAmt
PY Total Revenue	$2,197,189,490	PYTotalRevenueAmt
CY Total Revenue	$2,362,716,413	CYTotalRevenueAmt
PY Grants And Similar Paid	$30,243,961	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$17,632,981	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$866,206,638	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$911,846,374	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,073,938,531	PYOtherExpensesAmt
CY Other Expenses	$1,183,167,306	CYOtherExpensesAmt
PY Total Expenses	$1,970,389,130	PYTotalExpensesAmt
CY Total Expenses	$2,112,646,661	CYTotalExpensesAmt
PY Revenues Less Expenses	$226,800,360	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$250,069,752	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,301,157,594	TotalAssetsBOYAmt
Total Assets EOY	$1,355,109,272	TotalAssetsEOYAmt
Total Liabilities BOY	$215,224,520	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$174,658,450	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,085,933,074	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,180,450,822	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,847,729,032	ExpenseAmt
Grant	$17,632,981	GrantAmt
Revenue	$2,333,662,317	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,847,729,032	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
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	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln 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
IRP Document	1752	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	14766	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	3	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7574557020	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID L BERND
DIRECTOR/CHAIRMAN (THRU 6/16)	2.00	49.00	Yes (X)	Yes (X)	$0	$7,825,434	$81,327
ROBERT A BROERMANN
DIRECTOR/TREASURER	2.00	51.00	Yes (X)	Yes (X)	$0	$1,503,780	$71,355
MICHAEL V GENTRY
DIRECTOR/PRESIDENT (EFFEC 6/16)	1.00	53.00	Yes (X)	Yes (X)	$0	$1,044,814	$143,725
HOWARD P KERN
DIRECTOR/CHAIRMAN (EFFEC 3/16)	2.00	49.00	Yes (X)	Yes (X)	$0	$2,428,937	$1,918,643
JEFFREY P KING
SECRETARY	1.00	48.00		Yes (X)	$0	$664,448	$100,828
SAMUEL J HAWLEY
ASSIST. SECRETARY (EFFEC 6/16)	1.00	44.00		Yes (X)	$0	$159,506	$23,483
MARY L BLUNT
KE (CORPORATE VP)	40.00	1.00			$1,070,206	$0	$137,911	Yes (X)
ELWOOD B BOONE III
KE (PRESIDENT, VBGH)	40.00	0.00			$438,210	$0	$74,100	Yes (X)
TERESA L EDWARDS
KE (CVP, PT-ACUTE)	40.00	1.00			$584,893	$0	$114,508	Yes (X)
ROBERT C FIRESTONE
KE (VP OPERATIONS SNGH)	40.00	0.00			$267,582	$0	$68,466	Yes (X)
DEBRA A FLORES
KE (PRESIDENT, SCH)	40.00	0.00			$555,464	$0	$85,157	Yes (X)
KURT T HOFELICH
KE (PRESIDENT, SNGH)	40.00	0.00			$606,133	$0	$164,169	Yes (X)
GENEMARIE W MCGEE
KE (CNO)	40.00	0.00			$527,608	$0	$122,498	Yes (X)
GRACE MYERS
KE (CNE)	40.00	0.00			$292,011	$0	$67,316	Yes (X)
MICHAEL J REAGIN
KE (CVP & CIO)	40.00	0.00			$662,595	$0	$89,151	Yes (X)
JOANNE M INMAN
KE (PRESIDENT SLH)	40.00	0.00			$273,661	$0	$64,200	Yes (X)
THOMAS KLEVAN
MED DIRECTOR, CARDIAC SVC LINE	40.00	0.00			$631,061	$17,749	$65,226		Yes (X)
GENE H BURKE
VP /EXEC MED DIR CLINICAL EFFECT	40.00	0.00			$529,111	$0	$61,841		Yes (X)
DENNIS C SZURKUS JR
VP, MEDICAL AFFAIRS, SWCH	40.00	0.00			$461,975	$0	$38,951		Yes (X)
SCOTT A MILLER
VP, MEDICAL AFFAIRS	40.00	0.00			$456,673	$0	$58,902		Yes (X)
PAUL D CHIDESTER
VP MEDICAL AFFAIRS	40.00	0.00			$455,217	$0	$70,108		Yes (X)
GRACE R HINES
FORMER OFFICER	0.00	40.00			$0	$582,223	$87,764			Yes (X)
STEPHEN D PORTER
FORMER OFFICER & KEY EMPLOYEE	0.00	40.00			$0	$724,705	$88,681			Yes (X)
SYLVIA M RICHENDOLLAR
FORMER OFFICER & KEY EMPLOYEE	40.00	0.00			$232,230	$47,243	$112,654			Yes (X)
KENNETH M KRAKAUR
FORMER DIRECTOR	0.00	0.00			$0	$679,158	$22,093			Yes (X)
J STEPHEN JULIAN JR
FORMER KEY EMPLOYEE	40.00	0.00			$444,298	$0	$89,225			Yes (X)
BERTRAM S REESE
FORMER KE (SHC SVP & CIO)	0.00	0.00			$451,040	$0	$39,704			Yes (X)
THOMAS THAMES
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	40.00			$0	$542,671	$74,820			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,939,968	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,220,668	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,136,806	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	839	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WHITING TURNER CONTRACTING COMPANY
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION	$40,897,368
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	MEDICAL PROFESSIONAL SERVICES	$23,944,924
ARAMARK HEALTHCARE TECHNOLOGIES LLC
12483 COLLECTIONS CTR DR	CHICAGO	IL	60693	MEDICAL TECHNOLOGIES & SERVICES	$13,345,174
ATLANTIC ANESTHESIA INC
134 BUSINESS PARK DRIVE	VIRGINIA BEACH	VA	23462	MEDICAL PROFESSIONAL SERVICES	$9,028,516
AMN HEALTHCARE INC
2735 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HEALTHCARE STAFFING SOLUTIONS	$7,139,844

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	276	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,328,712	AllOtherContributionsAmt
Total Contributions	$1,328,712	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$2,285,290,957	$2,285,290,957
EQUITY IN AFFILIATES	900099	$31,204,450	$30,772,976	$431,474
OUTSIDE LAB SERVICES	621500	$17,438,144		$17,438,144
OTHER PROGRAM SERVICE REVENUE	900099	$12,728,391	$12,728,391
PREMIUM & CAP REVENUE	900099	$3,480,876	$3,480,876

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,292,510	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,292,510	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,351,435,328	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,127,442	TotalRevenueColumnAmt
Exclusion	$2,127,442	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,107,173	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,107,173	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,107,173	TotalRevenueColumnAmt
Exclusion	$4,107,173	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$882,041	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$549,377	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$332,664	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$332,664	TotalRevenueColumnAmt
Exclusion	$332,664	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MISC. SERVICES	900099	$3,135,969	$3,135,969
INCOME FROM PSHIP/LLC	900099	$113,980	$13,181	$96,607	$4,192
DIETARY REVENUE	900099	$99,942			$99,942

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,203	TotalRevenueColumnAmt
Unrelated Business Revenue	$35,203	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,385,094	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,362,716,413	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,333,662,317	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,053,971	UnrelatedBusinessRevenueAmt
Exclusion	$6,671,413	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$17,353,519	TotalAmt
Program Services	$17,353,519	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$279,462	TotalAmt
Program Services	$279,462	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,265,839	TotalAmt
Program Services	$4,887,354	ProgramServicesAmt
Management And General	$1,378,485	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$153,612	TotalAmt
Program Services	$119,817	ProgramServicesAmt
Management And General	$33,795	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$726,507,128	TotalAmt
Program Services	$566,675,560	ProgramServicesAmt
Management And General	$159,831,568	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$46,084,235	TotalAmt
Program Services	$35,945,703	ProgramServicesAmt
Management And General	$10,138,532	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,575,757	TotalAmt
Program Services	$62,069,090	ProgramServicesAmt
Management And General	$17,506,667	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,259,803	TotalAmt
Program Services	$41,542,646	ProgramServicesAmt
Management And General	$11,717,157	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,876,158	TotalAmt
Program Services	$13,943,403	ProgramServicesAmt
Management And General	$3,932,755	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,106,315	TotalAmt
Program Services	$862,926	ProgramServicesAmt
Management And General	$243,389	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$98,776	TotalAmt
Program Services	$77,045	ProgramServicesAmt
Management And General	$21,731	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$191,379,093	TotalAmt
Program Services	$183,535,859	ProgramServicesAmt
Management And General	$7,843,234	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$513,886	TotalAmt
Program Services	$400,831	ProgramServicesAmt
Management And General	$113,055	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$91,159,763	TotalAmt
Program Services	$71,104,615	ProgramServicesAmt
Management And General	$20,055,148	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$33,272,115	TotalAmt
Program Services	$25,952,250	ProgramServicesAmt
Management And General	$7,319,865	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$45,762,968	TotalAmt
Program Services	$35,695,115	ProgramServicesAmt
Management And General	$10,067,853	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,688,016	TotalAmt
Program Services	$2,096,652	ProgramServicesAmt
Management And General	$591,364	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$754,614	TotalAmt
Program Services	$588,599	ProgramServicesAmt
Management And General	$166,015	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,522,831	TotalAmt
Program Services	$13,775,402	ProgramServicesAmt
Management And General	$747,429	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$115,947,648	TotalAmt
Program Services	$90,439,165	ProgramServicesAmt
Management And General	$25,508,483	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,148,546	TotalAmt
Program Services	$5,575,866	ProgramServicesAmt
Management And General	$1,572,680	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$450,799,905	$450,799,905
BAD DEBT EXPENSE	$219,153,567	$219,153,567
UNRELATED BUSINESS INCO	$673,745	$673,745
PURCHASED & CONTRACTED	$24,524,900	$19,129,422	$5,395,478

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$34,215,540	TotalAmt
Program Services	-$14,948,486	ProgramServicesAmt
Management And General	-$19,267,054	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,112,646,661	TotalAmt
Program Services	$1,847,729,032	ProgramServicesAmt
Management And General	$264,917,629	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,767,243	BOYAmt
EOY	$1,362,782	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$284,516	BOYAmt
EOY	$101,311	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$254,464,217	BOYAmt
EOY	$284,885,997	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$377,742	BOYAmt
EOY	$290,345	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$48,738,766	BOYAmt
EOY	$48,574,576	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,696,686	BOYAmt
EOY	$16,711,464	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,615,717,807	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,734,027,357	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$842,845,577	BOYAmt
EOY	$881,690,450	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,663,728	BOYAmt
EOY	$1,657,237	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,492,714	BOYAmt
EOY	$24,492,714	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$100,826,405	BOYAmt
EOY	$95,342,396	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,301,157,594	BOYAmt
EOY	$1,355,109,272	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$83,217,430	BOYAmt
EOY	$59,644,094	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,058,499	BOYAmt
EOY	$1,937,668	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,441,667	BOYAmt
EOY	$8,693,334	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$116,506,924	BOYAmt
EOY	$104,383,354	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$215,224,520	BOYAmt
EOY	$174,658,450	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,077,082,535	BOYAmt
EOY	$1,170,177,018	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,800,919	BOYAmt
EOY	$8,222,528	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,049,620	BOYAmt
EOY	$2,051,276	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,085,933,074	BOYAmt
EOY	$1,180,450,822	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,301,157,594	BOYAmt
EOY	$1,355,109,272	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$250,069,752	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$225,547	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$155,777,551	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,643,282	BeginningYearBalanceAmt
Contributions	$3,660,769	ContributionsAmt
Investment Earnings Or Losses	$42,179	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$271,985	GrantsOrScholarshipsAmt
Other Expenditures	$2,223,707	OtherExpendituresAmt
End Year Balance	$8,850,538	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,043,911	BeginningYearBalanceAmt
Contributions	$2,993,334	ContributionsAmt
Investment Earnings Or Losses	$55,903	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$242,200	GrantsOrScholarshipsAmt
Other Expenditures	$2,207,666	OtherExpendituresAmt
End Year Balance	$7,643,282	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,734,296	BeginningYearBalanceAmt
Contributions	$2,817,445	ContributionsAmt
Investment Earnings Or Losses	$89,163	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$246,496	GrantsOrScholarshipsAmt
Other Expenditures	$2,350,497	OtherExpendituresAmt
End Year Balance	$7,043,911	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,449,461	BeginningYearBalanceAmt
Contributions	$2,447,096	ContributionsAmt
Investment Earnings Or Losses	$172,541	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$204,029	GrantsOrScholarshipsAmt
Other Expenditures	$2,130,773	OtherExpendituresAmt
End Year Balance	$6,734,296	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.20550	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.79450	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,967,319	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$43,282,173	OtherCostOrOtherBasisAmt
Book Value	$49,249,492	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$664,648,099	OtherCostOrOtherBasisAmt
Depreciation	$328,404,893	DepreciationAmt
Book Value	$336,243,206	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,967,585	OtherCostOrOtherBasisAmt
Depreciation	$27,905,780	DepreciationAmt
Book Value	$6,061,805	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,744,105,354	OtherCostOrOtherBasisAmt
Depreciation	$1,352,479,332	DepreciationAmt
Book Value	$391,626,022	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$123,747,277	OtherCostOrOtherBasisAmt
Depreciation	$25,237,352	DepreciationAmt
Book Value	$98,509,925	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$881,690,450	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$8,151,864
INVESTMENT IN AFFILIATES	$87,191,652
SUSPENSE ACCOUNT	-$1,120

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$95,342,396	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$2,044,266
OTHER LIABILITIES	$19,927,740
DUE TO 3RD PARTY PAYORS	$14,316,712
CAPITAL LEASE OBLIGATION	$22,041,069
GENERAL RESERVE	$46,053,567

Field	Value	IRS element (for citing)
Total Liability	$104,383,354	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 EITHER SPECIFIC PURPOSE FUNDS OR PLANT EXPANSION FUNDS. SPECIFIC PURPOSE FUNDS INCLUDE GENERAL BENEFIT FUNDS SUCH AS BIOTERRORISM RESPONSE, NIGHTINGALE AIR AMBULANCE, AND THE SCHOOL OF NURSING GIFT FUND. OTHER SPECIFIC PURPOSE FUNDS ARE FOR SCHOLARSHIPS, EDUCATION/RESEARCH/SYMPOSIUM, CANCER/ONCOLOGY, AND CARDIAC. PLANT EXPANSION INCLUDE FUNDS FOR GENERAL BUILDING, BURN UNIT AND CANCER INSTITUTE. PERMANENTLY RESTRICTED FUNDS CONSIST OF INCOME PROVISIONS FOR SCHOLARSHIPS AND EDUCATIONAL RESOURCES FOR THE SCHOOL OF NURSING, TO BENEFIT CARDIAC EDUCATION AND RESEARCH, AND TO SUPPORT STUDIES BY THE CARDIOVASCULAR RESEARCH INSTITUTE SURGEONS AND CARDIOLOGISTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,126,243	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$103,126,243	NetCommunityBenefitExpnsAmt
Total Expense	0.05120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,283,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$166,749,774	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,534,039	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$290,410,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$166,749,774	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,660,282	NetCommunityBenefitExpnsAmt
Total Expense	0.06140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,151,339	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,151,339	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,482,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,582,197	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,900,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,615,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,332,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,282,906	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,873,550	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,873,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,122,660	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,914,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,207,843	NetCommunityBenefitExpnsAmt
Total Expense	0.03080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$406,532,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,664,591	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$185,868,125	NetCommunityBenefitExpnsAmt
Total Expense	0.09220	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,503	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,174	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,174	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,937	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,937	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$219,153,567	BadDebtExpenseAmt
Bad Debt Expense Attributable	$32,873,035	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$582,731,649	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$618,598,043	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$35,866,394	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PRINCESS ANNE AMB SURG MGT
OUTPATIENT SURGERY CENTER	0.51520	0.48480
2 SENTARA OBICI AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.53630	0.46370
3 VA BEACH AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
4 CANCER CENTERS OF VA LLC
EQUIPMENT LEASING	0.50000	0.50000
5 OBICI REAL EST HOLDINGS LLC
REAL ESTATE RENTAL	0.61540	0.38460
6 PET INSTITUTE OF HAMPTON ROADS LLC
MEDICAL SERVICES	0.13750	0.45000
7 CAREPLEX ORTHO AMBULATORY SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
8 ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
ORTHO MGT SVCS	0.40000	0.60000

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

Hospital Facilities HospitalFacilitiesGrp (14 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	No Emergency CareNoEmergencyCareInd	Other ReasonOtherReasonInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Asset Level CriteriaAssetLevelCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	Provided Written NoticeProvidedWrittenNoticeInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Look Back Medicare PrivateLookBackMedicarePrivateInd
VA BEACH AMB SURG CTR
14	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C, LINE 7D.	Yes (X)	Yes (X)	Yes (1)	16	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/	Yes (X)	WWW.VBASC.COM/PATIENT-INFORMATION/FINANCIAL-INFORMATION/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0
SENTARA OBICI AMB SURG CTR
13	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	16	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)	Yes (X)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)
PRINCESS ANNE AMB SURG CTR
12	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	16	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0		Yes (X)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)
CAREPLEX ORTHO AMBULATORY SURG CTR
11	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	16	0	Yes (1)	0	Yes (1)	Yes (X)	250.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	CAREPLEXORTHO.COM/FINANCIAL-ASSISTANCE/	Yes (X)	CAREPLEXORTHO.COM/FINANCIAL-ASSISTANCE/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0		Yes (X)	Yes (X)	CAREPLEXORTHO.COM/FINANCIAL-ASSISTANCE/	Yes (X)
FACILITY REPORTING GROUP A
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 5D.	Yes (X)	Yes (X)	Yes (1)	16	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (1)				0	0	Yes (X)	Yes (X)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
7	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 7D.	Yes (X)	Yes (X)	Yes (1)	16	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (1)				0	0	Yes (X)	Yes (X)	Yes (X)	WWW.SENTARA.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (43 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF VIRGINIA BEACH AMBULATORY SURGERY CENTER WAS CONDUCTED WITH PRINCESS ANNE AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF OBICI AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA OBICI HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF PRINCESS ANNE AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VIRGINIA BEACH AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 6A: THE CHNA OF SENTARA ALBEMARLE MEDICAL CENTER WAS CONDUCTED WITH VIDANT HEALTH.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 6B: THE CHNA OF SENTARA ALBEMARLE MEDICAL CENTER WAS CONDUCTED WITH THE ALBEMARLE REGIONAL HEALTH SERVICES (ARHS) AND THE DARE COUNTY DEPARTMENT OF PUBLIC HEALTH DISTRICT, I.E., THE LOCAL HEALTH DEPARTMENT.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/VIRGINIA-BEACH-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/OBICI-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/PRINCESS-ANNE-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/CAREPLEX-ORTHO-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 7D: THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SAMC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, UNINSURED INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 20E: AS ONLY PRE-ARRANGED PROCEDURES ARE PERFORMED AT THE FACILITY, INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL BEFORE BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. FAP-ELIGIBILITY WAS DISCUSSED AT THIS TIME.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 20E: REFER TO RESPONSE FOR FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PART V, SECTION B LINES 16A, 16B & 16C	PRINCESS ANNE ASC'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT:HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/PRINCESS-ANNE-AMBULATORY-SURGERY-CENTER/ABOUT-US.ASPX
PART V, SECTION B, LINE 20A - VBASC	DURING 2016, THE FACILITY PROVIDED A WRITTEN NOTICE IN ACCORDANCE WITH TREAS. REG. 1.501(R)-6(C)(4)(I)(A) BUT DID NOT INCLUDE A PLAIN LANGUAGE SUMMARY WITH THE NOTICE. A PLAIN LANGUAGE SUMMARY WAS PROVIDED TO EACH PATIENT AS PART OF THE FACILITY'S PRE-OP PACKET. SEE NARRATIVE REGARDING DISCLOSURE UNDER REV. PROC. 2015-21 FOR ADDITIONAL INFORMATION.
PART V, SECTION B, LINE 20D - VBASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINE 20D - PA ASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINE 20D - OBICI ASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B, LINES 20D - CAREPLEX ORTHO ASC	THE FACILITY DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SENTARA NORFOLK GENERAL HOSP, - FACILITY 3: SENTARA VA BEACH GEN HOSP, - FACILITY 2: SENTARA LEIGH HOSPITAL, - FACILITY 4: SENTARA CAREPLEX HOSPITAL, - FACILITY 6: SENTARA WMSBG REG MED CTR, - FACILITY 5: SENTARA OBICI HOSPITAL, - FACILITY 8: SENTARA LEIGH HOSP AMB SRG CTR, - FACILITY 9: SENTARA PORT WARWICK AMB SRG CTR, - FACILITY 10: GEDDY OUTPATIENT CTR AT SWRMC
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	1) IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), EACH HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH METHODS INCLUDING: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS. EACH HOSPITAL FACILITY PARTICIPATED IN A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT. THE COMMITTEES WERE RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. SEVERAL OF THE LOCAL HEALTH DEPARTMENTS HAD GONE THROUGH THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS AND REPORTS WERE AVAILABLE FOR THE STEERING COMMITTEE. THE FINDINGS OF THESE REPORTS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. EACH OF THE HOSPITAL FACILITIES CONDUCTED EITHER TARGETED FOCUS GROUPS OR INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. MEMBERS OF THE STEERING COMMITTEES OF THE HOSPITAL FACILITIES PARTICIPATED IN LOCAL COALITIONS SUCH AS THE SUFFOLK PARTNERSHIP FOR A HEALTHY COMMUNITY AND ACCESS PARTNERSHIP AND PROVIDED ADDITIONAL INPUT.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	THE CHNAS OF SENTARA NORFOLK GENERAL HOSPITAL; SENTARA LEIGH HOSPITAL; SENTARA VIRGINIA BEACH GENERAL HOSPITAL; AND SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH SENTARA PRINCESS ANNE HOSPITAL; PRINCESS ANNE AMBULATORY SURGERY CENTER; AND VIRGINIA BEACH AMBULATORY SURGERY CENTER.THE CHNAS OF SENTARA CAREPLEX HOSPITAL; SENTARA PORT WARWICK; SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER; AND GEDDY OUTPATIENT CENTER AT SWRMC, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER. ADDITIONALLY, THE COMMUNITY INPUT COMPONENT OF THESE CHNAS WERE CONDUCTED WITH RIVERSIDE HEALTH SYSTEM. THE CHNA OF SENTARA OBICI HOSPITAL WAS CONDUCTED WITH OBICI AMBULATORY SURGERY CENTER.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D:	COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. THE DIRECT URL ADDRESSES FOR THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS ARE AS FOLLOWS:SENTARA NORFOLK GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SNGH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA LEIGH HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SLH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA VIRGINIA BEACH GENERAL HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SVBGH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA CAREPLEX HOSPITAL HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SCH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA OBICI HOSPITALHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SOH-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA WILLIAMSBURG REGIONAL MEDICAL CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SWRMC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-LEIGH-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFSENTARA PORT WARWICK AMBULATORY SURGERY CENTERHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-PORT-WARWICK-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDFGEDDY OUTPATIENT CENTER AT SWRMCHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/GEDDY-ASC-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	EACH OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL FACILITIES UNDERWENT A PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. THE PROCESS CONSIDERED FACTORS SUCH AS SIZE AND SCOPE OF THE HEALTH PROBLEM, THE INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, IMPACT ON HEALTH DISPARITIES, THE IMPORTANCE TO THE COMMUNITY, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTION OF THE IMPLEMENTATION STRATEGIES, THE FACILITIES ARE PARTICIPATING IN BOTH REGIONAL AND CITY LEVEL COLLABORATIVE EFFORTS. AN EXAMPLE IS THE MENTAL HEALTH/OPIOID EPIDEMIC IN OUR REGION. SEVERAL OF OUR FACILITIES ARE COLLABORATING TO CREATE AWARENESS AND EDUCATION FOR THE COMMUNITY AND THOSE IMPACTED. SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. IN ADDITION, SOME COMMUNITY NEEDS ARE BEING ADDRESSED AT THE HEALTH SYSTEM LEVEL RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E:	THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES, EVEN IF THEY ARE INELIGIBLE FOR FINANCIAL ASSISTANCE BY MODEL.

Field	Value	IRS element (for citing)
Facility	116	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (116 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ADVANCED IMAGING CENTER-1ST COLONIAL
1080 FIRST COLONIAL ROAD	VIRGINIA BEACH	VA	23454	IMAGING CENTER
2 - ADVANCED IMAGING CENTER-LEIGH
890 KEMPSVILLE ROAD	NORFOLK	VA	23502	IMAGING CENTER
3 - ADVANCED IMAGING CENTER-GREENBRIER
713 VOLVO PARKWAY STE 105	CHESAPEAKE	VA	23320	OTHER OUTPATIENT SITE
4 - SENTARA BELLEHARBOUR
3920A BRIDGE ROAD STE 100	SUFFOLK	VA	23435	DIAGNOSTIC CENTER
5 - SENTARA INDEPENDENCE
800 INDEPENDENCE BLVD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
6 - PORT WARWICK MEDICAL ARTS
11803 JEFFERSON AVE	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
7 - PORT WARWICK COMPREHENSIVE BREAST CTR
1051 LOFTIS BLVD STE 200	NEWPORT NEWS	VA	23606	DIAGNOSTIC CENTER
8 - SENTARA LEIGH COMP BREAST CT
880 KEMPSVILLE ROAD STE 1200	NORFOLK	VA	23502	BREAST DIAGNOSTIC CENTER
9 - SVBGH PAIN MANAGEMENT UNIT
1080 FIRST COLONIAL ROAD STE 201	VIRGINIA BEACH	VA	23454	PAIN MGT. CENTER
10 - SENTARA HILLTOP THERAPY CENTER
1725 LASKIN ROAD STE 535	VIRGINIA BEACH	VA	23454	REHABILITATION CENTER
11 - SENTARA LEIGH THERAPY CENTER
6315 N CENTER DR BLDG 20 STE 101	NORFOLK	VA	23502	REHABILITATION CENTER
12 - OUTPATIENT INFUSION CENTER III
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
13 - GREENBRIER-BATTLEFIELD THERAPY CTR
713 VOLVO PARKWAY STE 101	CHESAPEAKE	VA	23320	REHABILITATION CENTER
14 - SWRMC OUTPATIENT REHABILITATION SERVICES
YMCA BUILDING 301 SENTARA CIR	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
15 - SWRMC OUTPATIENT PHYSICAL THERAPY
5301 LONGHILL ROAD	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
16 - SENTARA THERAPY CENTER GRANBY YMCA
2901 GRANBY ST STE 200	NORFOLK	VA	23504	REHABILITATION CENTER
17 - ADVANCED IMAG CTR-WAINWRIGHT
229 WEST BUTE ST STE 900 9TH FL	NORFOLK	VA	23510	IMAGING CENTER
18 - SENTARA THERAPY CENTER-BLOCKER YMCA
312 WEST BUTE ST	NORFOLK	VA	23510	REHABILITATION CENTER
19 - SENTARA HAND THERAPY CENTER
5712 CLEVELAND ST STE 150	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
20 - SENTARA HAND THERAPY CENTER
6160 KEMPSVILLE CIRCLE 102A	NORFOLK	VA	23052	OTHER OUTPATIENT SITE
21 - SENTARA OBICI MAMMOGRAPHYDIAGNOSTIC CTR
913 S CHURCH ST	SMITHFIELD	VA	23430	BREAST DIAGNOSTIC CENTER
22 - ADVANCED IMAGING CENTER-ST LUKE'S
20209 SENTARA WAY STE 108	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
23 - CARDIOLOGY SPEC-KEMPSVILLE RD
844 KEMPSVILLE ROAD STE 204	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
24 - SENTARA PORT WAR PHYS THER & WOUND CARE
11803 JEFFERSON AVE STE 125	NEWPORT NEWS	VA	23606	REHABILITATION CENTER
25 - SENTARA NORFOLK GENERAL DAY REHAB CTR
890 KEMPSVILLE ROAD	NORFOLK	VA	23502	REHABILITATION CENTER
26 - SENTARA ST LUKE'S-SMITHFIELD THERAPY CTR
20209 SENTARA WAY STE 102	CARROLLTON	VA	23314	REHABILITATION CENTER
27 - NORFOLK DIAGNOSTIC CENTER
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	DIAGNOSTIC CENTER
28 - CAREPLEX MEDICAL ARTS SLEEP LAB
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	SLEEP DISORDER CLINIC
29 - SENTARA INDEPENDENCE THERAPY CENTER
816 INDEPENDENCE BLVD STE 3F	VIRGINIA BEACH	VA	23455	REHABILITATION CENTER
30 - SENTARA THERAPY CENTER-COLISEUM
4001 COLISEUM DR STE 200	HAMPTON	VA	23666	REHABILITATION CENTER
31 - SENTARA GREAT BRIDGE THERAPY CENTER
633 BATTLEFIELD BLVD S	CHESAPEAKE	VA	23322	REHABILITATION CENTER
32 - SENTARA INDIAN RIVER THERAPY CENTER
5660 INDIAN RIVER ROAD STE 121	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
33 - SENTARA THERAPY CENTER-QUINTON
2500 NEW KENT HWY PO BOX 339	QUINTON	VA	23141	REHABILITATION CENTER
34 - SENTARA THERAPY CENTER-SUFFOLK YMCA
ROUTE 10/GODWIN BLVD	SUFFOLK	VA	23434	REHABILITATION CENTER
35 - SENTARA KITTY HAWK
5200 N CROATAN HWY	KITTY HAWK	NC	27949	SURGERY AND DIAGNOSTIC CENTER
36 - AMBULATORY CARE CLINIC
130 COLLEY AVE	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
37 - SENTARA THERAPY CENTER KINGS MILL
1915 POCAHONTAS TRAIL STE F10	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
38 - SENTARA GRASSFIELD THERAPY CENTER
1001 SCENIC PARKWAY STE 101	CHESAPEAKE	VA	23323	REHABILITATION CENTER
39 - COMPREHENSIVE PAIN MANAGEMENT CENTER
400 GRESHAM DR STE 712	NORFOLK	VA	23501	PAIN MGT. CENTER
40 - SENTARA THERAPY CENTER-CAREPLEX
4000 COLISEUM DR STE 120	HAMPTON	VA	23666	REHABILITATION CENTER
41 - SVBGH-SENTARA HEALTH AND WELLNESS CTR
1708 OLD DONATION PARKWAY	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
42 - CARDIOLOGY SPEC-FORT NORFOLK
301 RIVERVIEW AVE STE 700	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
43 - SENTARA MOBILE MAMMOGRAPHY
880 KEMPSVILLE ROAD	NORFOLK	VA	23502	MOBILE MAMMOGRAPHY
44 - SENTARA PHYS THER CTR-WAKEFIELD
103 RAILROAD AVE	WAKEFIELD	VA	23888	REHABILITATION CENTER
45 - SENTARA THERAPY CENTER-MATHEWS
75 MAIN STREET STE E	MATHEWS	VA	23109	REHABILITATION CENTER
46 - NEW TOWN INTERNAL MEDICINE
4374 NEW TOWN AVE STE 102	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
47 - NEW TOWN DIAGNOSTIC CENTER
4374 NEW TOWN AVE STE 104	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
48 - GLOUCESTER IMAGING CENTER
5659 PARKWAY DR STE 130	GLOUCESTER	VA	23061	IMAGING CENTER
49 - NEW TOWN FAMILY PRACTICE
4374 NEW TOWN AVE STE 200	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
50 - SENTARA THERAPY CENTER-JAMES CITY
5301 LONGHILL ROAD	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
51 - NEW TOWN URGENT CARE
4374 NEW TOWN AVE STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
52 - SENTARA RADIOLOGY SPECIALISTS-KEMPS
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
53 - FAMILY MED WILLIAMSBURG
400 SENTARA CIR STE 450	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
54 - SENTARA INTERNAL MEDICINE PHYS-KINGSMILL
477 MCCLAWS CIR STE 1	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
55 - SENTARA FAM MED PHYS-1ST COLONIAL
1024 FIRST COLONIAL ROAD STE 102	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
56 - SENTARA FAM & INT MED PHYS CLPX W
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
57 - SENTARA FAM MED & UC PHYS-VBTC INDP
816 INDEPENDENCE BLVD STE 100	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
58 - SENTARA FORT NK COMP BREAST CTR
301 RIVERVIEW AVE STE 830	NORFOLK	VA	23510	BREAST DIAGNOSTIC CENTER
59 - SENTARA THER CTR AT HAMPTON YMCA
1 YMCA WAY	HAMPTON	VA	23669	REHABILITATION CENTER
60 - VASCULAR & TRANSPLANT SPEC-VAB
397 LITTLE NECK ROAD STE 120	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
61 - VASCULAR & TRANSPLANT SPEC-PORT WARWICK
1051 LOFTIS BLVD STE 205	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
62 - SENTARA INT MED PHYS-PORT WARWICK 1
11803 JEFFERSON AVE STE 140	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
63 - SENTARA FAM MED PHYS-OLD HAMPTON
200 EATON ST	HAMPTON	VA	23669	OTHER OUTPATIENT SITE
64 - SENTARA HAND SURGERY SPECIALISTS-VAB
5716 CLEVELAND ST STE 210	VIRGINIA BEACH	VA	23462	REHABILITATION CENTER
65 - SENTARA PODIATRY SPECIALISTS
5253 PROVIDENCE ROAD STE 100	VIRGINIA BEACH	VA	23464	OTHER OUTPATIENT SITE
66 - FAMILY MEDICAL PYSICIANS- KINGSMILL
1919 POCAHONTAS TRAIL STE F5	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
67 - FAMILY MED-THOROUGHGOOD
2017 PLEASURE HOUSE ROAD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
68 - SENTARA FAMILY MED PHYS-ST LUKE'S
20209 SENTARA WAY STE 200	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
69 - FIRST COLONIAL DIAGNOSTIC CENTER
1080 FIRST COLONIAL ROAD STE 100	VIRGINIA BEACH	VA	23454	DIAGNOSTIC CENTER
70 - SENTARA ST LUKE'S LAB SERVICES
5659 PARKWAY DR STE 100	GLOUCESTER	VA	23061	LAB SERVICES
71 - SENTARA CARDIOLOGY SPEC-WILLIAMSBURG
500 SENTARA CIR STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
72 - FORT NORFOLK MEDICAL CENTER
301 RIVERVIEW AVE	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
73 - SENTARA FAM MED & UC PHYS-LITTLE NECK
2859 VIRGINIA BEACH BLVD STE 100	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
74 - OCEANFRONT FAMILY PRACTICE
303 35TH STREET STE 102	VIRGINIA BEACH	VA	23451	OTHER OUTPATIENT SITE
75 - FAMILY MED-1080 BLDG
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
76 - SENTARA THERAPY CENTER MIDDLESEX
11487 GENERAL PULLER HIGHWAY	HEARTFIELD	VA	23071	REHABILITATION CENTER
77 - ENDOCRINOLOGY SPECIALISTS-SCP
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
78 - SENTARA URGENT CARE-J CLYDE
747 J CLYDE MORRIS BLVD	NEWPORT NEWS	VA	23601	OTHER OUTPATIENT SITE
79 - SENTARA FAM MED PHYS-PENINSULA TOWNE
2104 EXECUTIVE DR	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
80 - SENTARA THERAPY CENTER AT YORK
100 ENTERPRISE DRIVE	YORKTOWN	VA	23692	REHABILITATION CENTER
81 - SENTARA FAM MED PHYS-PORT WARWICK I
11803 JEFFERSON AVE STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
82 - SENTARA SURG SPEC-PORT WARWICK I
11803 JEFFERSON AVE STE 235	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
83 - NORFOLK SURGICAL GROUP
880 KEMPSVILLE ROAD STE 1000	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
84 - SENTARA URGENT CARE-LITTLE CREEK
1326 E LITTLE CREEK ROAD	NORFOLK	VA	23518	OTHER OUTPATIENT SITE
85 - SENTARA NEUROLOGY SPEC-CAREPLEX
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
86 - VASCULAR & TRANSPLANT SPECIALISTS-NK
600 GRESHAM DR STE 8620	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
87 - SENTARA INTERNAL MED PHYS-FORT NK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
88 - SENTARA URGENT CARE-ST LUKE'S
20209 SENTARA WAY STE 100	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
89 - SENTARA PULMONARY & CC SPEC-CAREPLEX
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
90 - SENTARA PHY MED & PAIN MGMT SPC-CAREPLEX
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
91 - SENTARA FAM MEDICINE PHYS-FORT NK
301 RIVERVIEW AVE STE 810	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
92 - CARDIOLOGY SPECIALISTS-PORT WARWICK
1031 LOFTIS BLVD STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
93 - SENTARA RHEUMATOLOGY SPEC-CAREPLEX W
4001 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
94 - MOBILE PET SCAN
5900-B LAKE WRIGHT DR	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
95 - VASCULAR & TRANSPLANT SPEC-SUFFOLK
171 N MAIN ST	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
96 - SENTARA SURGERY SPEC-CAREPLEX
4000 COLISEUM DR STE 320	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
97 - VASCULAR & TRANSPLANT SPEC-CAREPLEX
4000 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
98 - SENTARA SURGERY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 305	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
99 - SENTARA SURGERY SPEC-1080 BUILDING
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
100 - SENTARA PODIATRY SPEC-1ST COLONIAL
1080 FIRST COLONIAL RD STE 400	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
101 - SENTARA PODIATRY SPEC-KEMPSVILLE
844 KEMPSVILLE ROAD STE 100D	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
102 - SENTARA NEUROLOGY SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
103 - SENTARA PULMONARY & CC SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
104 - WILLIAMSBURG SURGERY
500 SENTARA CIR STE 202	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
105 - ORTHOPEDIC TRAUMA-NORFOLK
600 GRESHAM DR SUITE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
106 - VASCULAR & TRANSPLANT SPEC-WILLIAMSBURG
400 SENTARA CIR STE 350	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
107 - SENTARA NEUROLOGY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 320	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
108 - SENTARA PULMONARY & CC SPEC-WILLIAMSBURG
400 SENTARA CIR STE 320	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
109 - NEUROSURGERY NORFOLK HEART HOSPITAL
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
110 - INFECTIOUS DISEASE - FORT NORFOLK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
111 - INFECTIOUS DISEASE - CAREPLEX
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
112 - SENTARA PLASTIC SURGERY SPECIALISTS
600 GRESHAM DR STE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
113 - SENTARA NEUROSURGERY SPEC 1080 BLDG
1080 FIRST COLONIAL RD STE 400	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
114 - SENTARA PODIATRY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 355	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
115 - SENTARA CYTOGENICS LAB
1701 WILL O WISP DR STE 1E	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
116 - SENTARA INFECTIOUS DIS SPEC-OBICI
2790 GODWIN BLVD STE 225	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE ORGANIZATION USES A MULTI-FACETED REVIEW OF AN APPLICANT'S SITUATION TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. AN APPLICANT'S HOUSEHOLD INCOME IS EVALUATED IN LIGHT OF RELEVANT FACTS AND CIRCUMSTANCES, SUCH AS REPORTED INCOME, ASSETS, LIABILITIES, EXPENSES, AND OTHER RESOURCES AVAILABLE TO THE APPLICANT OR THE APPLICANT'S RESPONSIBLE PARTY, WHEN DETERMINING THE LEVEL OF FINANCIAL ASSISTANCE THAT AN APPLICANT QUALIFIES FOR UNDER THE FINANCIAL ASSISTANCE POLICY.
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER.
PART I, LINE 7:	EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES.
PART I, LINE 7G:	$1,199,647 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $219,153,567.
PART II, COMMUNITY BUILDING ACTIVITIES:	COALITION BUILDING THE ORGANIZATION COLLABORATES WITH VARIOUS COMMUNITY ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH CARE NEEDS WITHIN THE COMMUNITY. WORKFORCE DEVELOPMENT THE ORGANIZATION PROVIDES VARIOUS PROGRAMS WHERE HIGH SCHOOL AND COLLEGE STUDENTS WITH AN INTEREST IN HEALTH CARE CAREERS MAY PARTICIPATE IN JOB SHADOWING OR EXTERNSHIPS WITHIN ITS VARIOUS HOSPITALS. ADDITIONALLY, THE ORGANIZATION ENTERS INTO PHYSICIAN RECRUITING AGREEMENTS IN ORDER TO INCENT HIGHLY QUALIFIED PHYSICIANS INTO THE COMMUNITY TO FILL POSITIONS IN SERVICES AREAS WHERE THERE IS AN URGENT NEED.OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS MEALS ON WHEELS DELIVERIES; HEIGHT, WEIGHT AND VISION SCREENINGS AT LOCAL SCHOOLS; AND VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY.
PART III, LINE 2:	BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS, NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN-OFF. SEE ALSO THE FOOTNOTE ON PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DISCUSSES BAD DEBT.
PART III, LINE 3:	IN COMPUTING LINE 3, THE ORGANIZATION CONSERVATIVELY ESTIMATES THAT 15% OF BAD DEBT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY ASSISTANCE IF SUFFICIENT DATA WAS AVAILABLE. THIS ESTIMATE IS BASED ON CREDIT REPORTING DATA PURCHASED FROM EQUIFAX. THIS DATA PROVIDES CREDIT SCORE, INCOME PREDICTION DATA AND NUMEROUS LINES OF CREDIT AND ASSET DATA. FOR UNRESPONSIVE PATIENTS, THE ORGANIZATION USES THE ESTIMATED INCOME, MARITAL STATUS, ASSET INFORMATION AND CREDIT LINE DATA TO DETERMINE WHETHER THE PATIENT WOULD QUALIFY FOR CHARITY BASED ON A PROJECTED INCOME OF 200% OF THE FEDERAL POVERTY GUIDELINES WITH LITTLE TO NO ASSET DATA. THIS INFORMATION IS NOT ALL INCLUSIVE FOR ALL UNRESPONSIVE PATIENTS THAT COULD QUALIFY, AS DEPENDENT INFORMATION IS NOT READILY AVAILABLE.
PART III, LINE 4:	SEE PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES BAD DEBT.
PART III, LINE 8:	WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6.
PART III, LINE 9B:	UNDER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY, A HOSPITAL FACILITY MUST TAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN COLLECTION EFFORTS AGAINST A PATIENT. SUCH EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS WRITTEN OFF TO CHARITY.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:- ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED IN THE DEVELOPMENT OF ORGANIZATIONAL PLANS.- OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY.- REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED, INCORPORATED INTO THE ORGANIZATION'S PLANS, AND SHARED WITH ORGANIZATIONAL DECISION MAKERS.- PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY. INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING.- INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS.
PART VI, LINE 3:	FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A TOLL-FREE NUMBER IS GIVEN TO PATIENTS TO REACH CUSTOMER SERVICE REPRESENTATIVES DURING THE BUSINESS DAY FOR QUESTIONS OR CONCERNS. FINANCIAL ASSISTANCE PROGRAMS ARE ALSO PUBLISHED ON THE ORGANIZATION'S WEBSITE AND INCLUDED ON THE STATEMENTS PROVIDED TO PATIENTS. THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE TO HELP PATIENTS COMPLETE APPLICATIONS FOR MEDICAID OR OTHER GOVERNMENT PAYMENT ASSISTANCE PROGRAMS, OR APPLY FOR CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF APPLICABLE. THE ORGANIZATION ALSO EMPLOYS AN EXTERNAL FIRM TO ASSIST IN THE ELIGIBILITY PROCESS.
PART VI, LINE 4:	SENTARA HOSPITALS SERVES RESIDENTS OF OVER 30 CITIES AND COUNTIES IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE AREA INCLUDES THE VIRGINIA BEACH-NORFOLK-NEWPORT NEWS, VA-NC METROPOLITAN STATISTICAL AREA, THE ELIZABETH CITY, NC MICROPOLITAN STATISTICAL AREA, AND SURROUNDING RURAL COMMUNITIES. THE AREA IS BORDERED TO THE EAST BY THE ATLANTIC OCEAN AND IS NOTED FOR ITS WATERWAYS, INCLUDING THE CHESAPEAKE BAY, CURRITUCK SOUND, AND YORK, JAMES AND ELIZABETH RIVERS.THE 2016 POPULATION OF THE AREA IS 1,999,200 AND THE POPULATION IS PROJECTED TO INCREASE BY 3.3% OVER THE NEXT FIVE YEARS COMPARED TO A PROJECTED U.S. GROWTH RATE OF 3.7%. 14.3% OF THE POPULATION ARE AGE 65+ COMPARED TO THE U.S. AT 15.1%. EDUCATION-WISE, 10.5% HAVE LESS THAN A HIGH SCHOOL EDUCATION, COMPARED TO 13.6% FOR THE U.S. INCOME-WISE, THE AVERAGE HOUSEHOLD INCOME IS $74,366 COMPARED TO $77,135 FOR THE U.S. AND 19.6% OF THE HOUSEHOLDS HAVE AN ANNUAL INCOME OF LESS THAN $25,000, COMPARED TO 22.7% FOR THE U.S. THE RACE AND ETHNICITY COMPOSITION IS AS FOLLOWS: 57.1% FOR WHITE NON-HISPANIC, 29.4% FOR BLACK NON-HISPANIC, 6.4 % FOR HISPANIC, 3.6% FOR ASIAN AND PACIFIC ISLANDERS NON-HISPANIC, AND 3.5% FOR ALL OTHERS. THIS COMPARES TO THE U.S. COMPOSITION OF 61.3% FOR WHITE NON-HISPANIC, 12.3% FOR BLACK NON-HISPANIC, 17.8% FOR HISPANIC, 5.4% FOR ASIAN AND PACIFIC ISLANDERS NON-HISPANIC, AND 3.1% FOR ALL OTHERS.
PART VI, LINE 5:	THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A 501(C) TAX-EXEMPT ORGANIZATION, WHOSE COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTHCARE, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
PART VI, LINE 6:	SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER, PROVIDES A NUMBER OF PROGRAMS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES, IN ADDITION TO THOSE IDENTIFIED FOR THE ORGANIZATION. SEE FORM 990 PART III SCHEDULE O DISCLOSURE FOR FURTHER INFORMATION ON THE SERVICES AND FACILITIES PROVIDED BY THE SENTARA HEALTHCARE SYSTEM.
PART VI - INFORMATION REGARDING THE ORGANIZATION'S ASC'S:	THE ORGANIZATION IS A MEMBER OF SEVERAL JOINT VENTURES WHICH OWN AND OPERATE AMBULATORY SURGERY CENTERS ("ASCS" ) LOCATED IN VIRGINIA (SEE PART V FOR OWNERSHIP INFORMATION). AS VIRGINIA REQUIRES ASCS TO GO THROUGH A CERTIFICATE OF PUBLIC NEED PROCESS AND RETAIN A HOSPITAL LICENSE, VIRGINIA ASCS MEET THE DEFINITION OF HOSPITAL FACILITIES FOR FORM 990 REPORTING PURPOSES.THE ORGANIZATION'S ASCS ARE ORGANIZED AND OPERATED IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES AS EXTENSIONS OF ITS OUTPATIENT FACILITIES, IN PARTNERSHIP WITH ITS PHYSICIANS, TO PROVIDE A MORE EFFECTIVE MEANS OF CARING FOR LESS SERIOUS NON-EMERGENCY MEDICAL CONDITIONS THAT DO NOT REQUIRE INPATIENT HOSPITAL STAYS. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE ASCS. INDIVIDUALS DESIRING TREATMENT SPEAK WITH FACILITY PERSONNEL PRIOR TO BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS INSURANCE COVERAGE AND PAYMENT ARRANGEMENTS. THE ASCS WORK WITH INDIVIDUALS TO COME UP WITH PAYMENT OPTIONS, OFFERING FREE CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S DISCOUNT PRACTICES. DISCOUNTED CARE IS NOT OFFERED UNDER THE ASCS' WRITTEN FINANCIAL ASSISTANCE POLICIES; ONLY FREE CARE IS OFFERED.
PART VI - DISCLOSURE UNDER REV. PROC. 2015-21	THE ORGANIZATION IS CURRENTLY NEGOTIATING AN OPERATING AGREEMENT (THE "OPA") FOR VIRGINIA BEACH AMBULATORY SURGERY CENTER, LLC ("VBASC"), AN AMBULATORY SURGERY CENTER JOINT VENTURE BETWEEN THE ORGANIZATION AND CERTAIN PHYSICIANS. THE OPA NEGOTIATION IS A RESULT OF THE JOINT VENTURE'S CONVERSION FROM A GENERAL PARTNERSHIP TO A LIMITED LIABILITY COMPANY. NEGOTIATIONS HAVE TAKEN LONGER THAN EXPECTED, AND AS A RESULT, VBASC BOARD APPROVAL OF A REVISED FINANCIAL ASSISTANCE POLICY ("REVISED FAP") CONTAINING ALL REQUIRED 501(R) TREASURY REGULATION ELEMENTS DID NOT OCCUR UNTIL OCTOBER 20, 2017. UP UNTIL THAT TIME, VBASC CONTINUED TO WIDELY PUBLICIZE ITS MOST RECENTLY ADOPTED FINANCIAL ASSISTANCE POLICY, APPROVED AND IMPLEMENTED IN 2013 TO COMPLY WITH IRC SECTION 501(R)(THE "2013 FAP"). BECAUSE THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE WAS THE SAME UNDER THE 2013 FAP AND THE REVISED FAP, AND VBASC TOOK NO EXTRAORDINARY COLLECTION ACTIONS AGAINST INDIVIDUALS PRIOR TO ITS REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, NO INDIVIDUALS WERE ADVERSELY IMPACTED BY THE DELAY IN VBASC BOARD APPROVAL OF THE REVISED FAP. IN FEBRUARY 2017, DURING AN IRS AUDIT OF THE ORGANIZATION'S 2014 TAX YEAR, THE ORGANIZATION DISCOVERED THAT THE 2013 FAP HAD NOT BEEN UPLOADED TO A WEBSITE AS REQUIRED UNDER TREAS. REG. SECTION 1.501(R)-4(B)(5)(A). UPON DISCOVERY, A COPY OF THE 2013 FAP WAS UPLOADED TO VBASC'S WEBSITE. BECAUSE THE WEBSITE ADVERTISED THE AVAILABILITY OF FINANCIAL ASSISTANCE; CONTAINED A DOWNLOADABLE PLAIN LANGUAGE SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE; AND PROVIDED INFORMATION ON HOW TO OBTAIN A COPY OF THE 2013 FAP, NO INDIVIDUALS WERE ADVERSELY IMPACTED BY THE ABSENCE OF A DOWNLOADABLE 2013 FAP. IN ADDITION, ALL PATIENTS WERE PROVIDED WITH A PLAIN LANGUAGE SUMMARY PRIOR TO REGISTRATION, AND THE 2013 FAP WAS AVAILABLE AT THE FACILITY UPON WRITTEN OR ORAL REQUEST.IN AUGUST 2017, DURING PREPARATION OF ITS FORM 990, THE ORGANIZATION DISCOVERED THAT VBASC'S PLAIN LANGUAGE SUMMARY WAS NOT BEING MAILED WITH ITS "90-DAY NOTICE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INTENDED EXTRAORDINARY COLLECTION ACTIONS AS REQUIRED UNDER TREAS. REG. SECTION 1.501(R)-6(C)(4)(I). VBASC BEGAN INCLUDING THE PLAIN LANGUAGE SUMMARY WITH ITS 90-DAY NOTICE ON NOVEMBER 1, 2017, IN CONJUNCTION WITH THE APPROVAL OF THE REVISED FAP. BECAUSE VBASC ONLY PERFORMED PRE-PLANNED PROCEDURES; PROVIDED A PLAIN LANGUAGE SUMMARY PRIOR TO PATIENT REGISTRATION; VETTED UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE ELIGIBILITY IN ADVANCE OF PROCEDURES; INCLUDED FINANCIAL ASSISTANCE INFORMATION ON ALL PATIENT BILLS; AND, CONCURRENTLY WITH ITS 90-DAY NOTICE, ORALLY NOTIFIED PATIENTS ABOUT ITS FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS; NO INDIVIDUALS WERE ADVERSELY IMPACTED BY ITS FAILURE TO INCLUDE A PLAIN LANGUAGE SUMMARY WITH ITS 90-DAY NOTICE. IN LIGHT OF THE ABOVE, AND AS PART OF ONGOING NEGOTIATIONS, SENTARA BOARD REPRESENTATIVES WORKED WITH VBASC'S ADMINISTRATOR TO ENSURE PROPER COMPLIANCE PROCEDURES WERE PUT INTO PLACE, REITERATING THE 501(R) OPERATIONAL REQUIREMENTS UNDER THE TREASURY REGULATIONS. THE ORGANIZATION WILL CONTINUE TO MONITOR VBASC'S OPERATIONS ON AN ONGOING BASIS TO ENSURE 501(R) COMPLIANCE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	237053208	501(C)(3)	$842,678	OPERATING FUND AND INDIGENT CARE
OLDE TOWNE MEDICAL CENTER
5249 OLDE TOWNE RD	WILLIAMSBURG	VA	23188	541663905	501(C)(3)	$100,000	COMMUNITY HEALTH SUPPORT
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	501(C)(3)	$15,330,672	OVERHEAD ALLOCATIONS
PENINSULA EMS COUNCIL
PO BOX 1297	GLOUCESTER	VA	23061	541064500	501(C)(3)	$10,000	DONATION/SPONSORSHIP
TIDEWATER EMS COUNCIL INC
1104 MADISON PLAZA	CHESAPEAKE	VA	23320	540977032	501(C)(3)	$25,000	ANNUAL SUPPORT
ALBEMARLE HOSPITAL FOUNDATION
PO BOX 1412	ELIZABETH CITY	NC	27906	432031990	501(C)(3)	$334,872	PROGRAM SUPPORT
COLLEGE OF THE ALBEMARLE FOUNDATION INC
PO BOX 2327	ELIZABETH CITY	NC	27906	581399254	501(C)(3)	$16,000	CLINICAL EDUCATION OPPORTUNITIES
ALBEMARLE REGIONAL HEALTH SERVICES
711 ROANOKE AVENUE	ELIZABETH CITY	NC	27909	566000798	PASQUOTANK COUNTY	$95,000	FUNDING FOR CLINICAL RESOURCES
PASQUOTANK COUNTY
PO BOX 586	ELIZABETH CITY	NC	27907	566000328	PASQUOTANK COUNTY	$450,000	PROGRAM SUPPORT
AMERICAN ASSOCIATION OF PHYSICIANS OF INDIA ORIGIN HAMPTON ROADS
600 ENTERPRISE DRIVE STE 108	OAK BROOK	IL	60523	510569999	501(C)(3)	$10,000	DONATION/SPONSORSHIP
THOMAS NELSON COMMUNITY COLLEGE EDUCATIONAL FOUNDATION INC
525 BUTLER FARM ROAD STE 716	HAMPTON	VA	23666	521217532	501(C)(3)	$10,000	DONATION/SPONSORSHIP
LD BRITT MD SCHOLARSHIP COMMITTEE
825 FAIRFAX AVENUE	NORFOLK	VA	23507	272915957	501(C)(3)	$6,000	DONATION/SPONSORSHIP
CHILD DEVELOPMENT RESOURCES INC
PO BOX 280	NORGE	VA	23127	540791991	501(C)(3)	$5,050	DONATION/SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	318	RecipientCnt
Cash Grant	$279,462	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. THE ORGANIZATION ALSO DONATES FUNDS TO OTHER ORGANIZATIONS WITH A SIMILAR MISSION OF PROVIDING AND PROMOTING HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. SUCH ORGANIZATIONS ALSO HAVE COMMUNITY BOARDS WHICH OVERSEE THE PROPER EXPENDITURES OF SUCH FUNDS. THE ORGANIZATION'S COLLEGE OF HEALTH SCIENCES AWARDS SCHOLARSHIPS TO STUDENTS ON AN ON-GOING BASIS BASED ON NEED AND MERIT. RECIPIENTS ARE SELECTED FROM QUALIFIED APPLICANTS ACCORDING TO PRESCRIBED GUIDELINES. ALL SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS, AND THEIR USE IS MONITORED BY SCHOOL PERSONNEL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	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 (28 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
DAVID L BERND
DIRECTOR/CHAIRMAN (THRU 6/16)	$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/PRESIDENT (EFFEC 6/16)	$0	$642,866	$0	$328,762	$0	$73,186	$0	$126,898	$0	$16,827	$0	$1,188,539	$0	$55,185
HOWARD P KERN
DIRECTOR/CHAIRMAN (EFFEC 3/16)	$0	$1,292,371	$0	$892,734	$0	$243,832	$0	$1,897,938	$0	$20,705	$0	$4,347,580	$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
SAMUEL J HAWLEY
ASSIST. SECRETARY (EFFEC 6/16)	$0	$136,906	$0	$20,284	$0	$2,316	$0	$13,208	$0	$10,275	$0	$182,989	$0	$0
MARY L BLUNT
KE (CORPORATE VP)	$592,007	$0	$332,778	$0	$145,421	$0	$122,151	$0	$15,760	$0	$1,208,117	$0	$0	$0
ELWOOD B BOONE III
KE (PRESIDENT, VBGH)	$299,480	$0	$119,020	$0	$19,710	$0	$49,372	$0	$24,728	$0	$512,310	$0	$0	$0
TERESA L EDWARDS
KE (CVP, PT-ACUTE)	$373,255	$0	$158,587	$0	$53,051	$0	$93,529	$0	$20,979	$0	$699,401	$0	$18,845	$0
ROBERT C FIRESTONE
KE (VP OPERATIONS SNGH)	$200,354	$0	$62,237	$0	$4,991	$0	$42,249	$0	$26,217	$0	$336,048	$0	$0	$0
DEBRA A FLORES
KE (PRESIDENT, SCH)	$310,156	$0	$98,636	$0	$146,672	$0	$77,168	$0	$7,989	$0	$640,621	$0	$83,292	$0
KURT T HOFELICH
KE (PRESIDENT, SNGH)	$448,135	$0	$117,865	$0	$40,133	$0	$144,641	$0	$19,528	$0	$770,302	$0	$15,141	$0
GENEMARIE W MCGEE
KE (CNO)	$361,518	$0	$108,293	$0	$57,797	$0	$110,870	$0	$11,628	$0	$650,106	$0	$0	$0
GRACE MYERS
KE (CNE)	$223,848	$0	$67,327	$0	$836	$0	$57,321	$0	$9,995	$0	$359,327	$0	$0	$0
MICHAEL J REAGIN
KE (CVP & CIO)	$583,250	$0	$60,722	$0	$18,623	$0	$79,292	$0	$9,859	$0	$751,746	$0	$0	$0
JOANNE M INMAN
KE (PRESIDENT SLH)	$213,353	$0	$52,533	$0	$7,775	$0	$44,212	$0	$19,988	$0	$337,861	$0	$0	$0
THOMAS KLEVAN
MED DIRECTOR, CARDIAC SVC LINE	$610,228	$17,636	$0	$0	$20,833	$113	$34,568	$1,585	$26,799	$2,274	$692,428	$21,608	$0	$0
GENE H BURKE
VP /EXEC MED DIR CLINICAL EFFECT	$372,750	$0	$149,747	$0	$6,614	$0	$38,693	$0	$23,148	$0	$590,952	$0	$0	$0
DENNIS C SZURKUS JR
VP, MEDICAL AFFAIRS, SWCH	$355,201	$0	$7,526	$0	$99,248	$0	$17,100	$0	$21,851	$0	$500,926	$0	$0	$0
SCOTT A MILLER
VP, MEDICAL AFFAIRS	$305,472	$0	$130,824	$0	$20,377	$0	$42,230	$0	$16,672	$0	$515,575	$0	$0	$0
PAUL D CHIDESTER
VP MEDICAL AFFAIRS	$329,375	$0	$106,314	$0	$19,528	$0	$41,823	$0	$28,285	$0	$525,325	$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
STEPHEN D PORTER
FORMER OFFICER & KEY EMPLOYEE	$0	$277,490	$0	$213,286	$0	$233,929	$0	$72,878	$0	$15,803	$0	$813,386	$0	$37,559
SYLVIA M RICHENDOLLAR
FORMER OFFICER & KEY EMPLOYEE	$163,573	$3,287	$63,661	$0	$4,996	$43,956	$80,509	$17,482	$13,569	$1,094	$326,308	$65,819	$0	$0
KENNETH M KRAKAUR
FORMER DIRECTOR	$0	$358,511	$0	$115,246	$0	$205,401	$0	$20,687	$0	$1,406	$0	$701,251	$0	$42,065
J STEPHEN JULIAN JR
FORMER KEY EMPLOYEE	$302,824	$0	$121,336	$0	$20,138	$0	$64,950	$0	$24,275	$0	$533,523	$0	$0	$0
BERTRAM S REESE
FORMER KE (SHC SVP & CIO)	$9,072	$0	$322,563	$0	$119,405	$0	$39,256	$0	$448	$0	$490,744	$0	$33,873	$0
THOMAS THAMES
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$304,076	$0	$130,664	$0	$107,931	$0	$49,664	$0	$25,156	$0	$617,491	$0	$65,583

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION COVERED TAXABLE RELOCATION EXPENSES OF TWO RECRUITS, INCLUDING TEMPORARY HOUSING AND THE ADDITIONAL TAXES ASSOCIATED WITH SUCH BENEFITS, ALL OF WHICH WERE TREATED AS TAXABLE COMPENSATION.
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 A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE.
PART I, LINE 4B	HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND 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, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, KENNETH KRAKAUR, BERTRAM REESE, TERESA EDWARDS, DEBRA FLORES, GRACE HINES, KURT HOFELICH, STEPHEN PORTER, JEFFREY KING, ELWOOD BOONE, J. S. JULIAN, JR., M.D., GENEMARIE MCGEE, THOMAS THAMES, MICHAEL REAGIN, AND JOANNE INMAN 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); MARY BLUNT ($88,150); ROBERT BROERMANN ($138,886); TERESA EDWARDS ($29,257) DEBRA FLORES ($120,946); MICHAEL GENTRY ($58,192); GRACE HINES ($47,777); KURT HOFELICH ($23,321); HOWARD KERN ($202,907); JEFFREY KING ($40,639) KENNETH KRAKAUR ($154,524); GENEMARIE MCGEE ($51,976); STEPHEN PORTER ($63,180); BERTRAM REESE ($61,296); AND THOMAS THAMES ($68,501). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	DURING THE CURRENT YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KATHERINE M HINES
FAMILY MEMBER OF GRACE R. HINES, FORMER OFFICER	$101,018	EMPLOYMENT	0
RICHARD E VINIKOFF
FAMILY MEMBER OF KEN KRAKAUR, FORMER DIRECTOR	$137,468	EMPLOYMENT	0
JULIE L PORTER
FAMILY MEMBER OF STEPHEN D. PORTER, FORMER OFFICER & KEY EMPLOYEE	$143,933	EMPLOYMENT	0
KAREN RICHENDOLLAR
FAMILY MEMBER OF SILVIA M. RICHENDOLLAR, FORMER OFFICER & KEY EMPLOYEE	$86,241	EMPLOYMENT	0
KELLY B LAMPING
FAMILY MEMBER OF DAVID BERND, DIRECTOR AND OFFICER	$16,143	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	SENTARA HEALTHCARE I. SENTARA HEALTHCARE - YOUR NOT FOR PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE 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	PROGRAM SERVICE ACCOMPLISHMENTS: SENTARA HOSPITALS PROVIDES ACUTE AND TERTIARY INPATIENT AND OUTPATIENT MEDICAL SERVICES THROUGH THE OPERATION OF SEVEN HOSPITALS IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN CAROLINA--SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AND SENTARA ALBEMARLE MEDICAL CENTER. THE SEVEN HOSPITALS COMBINED OFFERED 1,778 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 895,831 ADJUSTED PATIENT DAYS OF CARE DURING 2016. SERVICES INCLUDE DAILY ROUTINE NURSING, WELLNESS PROGRAMS, LEVEL I AND II TRAUMA SERVICES, NIGHTINGALE AIR AMBULANCE, CARDIAC CATHERIZATION, ANGIOGRAPHY, NEONATAL INTENSIVE CARE, COMMUNITY EDUCATION PROGRAMS FOR THE DISADVANTAGED, AND VARIOUS OTHER COMMUNITY ACTIVITIES. SENTARA HOSPITALS ALSO PROVIDES MEDICAL EDUCATION PROGRAMMING IN CONJUNCTION WITH THE EASTERN VIRGINIA MEDICAL AUTHORITY OFFERING SPECIALTY SERVICES SUCH AS CARDIOLOGY, IN-VITRO FERTILIZATION AND UROLOGY. THE HOSPITAL PROVIDES FREE COMMUNITY HEALTH SCREENINGS AND HEALTH EDUCATION THROUGHOUT HAMPTON ROADS. COSTS INCURRED FOR THESE ACTIVITIES ARE NOT SPECIFICALLY ACCUMULATED, BUT INCLUDE SALARIES AND OTHER OPERATING EXPENSES. THE FOLLOWING IS A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2016.
FORM 990, PART VI, SECTION A, LINE 2	THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTHCARE, A 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	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	THE ORGANIZATION WAS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE COMMITTEE MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH.
FORM 990, PART VI, SECTION B, LINE 15	AS PART OF THE SENTARA 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, PRESIDENT, TREASURER AND CERTAIN KEY EMPLOYEES; WHO ALSO SERVE AS PRESIDENT AND CEO, SENIOR VICE PRESIDENT AND COO, SENIOR VICE PRESIDENT AND CFO, AND SENIOR AND CORPORATE VICE PRESIDENTS OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR ALL POSITIONS LISTED.
FORM 990, PART VI, SECTION C, LINE 19	THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY: -155,469,723. PARTNERSHIP INCOME BOOK < TAX: -272,625. S CORP INCOME BOOK < TAX: -35,203.
FORM 990, PART III, LINE 1	DESCRIPTION OF ORGANIZATION'S MISSION: AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH THE ESTABLISHMENT AND OPERATION OF ONE OR MORE NONPROFIT HOSPITALS AND RELATED HEALTH AND MEDICAL PROGRAMS FOR THE CARE OF THE SICK AND INJURED; THE OPERATION OF NONPROFIT SCHOOLS FOR THE EDUCATION AND TRAINING OF NURSES AND OTHER PERSONNEL NECESSARY OR DESIRABLE IN PROVIDING HEALTH CARE; THE PROMOTION OF HEALTH; THE CARRYING ON OF SCIENTIFIC MEDICAL RESEARCH IN THE PUBLIC INTEREST; AND THE CARRYING ON OF ANY OTHER ACTIVITIES WHICH FURTHER OR ADVANCE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITIES SERVED BY THE ORGANIZATION.
FORM 990, PART V, LINE 1A	NUMBER REPORTED IN BOX 3 OF FORM 1096: 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, LINE 1B	BOARD MEMBER 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WILLIAMSBURG MEDICAL MGT LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541760126	MOB RENTAL	VA	$101,228	$2,746,969	SENTARA HOSPITALS
HPVA LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	208256631	HOLDING COMPANY	VA	$0	$806,521	SENTARA HOSPITALS
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	463846081	HOSPITAL	VA	$117,924,072	$86,084,019	SENTARA HOSPITALS
SARMC ANESTHESIA SPECIALISTS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	371791448	ANESTHESIA BILLING	VA	$0	$0	SENTARA ALBEMARLE REGIONAL MEDICAL CENTER
SENTARA BLUE RIDGE LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	813834045	HOLDING COMPANY	VA	$0	$0	SENTARA HOSPITALS

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)
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 HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	LINE 7		0	N/A
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	LINE 10	SENTARA HEALTHCARE	Yes (1)
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 (24 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
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA		SH	UNRELATED	$15,820	$200,668	0	Yes (1)	0.20000
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA		SH	RELATED	$152,329	$3,230,136	0	Yes (1)	0.61540
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA		SH	RELATED	$1,259,133	$2,904,743	0	Yes (1)	0.51520
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA		SH	RELATED	$688,190	$3,191,829	0	Yes (1)	0.50000
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA		SH	RELATED	$1,241,119	$6,550,782	0	Yes (1)	0.50000
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	N/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA		SH	RELATED	$107,811	$1,384,859	0	Yes (1)	0.25000
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA		SH	RELATED	$774,206	$1,695,495	0	Yes (1)	0.53630
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A
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		SH	RELATED	$161,248	$9,989	0	Yes (1)	0.40000
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA		SH	RELATED	$2,674,653	$3,168,451	0	Yes (1)	0.50000
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	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (52 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
C	$8,179,336	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
L	$14,488,659	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
N	$14,205,832	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
F	$25,745,475	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
L	$20,878,345	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
N	$10,012,323	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
Q	$42,781,689	CORP BOOKS/REC
SMG INNOVATIONS INC
Q	$186,340	CORP BOOKS/REC
SENTARA MEDICAL GROUP
A	$223,195	CORP BOOKS/REC
SENTARA MEDICAL GROUP
C	$50,807,442	CORP BOOKS/REC
SENTARA MEDICAL GROUP
L	$9,436,868	CORP BOOKS/REC
SENTARA MEDICAL GROUP
M	$41,795,989	CORP BOOKS/REC
SENTARA MEDICAL GROUP
N	$2,400,244	CORP BOOKS/REC
SENTARA MEDICAL GROUP
R	$64,191	CORP BOOKS/REC
SENTARA MEDICAL GROUP
S	$197,852	CORP BOOKS/REC
SENTARA ENTERPRISES
B	$2,334,488	CORP BOOKS/REC
SENTARA ENTERPRISES
L	$5,599,327	CORP BOOKS/REC
SENTARA ENTERPRISES
M	$3,226,040	CORP BOOKS/REC
SENTARA ENTERPRISES
N	$1,354,762	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
K	$977,915	CORP BOOKS/REC
MPB INC
C	$9,516,624	CORP BOOKS/REC
MPB INC
K	$8,155,279	CORP BOOKS/REC
MPB INC
P	$364,313	CORP BOOKS/REC
SENTARA LIFE CARE CORP
B	$3,953,412	CORP BOOKS/REC
SENTARA LIFE CARE CORP
L	$2,796,511	CORP BOOKS/REC
SENTARA LIFE CARE CORP
M	$2,155,565	CORP BOOKS/REC
SENTARA LIFE CARE CORP
N	$2,000,028	CORP BOOKS/REC
SENTARA LIFE CARE CORP
O	$1,593,202	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
L	$79,547,455	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
Q	$6,673,836	CORP BOOKS/REC
OPTIMA HEALTH INSURANCE COMPANY
L	$19,742,009	CORP BOOKS/REC
OPTIMA HEALTH PLAN
L	$77,183,917	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
Q	$1,057,477	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
S	$1,288,099	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
L	$100,632	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
A	$53,125	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
S	$184,615	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
Q	$344,183	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
S	$880,000	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
B	$8,048,002	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
L	$3,649,277	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
N	$8,806,058	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
L	$5,004,452	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
N	$17,778,193	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
C	$23,305,042	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
R	$11,996,842	CORP BOOKS/REC
HALIFAX REGIONAL HOSPITAL
B	$2,020,626	CORP BOOKS/REC
HALIFAX REGIONAL HOSPITAL
L	$134,079	CORP BOOKS/REC
HALIFAX REGIONAL HOSPITAL
N	$2,519,461	CORP BOOKS/REC
VALLEY WELLNESS CENTER
B	$68,364	CORP BOOKS/REC
ALBEMARLE PHYSICIAN SERVICES
R	$521,815	CORP BOOKS/REC
ALBEMARLE PHYSICIAN SERVICES
B	$21,152,929	CORP BOOKS/REC