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SENTARA RMH MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SENTARA RMH MEDICAL CENTER (EIN 54-0506331)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201723179349303902
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-13T11:59:21-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540506331EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SENTARA RMH MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSENTBusinessNameControlTxt
Phone7574557020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16015 POPLAR HALL DRIVEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23502ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT A BROERMANNPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7574557020PhoneNum
Signature2017-11-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address163.230.250.197IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm12:11:25IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5DE4645C05D0C16B02C5EBC66FC9207F882F5D80AtSubmissionCreationDeviceId
At Submission Filing Device Id5DE4645C05D0C16B02C5EBC66FC9207F882F5D80AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerDOUGLAS J MOYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12010 HEALTH CAMPUS DRIVEAddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$432,673,916GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SENTARA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1908FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionNOT-FOR-PROFIT COMMUNITY HOSPITAL ORGANIZATION.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2546TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$494,774TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$38,234NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,320,427PYContributionsGrantsAmt
CY Contributions Grants$3,185,411CYContributionsGrantsAmt
PY Program Service Revenue$419,873,988PYProgramServiceRevenueAmt
CY Program Service Revenue$428,418,275CYProgramServiceRevenueAmt
PY Investment Income$1,828,348PYInvestmentIncomeAmt
CY Investment Income-$57,988CYInvestmentIncomeAmt
PY Other Revenue$465,751PYOtherRevenueAmt
CY Other Revenue$612,030CYOtherRevenueAmt
PY Total Revenue$423,488,514PYTotalRevenueAmt
CY Total Revenue$432,157,728CYTotalRevenueAmt
PY Grants And Similar Paid$1,890,912PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,251,471CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$182,721,170PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$194,493,847CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$746,220CYTotalFundraisingExpenseAmt
PY Other Expenses$191,797,836PYOtherExpensesAmt
CY Other Expenses$209,805,987CYOtherExpensesAmt
PY Total Expenses$376,409,918PYTotalExpensesAmt
CY Total Expenses$408,551,305CYTotalExpensesAmt
PY Revenues Less Expenses$47,078,596PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,606,423CYRevenuesLessExpensesAmt
Total Assets BOY$254,331,484TotalAssetsBOYAmt
Total Assets EOY$244,265,948TotalAssetsEOYAmt
Total Liabilities BOY$39,231,886TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,037,601TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$215,099,598NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$209,228,347NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO IMPROVE HEALTH AND PROMOTE WELLBEING AND TO BE AN INNOVATIVE, COMMUNITY-ORIENTED HEALTH CARE PROVIDER COMMITTED TO OFFERING ACCESSIBLE, PERSONALIZED, AND HIGH-QUALITY SERVICES IN A COST-EFFECTIVE MANNER.WE WILL WORK IN PARTNERSHIP WITH THE LOCAL MEDICAL COMMUNITY AND OTHER LOCAL AND REGIONAL HEALTH CARE RESOURCES TO ENSURE THAT NECESSARY HEALTH SERVICES ARE AVAILABLE TO ALL, REGARDLESS OF THEIR FINANCIAL STATUS. WITH OUR PARTNERS, WE WILL SEEK TO ENHANCE THE HEALTH STATUS OF THE COMMUNITY WE SERVE BY OFFERING AN APPROPRIATE RANGE OF SERVICES, INCLUDING SELECTED AREAS OF EXCELLENCE. WORKING WITH OUR LOCAL PHYSICIAN PARTNERS, WE WILL ACTIVELY PARTICIPATE IN THE FORMATION OF A LOCALLY CONTROLLED, INTEGRATED DELIVERY SYSTEM. IN OUR EFFORTS, WE WILL BE GUIDED BY THE SHARED VALUES, BELIEFS AND NEEDS OF OUR LOCAL COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$337,715,938ExpenseAmt
Grant$4,251,471GrantAmt
Revenue$427,923,501RevenueAmt
DescHOSPITAL SERVICES:THE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE TO THE COMMUNITY BY OFFERING THE LATEST TECHNOLOGY AND THE BEST TECHNICAL EXPERTISE. THE HOSPITAL SERVES A SEVEN-COUNTY AREA WITH A POPULATION OF CLOSE TO 218,000, ADMITTING MORE THAN 19,000 INPATIENTS IN 2016. THE HOSPITAL IS LICENSED AS A 238-BED HOSPITAL AND PROVIDES AN APPROPRIATE ARRAY OF REGIONAL COMMUNITY HOSPITAL SERVICES INCLUDING ONCOLOGY, CARDIOLOGY INCLUDING CARDIAC SURGERY, BEHAVIORAL HEALTH, OBSTETRICS AND WOMEN'S SERVICES, OUTPATIENT AND INPATIENT SURGERY, SLEEP MEDICINE, EMERGENCY CARE, SENIOR SERVICES, HOME AND HOSPICE CARE, PHYSICIAN PRACTICES AND A VARIETY OF OTHER OUTPATIENT SERVICES AS WELL AS EDUCATION AND OUTREACH. THE HOSPITAL IS HOME TO SCHOOLS OF RADIOLOGICAL TECHNOLOGY AND MEDICAL TECHNOLOGY. ALONG WITH TRADITIONAL HEALTH SERVICES, THE HOSPITAL MAKES ITS RESOURCES AVAILABLE TO SUPPORT MANY COMMUNITY HEALTH INITIATIVES AND PROGRAMS.SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM AS A WHOLE FOR 2016.Desc
Total Program Service Expenses$337,715,938TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document216IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2546EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORPORATE OFFICERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7574557020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16015 POPLAR HALL DEIVEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23502ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEVON ANDERS
DIRECTOR (THRU 6/16)1.001.00Yes (X)$0$0$0
A JERRY BENSON PHD
DIRECTOR (THRU 6/16)1.001.00Yes (X)$0$0$0
DAVID L BERND
DIRECTOR (THRU 6/16)1.0050.00Yes (X)$0$7,825,434$81,327
JOSEPH K FUNKHOUSER II
DIRECTOR (THRU 6/16)1.001.00Yes (X)$0$0$0
TERRY M GILLILAND MD
DIRECTOR (THRU 6/16)1.0045.00Yes (X)$0$1,329,070$156,497
ROBERT A BROERMANN
DIRECTOR/TREASURER (EFFEC 7/16)1.0052.00Yes (X)$0$1,503,780$71,355Yes (X)
MICHAEL V GENTRY
DIRECTOR/CHAIRMAN (EFFEC 7/16)1.0053.00Yes (X)$0$1,044,814$143,725Yes (X)
ANN E C HOMAN
DIRECTOR/CHAIRMAN (THRU 6/16)2.003.00Yes (X)$0$0$0Yes (X)
ALDEN L HOSTETTER MD
DIRECTOR/SECRETARY (THRU 6/16)2.001.00Yes (X)$0$0$0Yes (X)
HOWARD P KERN
DIRECTOR/VICE CHAIR (THRU 6/16)1.0050.00Yes (X)$0$2,428,937$1,918,643Yes (X)
J MICHAEL BURRIS
TREASURER (THRU 6/16)20.0022.00$185,708$185,708$191,974Yes (X)
RICHARD L HAUSHALTER
INTERIM PRESIDENT (EFFEC 9/16)/KE (SR VP/COO)40.000.00$536,735$0$120,342Yes (X)
SAMUEL J HAWLEY
ASSISTANT SECRETARY (EFFEC 7/16)1.0044.00$0$159,506$23,483Yes (X)
JEFFERY P KING
SECRETARY (EFFEC 7/16)1.0048.00$0$664,448$100,828Yes (X)
JAMES D KRAUSS
PRESIDENT (THRU 8/16)40.001.00$930,477$840$102,580Yes (X)
TIMOTHY S CRADDOCK
KE (DIR, SURGICAL SVCS)40.000.00$159,117$0$25,612Yes (X)
ELIZABETH EARLY
KE (DIR, PHARMACY)20.0020.00$103,916$103,916$119,742Yes (X)
PHILIP W HACKETT
KE (EXEC DIR, RMH MEDICAL GROUP)40.000.00$209,064$0$52,307Yes (X)
DONNA S HAHN
KE (VP ACUTE CARE/CNE)40.000.00$296,924$0$115,837Yes (X)
JOHN A MCGOWAN
KE (RMH MEDICAL GROUP CEO)40.000.00$385,280$0$20,155Yes (X)
MARIJO LECKER
KE (VP, CLINICAL SUPPORT SVS)20.0020.00$150,404$150,404$64,790Yes (X)
CHAD MUXLOW MD
PHYSICIAN40.000.00$1,293,266$0$43,954Yes (X)
CHRISTOPHER J HESS MD
PHYSICIAN40.000.00$996,083$0$51,796Yes (X)
CHRISTOPHER DIPASQUALE DO
PHYSICIAN40.000.00$955,378$0$49,034Yes (X)
WILLIAM LENNEN MD
PHYSICIAN40.000.00$926,844$0$57,653Yes (X)
JEROME MCDONALD MD
PHYSICIAN40.000.00$883,795$0$46,800Yes (X)
MICHAEL KING
FORMER OFFICER0.0040.00$0$383,440$66,515Yes (X)
MICHAEL J ROZMUS
FORMER KEY EMPLOYEE0.0040.00$0$305,139$116,598Yes (X)
MARK ZIMMERMAN
FORMER KEY EMPLOYEE18.0022.00$0$396,812$124,724Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,012,991TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,482,248TotReportableCompRltdOrgAmt
Total Other Compensation$3,866,271TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K202IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HARRISONBURG MEDICAL ASSOCIATES
1871 EVELYN BYRD AVENUEHARRISONBURGVA22801MEDICAL PROFESSIONAL SERVICES$8,661,600
HARRISONBURG PHYSICIANS ANETHESIOLOGY I
PO BOX 420DAYTONVA22821MEDICAL PROFESSIONAL SERVICES$7,339,151
LANTZ CONSTRUCTION COMPANY
539 S MAIN STREETBROADWAYVA22815CONSTRUCTION$5,044,288
TEKSYSTEMS INC
PO BOX 198568ATLANTAGA30384IT STAFFING$3,005,391
HEMATOLOGYONCOLOGY ASSOCIATES
605 E BEVERLY STREETSTAUNTONVA24401MEDICAL PROFESSIONAL SERVICES$2,080,156
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K74CntrctRcvdGreaterThan100KCnt
Membership Dues$950MembershipDuesAmt
All Other Contributions$3,184,461AllOtherContributionsAmt
Noncash Contributions$39,286NoncashContributionsAmt
Total Contributions$3,185,411TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SRVC REV621300$424,199,915$423,705,141$494,774
OTHER PROGRAM SERVICES621300$3,620,576$3,620,576
PREMIUM & CAPITATION REVENUE621300$597,784$597,784
FieldValueIRS element (for citing)
Total Program Service Revenue$428,418,275TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,590TotalRevenueColumnAmt
Exclusion$73,590ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$139,332RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$139,332RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,332TotalRevenueColumnAmt
Exclusion$139,332ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$294,274SecuritiesAmt
Other$61,933OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$215,381SecuritiesAmt
Other$272,404OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$78,893SecuritiesAmt
Other-$210,471OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$131,578TotalRevenueColumnAmt
Exclusion-$131,578ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$48,198FundraisingGrossIncomeAmt
Fundraising Direct Expenses$28,403FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,795TotalRevenueColumnAmt
Exclusion$19,795ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
SALES OF NON-MEDICAL GOODS900099$432,001$432,001
DIETARY SALES722210$20,902$20,902
FieldValueIRS element (for citing)
Other Revenue Total$452,903OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$432,157,728TotalRevenueColumnAmt
Related Or Exempt Func Income$427,923,501RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$494,774UnrelatedBusinessRevenueAmt
Exclusion$554,042ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,851,966TotalAmt
Program Services$3,851,966ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$399,505TotalAmt
Program Services$399,505ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,582,710TotalAmt
Program Services$2,794,514ProgramServicesAmt
Management And General$788,196ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$80,911TotalAmt
Program Services$63,111ProgramServicesAmt
Management And General$17,800ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$155,343,255TotalAmt
Program Services$120,808,920ProgramServicesAmt
Management And General$34,074,311ManagementAndGeneralAmt
Fundraising$460,024FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,795,846TotalAmt
Program Services$6,860,760ProgramServicesAmt
Management And General$1,935,086ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,540,444TotalAmt
Program Services$12,863,613ProgramServicesAmt
Management And General$3,628,199ManagementAndGeneralAmt
Fundraising$48,632FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,150,681TotalAmt
Program Services$7,890,014ProgramServicesAmt
Management And General$2,225,388ManagementAndGeneralAmt
Fundraising$35,279FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,380,634TotalAmt
Program Services$1,856,895ProgramServicesAmt
Management And General$523,739ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$181,105TotalAmt
Program Services$141,262ProgramServicesAmt
Management And General$39,843ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$70,826TotalAmt
Program Services$55,244ProgramServicesAmt
Management And General$15,582ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,683,092TotalAmt
Program Services$34,466,412ProgramServicesAmt
Management And General$1,209,180ManagementAndGeneralAmt
Fundraising$7,500FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$223,659TotalAmt
Program Services$151,932ProgramServicesAmt
Management And General$42,853ManagementAndGeneralAmt
Fundraising$28,874FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,751,112TotalAmt
Program Services$8,291,312ProgramServicesAmt
Management And General$2,338,575ManagementAndGeneralAmt
Fundraising$121,225FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,508,168TotalAmt
Program Services$5,064,719ProgramServicesAmt
Management And General$1,428,511ManagementAndGeneralAmt
Fundraising$14,938FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,153,692TotalAmt
Program Services$4,019,880ProgramServicesAmt
Management And General$1,133,812ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$982,842TotalAmt
Program Services$764,072ProgramServicesAmt
Management And General$215,508ManagementAndGeneralAmt
Fundraising$3,262FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$163,000TotalAmt
Program Services$127,140ProgramServicesAmt
Management And General$35,860ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,215,954TotalAmt
Program Services$7,215,954ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,267,333TotalAmt
Program Services$15,794,141ProgramServicesAmt
Management And General$4,454,758ManagementAndGeneralAmt
Fundraising$18,434FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,230,884TotalAmt
Program Services$1,740,089ProgramServicesAmt
Management And General$490,795ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
UBI TAXES$183,000$183,000
MEDICAL SUPPLIES$72,285,274$72,285,274
BAD DEBT PROVISION$17,578,402$17,578,402
SENTARA SERVICE EXPENSE$11,980,231$11,980,231

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,966,779TotalAmt
Program Services$12,447,807ProgramServicesAmt
Management And General$3,510,920ManagementAndGeneralAmt
Fundraising$8,052FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$408,551,305TotalAmt
Program Services$337,715,938ProgramServicesAmt
Management And General$70,089,147ManagementAndGeneralAmt
Fundraising$746,220FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,885,485BOYAmt
EOY$3,115,263EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$964,479BOYAmt
EOY$632,096EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$46,858,946BOYAmt
EOY$54,197,019EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$41,556BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$634,807BOYAmt
EOY$307,666EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,509,996BOYAmt
EOY$5,731,483EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,921,890BOYAmt
EOY$218,775EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$218,233,109LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$72,015,230LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$159,503,048BOYAmt
EOY$146,217,879EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,482,653BOYAmt
EOY$28,699,484EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,089,492BOYAmt
EOY$1,510,218EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,439,132BOYAmt
EOY$3,636,065EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$254,331,484BOYAmt
EOY$244,265,948EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,486,150BOYAmt
EOY$9,289,015EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,702BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,744,034BOYAmt
EOY$25,748,586EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,231,886BOYAmt
EOY$35,037,601EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$183,084,694BOYAmt
EOY$177,225,872EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,160,702BOYAmt
EOY$16,176,548EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,854,202BOYAmt
EOY$15,825,927EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$215,099,598BOYAmt
EOY$209,228,347EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$254,331,484BOYAmt
EOY$244,265,948EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,606,423ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,414,681NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$30,892,355OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$32,014,904BeginningYearBalanceAmt
Contributions$3,183,580ContributionsAmt
Investment Earnings Or Losses$1,568,410InvestmentEarningsOrLossesAmt
Other Expenditures$4,764,419OtherExpendituresAmt
End Year Balance$32,002,475EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,495,329BeginningYearBalanceAmt
Contributions$1,315,110ContributionsAmt
Investment Earnings Or Losses-$272,089InvestmentEarningsOrLossesAmt
Other Expenditures$2,523,446OtherExpendituresAmt
End Year Balance$32,014,904EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,004,830BeginningYearBalanceAmt
Contributions$1,979,213ContributionsAmt
Investment Earnings Or Losses$331,638InvestmentEarningsOrLossesAmt
Other Expenditures$1,820,352OtherExpendituresAmt
End Year Balance$33,495,329EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,339,057BeginningYearBalanceAmt
Contributions$1,514,019ContributionsAmt
Investment Earnings Or Losses$2,161,899InvestmentEarningsOrLossesAmt
Other Expenditures$5,010,145OtherExpendituresAmt
End Year Balance$33,004,830EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,693,873BeginningYearBalanceAmt
Contributions$1,941,005ContributionsAmt
Investment Earnings Or Losses$1,870,472InvestmentEarningsOrLossesAmt
Other Expenditures$3,166,293OtherExpendituresAmt
End Year Balance$34,339,057EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.49450PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.50550TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,563,978OtherCostOrOtherBasisAmt
Book Value$12,563,978BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,661,719OtherCostOrOtherBasisAmt
Depreciation$6,963,158DepreciationAmt
Book Value$53,698,561BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,953OtherCostOrOtherBasisAmt
Depreciation$13,318DepreciationAmt
Book Value$26,635BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$131,289,422OtherCostOrOtherBasisAmt
Depreciation$62,538,084DepreciationAmt
Book Value$68,751,338BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,678,037OtherCostOrOtherBasisAmt
Depreciation$2,500,670DepreciationAmt
Book Value$11,177,367BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$146,217,879TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO AFFILIATES$36,569
DUE TO THIRD PARTIES$1,027,971
OTHER CURRENT LIABILITIES$4,436,126
GENERAL RESERVE$20,247,920
FieldValueIRS element (for citing)
Total Liability$25,748,586TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationENDOWMENT FUNDS ARE USED FOR VARIOUS EQUIPMENT, PROGRAMS, AND OPERATING EXPENSES IN ACCORDANCE WITH DONOR RESTRICTIONS.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$962,604RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$962,604SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$962,604TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3:FormAndLineReferenceDesc
ExplanationINVESTMENTS ARE RECORDED AT FAIR MARKET VALUE.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CLOUD'S SHOE SALE/OTHER COMMISSIONEvent1Nm
Gross Receipts Event1$30,157GrossReceiptsEvent1Amt
Gross Revenue Event1$30,157GrossRevenueEvent1Amt
Other Direct Expenses Event1$26,960OtherDirectExpensesEvent1Amt
Gross Receipts Total$30,157GrossReceiptsTotalAmt
Gross Revenue Total Events$30,157GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$26,960OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$26,960DirectExpenseSummaryEventsAmt
Net Income Summary$3,197NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,100,312TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,100,312NetCommunityBenefitExpnsAmt
Total Expense0.05150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,455,124TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,788,934DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,666,190NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,555,436TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,788,934DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,766,502NetCommunityBenefitExpnsAmt
Total Expense0.06860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$418,361TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$418,361NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,083,282TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,206,029DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,877,253NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,318,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,313,789DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,004,978NetCommunityBenefitExpnsAmt
Total Expense0.07170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$345,370TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$345,370NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,165,780TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,519,818DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,645,962NetCommunityBenefitExpnsAmt
Total Expense0.07850TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,721,216TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,308,752DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,412,464NetCommunityBenefitExpnsAmt
Total Expense0.14710TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$17,578,402BadDebtExpenseAmt
Reimbursed By Medicare$110,821,715ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$110,013,059CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$808,656MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SENTARA RMH MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12010 HEALTH CAMPUS DRAddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SENTARA.COMWebsiteAddressTxt
State LicenseH1891StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherOTHER MENTAL HEALTH AND SUBSTANCE ABUSEOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SENTARA RMH MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SECTION C BELOW.OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SENTARA RMH MEDICAL CENTERPART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SENTARA RMH MEDICAL CENTER (SRMC) 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: 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 THROUGH FOCUS GROUPS AND INTERVIEWS.1) SRMC CONVENED A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. THE COMMITTEE WAS 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. AN EXAMPLE IS THE HEALTHY COMMUNITY ASSESSMENT CONDUCTED BY THE HEALTHY COMMUNITY COUNCIL. 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. MEMBERS OF THE STEERING COMMITTEE PROVIDED INPUT BASED UPON THEIR INVOLVEMENT IN COMMUNITY COALITIONS AND COMMUNITY HEALTH INITIATIVES AND THEIR COMMUNICATIONS WITH INDIVIDUALS IN THE COMMUNITY. IN ADDITION, HOSPITAL STAFF CONDUCTED FOCUS GROUPS TO RECEIVE INPUT FROM SAFETY NET PROVIDERS, A COMMUNITY FOUNDATION, AND OTHERS.
SENTARA RMH MEDICAL CENTERPART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS.THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SRMH-2015-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
SENTARA RMH MEDICAL CENTERPART V, SECTION B, LINE 11: THE SRMC COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL 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 HOSPITAL IS PARTICIPATING IN THE COUNTY-WIDE COLLABORATIVE, THE HEALTHY COMMUNITY COUNCIL (OF HARRISONBURG AND ROCKINGHAM COUNTY). SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS.
SENTARA RMH MEDICAL CENTERPART V, SECTION B, LINE 20E: THE HOSPITAL USES AN OUTSIDE VENDOR THAT SCREENS ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND A FINANCIAL COUNSELOR WHO SCREENS THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR CHARITY CARE.
PART V SECTION B LINES 16A, 16B, AND 16CTHE ORGANIZATION'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTP://WWW.SENTARA.COM/FINANCIALASSISTANCE.
FieldValueIRS element (for citing)
Facility37FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SENTARA RMH ORTHOPEDICS & SPORTS MED
2509 PLEASANT RUN DRIVEHARRISONBURGVA22801REHABILITATION CENTER
2 - SENTARA EVELYN BYRD HEALTH CENTER
1871 EVELYN BYRD AVENUEHARRISONBURGVA22801FAMILY PRACTICE
3 - SENTARA RMH TIMBERVILLE IMAGING SERV
444 NEW MARKET ROADTIMBERVILLEVA22853OUTPATIENT IMAGING AND LAB SERVICES
4 - SENTARA RMH UROLOGY
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
5 - SENTARA RMH BACK AND NECK
2509 PLEASANT RUN DRIVEHARRISONBURGVA22801REHABILITATION CENTER
6 - SENTARA RMH TIMBER WAY HEALTH CENTER
13892 TIMBER WAYBROADWAYVA22815FAMILY PRACTICE
7 - SENTARA RMH SURGICAL CLINIC
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801SURGERY CENTER
8 - REHAB SERVICES - PAVILION
2500 WELLNESS DRHARRISONBURGVA22801OUTPATIENT PHYSICAN THERAPY SERVICES
9 - SENTARA RMH ORTHOPEDIC CENTER
2509 PLEASANT RUN DRIVEHARRISONBURGVA22801ORTHOPEDIC CENTER
10 - SENTARA RMH VASCULAR SURGERY
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801SURGERY CENTER
11 - SENTARA RMH CARDIOTHORACIC SURGERY
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801SURGERY CENTER
12 - SENTARA RMH NEUROLOGY
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
13 - SENTARA RMH PULMONARY ASSOCIATES
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
14 - SENTARA RMH SOUTH MAIN HEALTH CENTER
1661 SOUTH MAIN STREETHARRISONBURGVA22801FAMILY PRACTICE, INTERNAL MEDICINE, ENDOCRINOLOGY
15 - SENTARA RMH EAST ROCKINGHAM HEALTH CTR
13737 SPOTSWOOD TRAILELKTONVA22827FAMILY PRACTICE
16 - SENTARA RMH VALLEY BEHAVIORAL MED
644 UNIVERSITY BLVDHARRISONBURGVA22801MENTAL HEALTH SERVICES
17 - REHAB SERVICES - INDUSTRIAL
1790 E MARKET ST 64BHARRISONBURGVA22801OTHER OUTPATIENT SITE
18 - SENTARA RMH INTERNAL MEDICINE
1661 SOUTH MAIN STREETHARRISONBURGVA22801OTHER OUTPATIENT SITE
19 - SENTARA RMH RHEUMATOLOGY
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
20 - SENTARA RMH NEUROLOGY
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
21 - SENTARA RMH CENTER FOR SLEEP MEDICINE
640 SOUTH MAIN STREETHARRISONBURGVA22801SLEEP STUDIES
22 - SENTARA RMH FUNKHOUSER WOMENS CENTER
2275 HEALTH CAMPS DRHARRISONBURGVA22801MAMMOGRAPHY SERVICES, BREAST SURGERY CLINIC, IMAGE RECOVERY
23 - SENTARA RMH BREAST CARE
2275 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
24 - HAHN CANCER CENTER
2008 HEALTH CAMPUS DRIVEHARRISONBURGVA22801SPECIALTY PHYSICIAN OFFICES
25 - SENTARA RMH HEMATOLOGY ONCOLOGY ASSOC
2008 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
26 - SENTARA RMH OCCUPATIONAL HEALTH
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OCCUPATIONAL MEDICINE
27 - SENTARA RMH MOUNT JACKSON HEALTH CTR
120 MEDICAL AVENUEMOUNT JACKSONVA22842FAMILY PRACTICE
28 - SENTARA RMH BEHAVIORAL HEALTH
644 UNIVERSITY BLVDHARRISONBURGVA22801MENTAL HEALTH SERVICES
29 - SENTARA RMH INTEGRATED MEDICINE
1931 MEDICAL AVENUEHARRISONBURGVA22801INTEGRATIVE MEDICINE
30 - REHAB SERVICES - BRIDGEWATER HOME
400 MAIN STBRIDGEWATERVA22812OUTPATIENT PHYSICAL THERAPY
31 - SENTARA RMH LURAY HEALTH CENTER
134 GENERAL DRIVELURAYVA22835FAMILY PRACTICE
32 - SENTARA RMH ENDOCRINOLOGY
1661 SOUTH MAIN STREETHARRISONBURGVA22801OTHER OUTPATIENT SITE
33 - SENTARA RMH NEW MARKET HEALTH CENTER
9626 SOUTH CONGRESS STREETNEW MARKETVA22844FAMILY PRACTICE
34 - SENTARA RMH INFECTIOUS DISEASE
2006 HEALTH CAMPUS DRIVEHARRISONBURGVA22801OTHER OUTPATIENT SITE
35 - SENTARA RMH PALLIATIVE CARE
1931 MEDICAL AVENUEHARRISONBURGVA22801OTHER OUTPATIENT SITE
36 - SENTARA EAST MARKET HEALTH CENTER
1790-64B EAST MARKET STREETHARRISONBURGVA22801FAMILY PRACTICE, LAB, REHAB SERVICES
37 - RMH SPRINGBROOK FAMILY MEDICINE
173 E SPRINGBROOK ROADBROADWAYVA22815FAMILY PRACTICE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:AND PART V, SECTION B LINE 13H:FACTORS OTHER THAN FPG USED IN DETERMINING ELIGIBILITY UNDER FAPTHE 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:CB REPORT PREPARED BY A RELATED ORG THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE 501(C)(3) PARENT ORGANIZATION OF THE SENTARA HEALTH SYSTEM.
PART I, LINE 7:EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO THE COST CENTER PROVIDING SUCH SERVICES.
PART I, LINE 7G:$28,004,978 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 $17,578,402
PART III, LINE 2:AMOUNT REPORTED ON LINE 2 INCLUDES ACTUAL BAD DEBT WRITE OFFS NET OF RECOVERIES PLUS CHANGES IN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCOUNTS RECEIVABLE. SEE ALSO THE FOOTNOTE ON PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DISCUSSES BAD DEBT.
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:PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE THEIR BALANCES DISCOUNTED BY THE APPLICABLE RATE AND ANY REMAINING BALANCES WILL BE BILLED TO THEM. THE COLLECTION PRACTICES OF STATEMENTS, LETTERS, PHONE CALLS, REFERRAL TO THIRD PARTY COLLECTION AGENCIES, ETC. ARE THE SAME FOR ALL PATIENTS WITH A BALANCE DUE. IF DURING A CALL THE PATIENT ASKS FOR FINANCIAL ASSISTANCE, AN APPLICATION IS MAILED TO THEM. THE ORGANIZATION DID NOT IMPOSE COLLECTION ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT WAS ELIGIBLE FOR FINANCIAL ASSISTANCE.
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 THE LOCAL HEALTH DISTRICTS AND OTHER ORGANIZATIONS. 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:THE HOSPITAL HAS POSTED INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY IN EACH REGISTRATION AND WAITING AREA. BILLING STATEMENTS AND THE WEB SITE HAVE INSTRUCTIONS AND PHONE NUMBERS LISTED FOR ALL PATIENTS WHO MAY BE HAVING DIFFICULTY PAYING BILLS. SELF PAY PATIENTS ARE SCREENED IN PERSON TO DETERMINE IF THEY QUALIFY FOR FEDERAL OR STATE PROGRAMS THAT MAY OFFER INSURANCE. PATIENTS ARE ALSO SCREENED FOR AND GIVEN THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL USES AN OUTSIDE VENDOR THAT SCREENS ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND A FINANCIAL COUNSELOR WHO SCREENS THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR CHARITY CARE.
PART VI, LINE 4:SENTARA RMH MEDICAL CENTER (SRMH) SERVES RESIDENTS OF THESE COUNTIES AND INDEPENDENT CITIES: ROCKINGHAM, HARRISONBURG, PAGE, SHENANDOAH, AUGUSTA, STAUNTON AND ADJOINING COMMUNITIESTHE 2016 POPULATION OF THE AREA IS 220,383 AND THE POPULATION IS PROJECTED TO INCREASE BY 3.9% OVER THE NEXT FIVE YEARS COMPARED TO A PROJECTED U.S. GROWTH RATE OF 3.7%. 16.9% OF THE POPULATION ARE AGE 65+ COMPARED TO THE U.S. AT 15.1%. EDUCATION-WISE, 17.9% HAVE LESS THAN A HIGH SCHOOL EDUCATION, COMPARED TO 13.6% FOR THE U.S. INCOME-WISE, THE AVERAGE HOUSEHOLD INCOME IS $63,822 COMPARED TO $77,135 FOR THE U.S. AND 24.3% 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: 83.2% FOR WHITE NON-HISPANIC, 4.6% FOR BLACK NON-HISPANIC, 8.7% FOR HISPANIC, 1.6% FOR ASIAN AND PACIFIC ISLANDERS NON-HISPANIC, AND 1.9% 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:EFFECTIVE JULY 1, 2016, THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY ITS SOLE MEMBER, SENTARA BLUE RIDGE, LLC, WHOSE COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTHCARE, NOR FAMILY MEMBERS THEREOF. PRIOR TO JULY 1, 2016, THE ORGANIZATION ITSELF HAD A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO WERE NEITHER EMPLOYEES, CONTRACTORS, 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 INPATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED,MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
PART VI, LINE 6:THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA, A NOT FOR PROFIT HEALTH SYSTEM, OPERATES MORE THAN 300 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 12 ACUTE CARE HOSPITALS INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGIONS, ONE IN SOUTH CENTRAL VIRGINIA, AND ONE IN NORTHEASTERN NORTH CAROLINA; ADVANCED IMAGINING CENTERS; NURSING AND ASSISTED-LIVING CENTERS; OUT PATIENT CAMPUSES; HOME HEALTH AND HOSPICE CARE; A 3,800-PROVIDER MEDICAL STAFF; AND FOUR MEDICAL GROUPS. ITS AFFILIATION WITH SENTARA ENHANCES THE ORGANIZATION'S ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS; AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S BLUE RIDGE REGION COMMUNITY. THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HEALTH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
HARRISONBURG ROCKINGHAM FREE CLINIC
25 WEST WATER STEETHARRISONBURGVA22801541568909501(C)(3)$17,860INTERPRETATION SERVICES PROGRAM
SHENANDOAH AREA AGENCY ON AGING
207 MOSBY LANEFRONT ROYALVA22630541008875501(C)(3)$15,000IMPROVING PATIENT ACCESS TO PRIMARY CARE
NEW BRIDGES IMMIGRANT RESOURCE CENTER
64 WEST WATER STHARRISONBURGVA22801455532648501(C)(3)$19,997NAVIGATION SERVICES FOR LIMITED ENGLISH PROFICIENCY PATIENTS
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVENORFOLKVA23502521271901501(C)(3)$3,520,138CORPORATE ALLOCATION TO PARENT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE RELIEF FUND26$40,500
INDIGENT MEDICAL EXPENSES334$210,504
FITNESS CENTER SCHOLARSHIPS62$7,601
SCHOLARSHIPS57$140,900

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. SENTARA RMH MEDICAL CENTER HAS A CAREFUL SCREENING PROCESS IN REVIEWING GRANT APPLICANTS. THE APPLICATIONS ARE FIRST REVIEWED BY A SMALL COMMITTEE USING ESTABLISHED CRITERIA SUCH AS 1) WHAT COMMUNITY NEED IS BEING ADDRESSED, 2) THE ROLE OF PARTNERS IN THE INITIATIVE, 3) AN ACTION PLAN WITH SPECIFIC ACTIVITIES, 4) MEASURABLE GOALS OR OUTCOMES, 5) BUDGET, AND 6) SUSTAINABILITY FOR THE PROJECT IN THE FUTURE. IF AWARDED THE GRANT, THE APPLICANT IS REQUIRED TO SUBMIT A WRITTEN REPORT OF THE OUTCOME WITHIN 12 MONTHS. NO GRANTS ARE MADE OUTSIDE OF THE UNITED STATES.
SCHEDULE I, PART III-THE EMPLOYEE RELIEF FUND PROVIDES ASSITANCE TO EMPLOYEES WITH FINANCIAL NEED. -INDIGENT MEDICAL EXPENSES ARE PAYMENTS OF MEDICAL COSTS FOR INDIGENT PATIENTS. -FITNESS CENTER SCHOLARSHIPS ARE SCHOLARSHIPS AWARDED TO INDIVUALS WHO HAVE AN IDENTIFIED MEDICAL NEED REQUIRING ONGOING PARTICIPATION IN AN EXERCISE PROGRAM. -SCHOLARSHIPS ARE AWARDED TO NURSING STUDENTS WITH FINANCIAL NEED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID L BERND
DIRECTOR (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
TERRY M GILLILAND MD
DIRECTOR (THRU 6/16)$0$754,660$0$508,349$0$66,061$0$141,827$0$14,670$0$1,485,567$0$0
ROBERT A BROERMANN
DIRECTOR/TREASURER (EFFEC 7/16)$0$761,691$0$577,570$0$164,519$0$52,625$0$18,730$0$1,575,135$0$0
MICHAEL V GENTRY
DIRECTOR/CHAIRMAN (EFFEC 7/16)$0$642,866$0$328,762$0$73,186$0$126,898$0$16,827$0$1,188,539$0$55,185
HOWARD P KERN
DIRECTOR/VICE CHAIR (THRU 6/16)$0$1,292,371$0$892,734$0$243,832$0$1,897,938$0$20,705$0$4,347,580$0$0
J MICHAEL BURRIS
TREASURER (THRU 6/16)$127,979$127,979$45,102$45,102$12,627$12,627$82,667$82,667$13,320$13,320$281,695$281,695$0$0
RICHARD L HAUSHALTER
INTERIM PRESIDENT (EFFEC 9/16)/KE (S$333,991$0$127,637$0$75,107$0$100,399$0$19,943$0$657,077$0$0$0
SAMUEL J HAWLEY
ASSISTANT SECRETARY (EFFEC 7/16)$0$136,906$0$20,284$0$2,316$0$13,208$0$10,275$0$182,989$0$0
JEFFERY P KING
SECRETARY (EFFEC 7/16)$0$451,951$0$150,361$0$62,136$0$77,120$0$23,708$0$765,276$0$26,371
JAMES D KRAUSS
PRESIDENT (THRU 8/16)$381,642$840$424,053$0$124,782$0$81,613$0$20,967$0$1,033,057$840$0$0
TIMOTHY S CRADDOCK
KE (DIR, SURGICAL SVCS)$141,666$0$17,130$0$321$0$8,665$0$16,947$0$184,729$0$0$0
ELIZABETH EARLY
KE (DIR, PHARMACY)$79,766$79,766$11,195$11,195$12,955$12,955$47,123$47,123$12,748$12,748$163,787$163,787$0$0
PHILIP W HACKETT
KE (EXEC DIR, RMH MEDICAL GROUP)$181,358$0$23,542$0$4,164$0$28,703$0$23,604$0$261,371$0$0$0
DONNA S HAHN
KE (VP ACUTE CARE/CNE)$219,408$0$76,170$0$1,346$0$94,923$0$20,914$0$412,761$0$0$0
JOHN A MCGOWAN
KE (RMH MEDICAL GROUP CEO)$251,811$0$105,640$0$27,829$0$6,414$0$13,741$0$405,435$0$0$0
MARIJO LECKER
KE (VP, CLINICAL SUPPORT SVS)$115,832$115,832$31,853$31,853$2,719$2,719$22,613$22,613$9,782$9,782$182,799$182,799$0$0
CHAD MUXLOW MD
PHYSICIAN$1,156,210$0$84,284$0$52,772$0$19,963$0$23,991$0$1,337,220$0$0$0
CHRISTOPHER J HESS MD
PHYSICIAN$852,628$0$60,511$0$82,944$0$19,963$0$31,833$0$1,047,879$0$0$0
CHRISTOPHER DIPASQUALE DO
PHYSICIAN$799,236$0$74,085$0$82,057$0$24,702$0$24,332$0$1,004,412$0$0$0
WILLIAM LENNEN MD
PHYSICIAN$769,492$0$63,514$0$93,838$0$30,348$0$27,305$0$984,497$0$0$0
JEROME MCDONALD MD
PHYSICIAN$708,801$0$114,000$0$60,994$0$23,233$0$23,567$0$930,595$0$0$0
MICHAEL KING
FORMER OFFICER$0$167,160$0$83,346$0$132,934$0$44,433$0$22,082$0$449,955$0$0
MICHAEL J ROZMUS
FORMER KEY EMPLOYEE$0$216,447$0$60,365$0$28,327$0$91,785$0$24,813$0$421,737$0$0
MARK ZIMMERMAN
FORMER KEY EMPLOYEE$0$249,699$0$85,315$0$61,798$0$106,094$0$18,630$0$521,536$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SENTARA HEALTHCARE, THE 501(C)(3) ULTIMATE PARENT OF THE SENTARA HEALTHCARE SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE.
PART I, LINES 4A-BMICHAEL KING, FORMER OFFICER, RECEIVED $96,959 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY THE SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND PARTICIPATED IN THE SENTARA OPTION PLAN FOR EXECUTIVES. THIS PLAN IS UNRELATED TO "EQUITY" OF THE EMPLOYER. PARTICIPATION IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF SENTARA HEALTHCARE AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. DURING 2016, MR. BERND RECEIVED $5,243,877 UPON EXERCISE OF OPTIONS GRANTED UNDER THE PLAN. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II. DAVID BERND, HOWARD KERN, ROBERT BROERMANN, MICHAEL GENTRY, JEFFREY KING, TERRY GILLILAND, M.D., AND JAMES KRAUSS PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2016 THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($115,509 ); ROBERT BROERMANN ($138,886); MICHAEL GENTRY ($58,192); HOWARD KERN ($202,907); JEFFREY KING ($40,639); AND JAMES KRAUSS ($65,148). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. RICHARD HAUSHALTER PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN IS A DEFINED CONTRIBUTION PLAN WITH ANNUAL CONTRIBUTIONS EQUAL TO A FIXED PERCENT OF TOTAL COMPENSATION. THE FIXED PERCENT IS SET AT PLAN ENTRY AND NEVER ADJUSTED REGARDLESS OF WHETHER OR NOT ASSUMPTIONS ARE REALIZED. CONTRIBUTIONS ARE MADE AT THE END OF THE PLAN YEAR TO ACTIVE EXECUTIVES (NOT PAID IF SEPARATION OF SERVICE DURING YEAR.) DURING THE CURRENT TAX YEAR, MR. HAUSHALTER RECEIVED A DISTRIBUTION UNDER THE PLAN OF $57,472. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT - WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AS DETERMINED BY THE BOARD; BUSINESS UNIT RESULTS FOR FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE; AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. PHYSICIAN PERFORMANCE INCENTIVE - AN INCENTIVE DESIGNED TO ENCOURAGE AND RECOGNIZE THE CONTRIBUTIONS AND STEWARDSHIP OF PHYSICIANS IN SENTARA'S INTEGRATED DELIVERY SYSTEM. AWARDS ARE BASED ON THE ACHIEVEMENT OF CLINICAL QUALITY, PATIENT SATISFACTION, FISCAL RESPONSIBILITY AND SYSTEM ALIGNMENT GOALS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PATHOLOGY ASSOCIATES OF HARRISONBURG
>35%-OWNED BY DIRECTOR ALDEN HOSTETTER, M.D.$245,909PATHOLOGY SERVICES0
VICKI KRAUSS
FAMILY MEMBER OF OFFICER JAMES KRAUSS$80,911EMPLOYMENT0
SUSAN ROZMUS
FAMILY MEMBER OF FORMER KE MICHAEL ROZMUS$87,115EMPLOYMENT0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$424,175EMPLOYMENT0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$218,155EMPLOYMENT0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$441,773EMPLOYMENT0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$39,286NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ASENTARA 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 4AC. 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 4AB. 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 4AE. 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 V, LINE 1A: FORM 1096NUMBER REPORTED IN BOX 3 OF FORM 1096: SENTARA HEALTHCARE, THE 501(C)(3) ULTIMATE PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. 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 4EFFECTIVE JULY 1, 2016, THE ORGANIZATION'S BYLAWS WERE AMENDED AND RESTATED AS FOLLOWS: A. ACTIVITIES/OBJECTIVES. ARTICLE I LANGUAGE WAS AMENDED TO BRING UNIFORMITY TO THE SPECIFIC CHARITABLE PURPOSES OF SENTARA'S BLUE RIDGE REGION HOSPITALS AND REQUIRE EACH HOSPITAL TO ADOPT A CONFLICT OF INTEREST POLICY. B. MEMBER. ARTICLE III, SECTION 1, WAS AMENDED TO CHANGE THE ORGANIZATION'S SOLE MEMBER FROM SENTARA HEALTHCARE CARE ("SHC") TO SENTARA BLUE RIDGE, LLC, A NEW HOLDING COMPANY FOR SENTARA'S BLUE RIDGE REGION ENTITIES, AND TO REFERENCE THE RESERVED POWERS HELD BY SHC IN ACCORDANCE WITH THE AFFILIATION AGREEMENT BY AND AMONG THE ORGANIZATION, SHC, AND ROCKINGHAM HEALTH CARE, INC., DATED DECEMBER 6, 2010, AS AMENDED. C. BOARD - ARTICLE IV WAS AMENDED AS FOLLOWS, IN CONNECTION WITH THE FORMATION OF SENTARA BLUE RIDGE, LLC: A. NUMBER AND COMPOSITION - SECTION 1 WAS AMENDED TO PROVIDE THAT THE ORGANIZATION'S BOARD SHALL HAVE NO LESS THAN TWO (2) AND NO MORE THAN SIX (6) MEMBERS. THE CLASS STRUCTURE OF BOARD COMPOSITION WAS REMOVED AT THE ORGANIZATION BUT RECONSTITUTED AT SENTARA BLUE RIDGE, LLC. B. AUTHORITY - SECTION 2 WAS AMENDED TO PROVIDE THAT THE ORGANIZATION'S BOARD SHALL MANAGE ITS AFFAIRS, SUBJECT TO THE REQUIREMENTS OF THE AFFILIATION AGREEMENT, INCLUDING THE RIGHTS HELD BY THE SENTARA BLUE RIDGE, LLC BOARD OF DIRECTORS AND THE VARIOUS CLASSES THAT MAKE UP THE SENTARA BLUE RIDGE, LLC BOARD. C. APPOINTMENT - SECTION 4 WAS AMENDED TO PROVIDE THAT THE ORGANIZATION'S BOARD WILL BE APPOINTED BY ITS MEMBER. D. COMPENSATION AND REASONABLE EXPENSES - SECTION 4.18 WAS AMENDED TO SPECIFY THAT EXCEPT FOR DIRECTORS WHO ARE FULL-TIME EMPLOYEES OF THE ORGANIZATION, SHC, OR ANY OTHER SUBSIDIARY OF SHC, THERE WILL BE NO SALARY OR OTHER COMPENSATION PAID TO ANY DIRECTOR ON ACCOUNT OF ANY SERVICES RENDERED BY SUCH DIRECTOR TO THE ORGANIZATION IN SUCH DIRECTOR'S CAPACITY AS AN OFFICER OR DIRECTOR OF THE ORGANIZATION OTHER THAN REIMBURSEMENT TO SUCH DIRECTOR OF ANY ACTUAL EXPENSES INCURRED IN ATTENDING MEETINGS OF THE BOARD OR ANY OF ITS COMMITTEES. EFFECTIVE JULY 12, 2016, THE ORGANIZATION'S ARTICLES WERE AMENDED AND RESTATED AS FOLLOWS: A. PURPOSE AND RESTRICTIONS. ARTICLES II AND III WERE AMENDED TO BRING UNIFORMITY TO SENTARA'S BLUE RIDGE REGION ENTITIES. SPECIFICALLY, THE ARTICLES' PURPOSE/RESTRICTION LANGUAGE WAS AMENDED TO MAKE IT SIMILAR TO THE ARTICLES OF MARTHA JEFFERSON HOSPITAL, A 501(C)(3) AFFILIATED HOSPITAL ORGANIZATION. B. MEMBER. ARTICLE IV, SECTION 1, WAS AMENDED TO CHANGE THE SOLE MEMBER FROM SENTARA HEALTHCARE TO SENTARA BLUE RIDGE, LLC. C. BOARD OF DIRECTORS. THE DETAIL FOR RE-ELECTION AND REMOVAL OF DIRECTORS WAS REMOVED FROM ARTICLE V AND NOW REFERS THE READER TO THE BYLAWS FOR DETAIL.
FORM 990, PART VI, SECTION A, LINE 6EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS EFFECTIVE JULY 1, 2016, THE ORGANIZATION'S SOLE MEMBER WAS SENTARA BLUE RIDGE, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OF SENTARA HOSPITALS, A 501(C)(3) SUBSIDIARY OF SENTARA HEALTHCARE. PRIOR TO JULY 1, 2016, 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 7AHOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY EFFECTIVE JULY 1, 2016, SENTARA BLUE RIDGE, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OF SENTARA HOSPITALS, A 501(C)(3) SUBSIDIARY OF SENTARA HEALTHCARE, APPOINTED THE ORGANIZATION'S BOARD OF DIRECTORS, WHICH SERVICES AS ITS GOVERNING BODY. PRIOR TO JULY 1, 2016, THE BOARD OF DIRECTORS WAS SELECTED AS FOLLOWS: SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, APPOINTED THE CLASS B DIRECTORS AND RATIFIED THE CLASS A DIRECTORS THAT WERE ELECTED BY ROCKINGHAM HEALTH CARE'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS SENTARA BLUE RIDGE, LLC ("BLUE RIDGE") IS THE SOLE MEMBER ("MEMBER") OF SENTARA RMH MEDICAL CENTER ("SRMH"). IN ACCORDANCE WITH THE AFFILIATION AGREEMENT BY AND AMONG SENTARA HEALTHCARE ("SHC"), SRMH AND ROCKINGHAM HEALTH CARE, INC., DATED DECEMBER 6, 2010, AS AMENDED (THE "AFFILIATION AGREEMENT"), WHICH CONSTITUTES A MEMBER AGREEMENT AS PROVIDED IN VA. CODE 13.1-852.1, SHC HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF SRMH, SUBJECT TO THE OVERSIGHT OF THE SRMH BOARD (THE "BOARD") AND THE BLUE RIDGE BOARD TO THE EXTENT AND IN THE MANNER SET FORTH IN THE SRMH GOVERNANCE DOCUMENTS. DURING THE COVENANT PERIOD, CERTAIN ACTIONS IDENTIFIED IN THE SRMH BYLAWS, THE BLUE RIDGE OPERATING AGREEMENT AND THE AFFILIATION AGREEMENT (COLLECTIVELY REFERRED TO AS "SRMH GOVERNANCE DOCUMENTS") MAY ONLY BE TAKEN ON APPROVAL OF CERTAIN MEMBERS OF THE BLUE RIDGE BOARD AND THE MEMBER. SRMH MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS SOLE MEMBER, SHC: APPROVE OR ADOPT ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF AN SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; OR AMENDMENT, RESTATEMENT OR REPEAL OF ANY ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS; APPROVAL OF STRATEGIC PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; TRANSACTIONS WITH INTERESTED PERSONS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT; UNBUDGETED CAPITAL EXPENDITURES OR INDEBTEDNESS OVER SPECIFIED DOLLAR AMOUNTS; AND THE COMMENCEMENT OR SETTLEMENT OF LITIGATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CDIRECTORS, 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 15AS 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, VICE CHAIRMAN, TREASURER AND PRESIDENT; WHO ALSO SERVE AS SENIOR VICE PRESIDENT AND COO, PRESIDENT AND CEO, SENIOR VICE PRESIDENT AND CFO, AND CORPORATE VICE PRESIDENT OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR ALL POSITIONS LISTED EXCEPT THE PRESIDENT, WHO RETIRED DURING THE CURRENT TAX YEAR. THE PROCESS WAS LAST UNDERTAKEN FOR THE PRESIDENT IN THE PRIOR TAX YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE 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 VI, LINE 1A & B, BOARD MEMBER INDEPENDENCEEFFECTIVE JULY 1, 2016, SENTARA BLUE RIDGE, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OF SENTARA HOSPITALS, A 501(C)(3) SUBSIDIARY OF SENTARA HEALTHCARE, APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. PRIOR TO JULY 1, 2016, SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, APPOINTED THE ORGANIZATION'S CLASS B DIRECTORS AND RATIFIED ITS CLASS A DIRECTORS WHO WERE SELECTED AS DESCRIBED IN CORE PART VI LINE 7. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 16 VOTING MEMBERS, 15 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.
FORM 990, PART XI, LINE 9:RECLASS OF INTERCOMPANY ACCTS TO EQUITY -30,925,355. OTHER CHANGES 33,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RMH MEDICAL GROUP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16015 POPLAR HALL DRIVEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23502ZIPCd
FieldValueIRS element (for citing)
EIN271444665EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$41,402,258TotalIncomeAmt
End Of Year Assets$6,235,140EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SENTARA RMH MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CLARKSVILLE SENIOR CARE LLC
6015 POPLAR HALL DRIVENORFOLKVA23502541957066SENIOR CAREVA501(C)(3)LINE 12A, IHALIFAX REGIONAL HOSPITALYes (1)
HALIFAX REGIONAL DEV FOUNDATION INC
6015 POPLAR HALL DRIVENORFOLKVA23502541801459HLTH/WELFAREVA501(C)(3)LINE 7HALIFAX REGIONAL HOSPITALYes (1)
HALIFAX REGIONAL HOSPITAL INCORPORATED
6015 POPLAR HALL DRIVENORFOLKVA23502540648699HEALTHCAREVA501(C)(3)LINE 3SENTARA HEALTHCAREYes (1)
HALIFAX REGIONAL LONG TERM CARE INC
6015 POPLAR HALL DRIVENORFOLKVA23502546074529SENIOR CAREVA501(C)(3)LINE 12A, IHALIFAX REGIONAL HOSPITALYes (1)
SENTARA HALIFAX REGIONAL PROPERTIES INC
6015 POPLAR HALL DRIVENORFOLKVA23502541801463HLTH/WELFAREVA501(C)(3)LINE 12A, IHALIFAX REGIONAL HOSPITALYes (1)
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVENORFOLKVA23502521271901HEALTH CAREVA501(C)(3)LINE 70N/A
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVENORFOLKVA23502273208969HEALTH CAREVA501(C)(3)LINE 3SENTARA HOSPITALSYes (1)
SENTARA HOSPITALS
6015 POPLAR HALL DRIVENORFOLKVA23502541547408HEALTH CAREVA501(C)(3)LINE 3SENTARA HEALTHCARE0
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVENORFOLKVA23502541217184HEALTH CAREVA501(C)(3)LINE 10SENTARA HEALTHCAREYes (1)
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVENORFOLKVA23502541917649HEALTH CAREVA501(C)(3)LINE 10SENTARA HEALTHCAREYes (1)
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVENORFOLKVA23502541217183HEALTH CAREVA501(C)(3)LINE 10SENTARA HEALTHCAREYes (1)
MPB INC
6015 POPLAR HALL DRIVENORFOLKVA23502541346393TITLE HOLDING COMPANYVA501(C)(2)LINE 12A, ISENTARA ENTERPRISESYes (1)
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVENORFOLKVA23502541283337HMOVA501(C)(3)LINE 12A, ISENTARA HEALTHCAREYes (1)
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVENORFOLKVA23502540853898HEALTH CAREVA501(C)(3)LINE 3SENTARA HEALTHCAREYes (1)
VALLEY WELLNESS CENTER
6015 POPLAR HALL DRIVENORFOLKVA23502521309257PREVENTATIVE HEALTH/REHABVA501(C)(3)LINE 10SENTARA RMH MEDICAL CENTERYes (1)
MJH FOUNDATION
6015 POPLAR HALL DRIVENORFOLKVA23502541401357INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITALVA501(C)(3)LINE 12A, IMARTHA JEFFERSON HOSPITALYes (1)
MARTHA JEFFERSON HOSPITAL FOUNDATION
6015 POPLAR HALL DRIVENORFOLKVA23502300041113FUNDRAISINGVA501(C)(3)LINE 12A, IMARTHA JEFFERSON HOSPITALYes (1)
MARTHA JEFFERSON HOSPITAL
6015 POPLAR HALL DRIVENORFOLKVA23502540261840HEALTH CAREVA501(C)(3)LINE 3SENTARA BLUE RIDGE LLCYes (1)
ROCKINGHAM HEALTH CARE INC
6015 POPLAR HALL DRIVENORFOLKVA23502521309259SUPPORT OF HEALTHCARE ORGSVA501(C)(3)LINE 12B, II0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLECHESAPEAKEVA23320541365012HLTH MGT SVVAN/A
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVENORFOLKVA23502261749881RE RENTALVAN/A
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300VA BEACHVA23456204920880HEALTH CAREVAN/A
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVEVA BEACHVA23454541448218HEALTH CAREVAN/A
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVENORFOLKVA23502201338518HEALTH CAREVAN/A
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVEVIRGINIA BEACHVA23462200942600HEALTH CAREVAN/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE LCHESAPEAKEVA23320541774472HEALTH CAREVAN/A
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVDSUFFOLKVA23434260144898HEALTH CAREVAN/A
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVENORFOLKVA23502272774684MOB RENTALVAN/A
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400WFALLS CHURCHVA22042541802733HEALTHCAREVAN/A
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVEHAMPTONVA23666274185117MGT SVCSVAN/A
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVEHAMPTONVA23666271867311HEALTH CAREVAN/A
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARECHARLOTTESVILLEVA22901260080717HEALTH CAREVAN/A
MNS SUPPLY CHAIN NETWORK LLC
11525 N COMMUNITY HOUSE RD STE 450CHARLOTTENC28277454235238GPODEN/A
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204WOODBRIDGEVA22192455347932HEALTH CAREVAN/A
ALETA HEALTH LLC
2300 OPITZ BLVDWOODBRIDGEVA22191465661314MSODEN/A
OPACC I LLC
18000 W SARAH LANE SUITE 250BROOKFIELDWI53045392021431RE RENTALWIN/A
PORT WARWICK II LLC
18000 W SARAH LANE SUITE 250BROOKFIELDWI53045202739075RE RENTALWIN/A
MEDSTREAMING LLC
9840 WILLOWS ROAD NE SUITE 200REDMONDWA98052451573625SOFTWARE DEVWAN/A
HIGHLAND CORE FIXED INCOME FUND
C/O GTC 12 GILL ST SUITE 2600WOBURNMA01801474618533POOLED INV FDDEN/A
HIGHLAND EQUITY FUND
C/O GTC 12 GILL ST SUITE 2600WOBURNMA01801474606269POOLED INV FDDEN/A
HIGHLAND PUBLIC INFLATION HEDGES FD
C/O GTC 12 GILL ST SUITE 2600WOBURNMA01801474601867POOLED INV FDDEN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVENORFOLKVA23502541555638HOLDING COMPANYVAN/ACYes (1)
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVENORFOLKVA23502522368125TPAVAN/ACYes (1)
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVENORFOLKVA23502541473382HMOVAN/ACYes (1)
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVENORFOLKVA23502541642752HEALTH INSURANCEVAN/ACYes (1)
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVENORFOLKVA23502621382666MENTAL HEALTH SVCSVAN/ACYes (1)
SENTARA VENTURES INC
6015 POPLAR HALL DRIVENORFOLKVA23502541688615HOLDING COMPANYVAN/ACYes (1)
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVENORFOLKVA23502541445865RE RENTALVAN/ACYes (1)
SENTARA STRATEGIC SOLUTIONS INC
6015 POPLAR HALL DRIVENORFOLKVA23502541020941HEALTH CAREVAN/ACYes (1)
SENTARA HEALTH PLANS OF OHIO INC
6015 POPLAR HALL DRIVENORFOLKVA23502471509408TPAOHN/ACYes (1)
SENTARA HEALTH INSURANCE CO OF NC
6015 POPLAR HALL DRIVENORFOLKVA23502471888140HEALTH INSURANCENCN/ACYes (1)
SENTARA HEALTH PLANS OF NC INC
6015 POPLAR HALL DRIVENORFOLKVA23502465510421TPANCN/ACYes (1)
SENTARA SOUTHSIDE HEALTH SERVICES INC
2204 WILBORN AVENUESOUTH BOSTONVA24592541417772HEALTH SERVICESVAN/ACYes (1)
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUESOUTH BOSTONVA24592541060357PHYS PRACTICEVAN/ACYes (1)
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVENORFOLKVA23502203730331HEALTH CAREVAN/ACYes (1)
POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVENORFOLKVA23502541441420PHARMACYVAN/ACYes (1)
ROCKINGHAM HEALTH SERVICES INC
6015 POPLAR HALL DRIVENORFOLKVA23502541721387CONTRACTING SVCSVACYes (1)SENTARA RMH MEDICAL CENTER$401.00000
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
6015 POPLAR HALL DRIVENORFOLKVA22911541841528MEDICAL BILLING SVCSVAN/ACYes (1)
BAY PRIMEX INSURANCE COMPANY LTD
980704114INSURANCEN/ACYes (1)PO BOX 1051GRAND CAYMANCJKY1-1102CJ
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
6015 POPLAR HALL DRIVENORFOLKVA23502264592192PHYS PRACTICENCN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SENTARA HOSPITALS
N$17,778,193CORP BOOKS/REC
SENTARA HOSPITALS
M$5,004,452CORP BOOKS/REC
SENTARA HOSPITALS
B$23,305,042CORP BOOKS/REC
SENTARA HOSPITALS
S$11,996,842CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
B$1,248,911CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
N$267,103CORP BOOKS/REC
OPTIMA HEALTH PLAN
L$4,047,115CORP BOOKS/REC
OPTIMA HEALTH INSURANCE COMPANY
L$4,824,037CORP BOOKS/REC
SENTARA HEALTH PLANS
L$6,091,188CORP BOOKS/REC
SENTARA ENTERPRISES
C$72,708CORP BOOKS/REC
SENTARA ENTERPRISES
M$154,332CORP BOOKS/REC
VALLEY WELLNESS CENTER
C$1,846,420CORP BOOKS/REC
SENTARA MEDICAL GROUP
B$17,075,326CORP BOOKS/REC