SENTARA RMH MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SENTARA RMH MEDICAL CENTER (EIN 54-0506331)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2017-09-18
IRS object ID: 201702619349300780
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-09-18T12:59:11-05:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506331	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SENTARA RMH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SENT	BusinessNameControlTxt
Phone	5406891000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1Txt
City	HARRISONBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	J MICHAEL BURRIS	PersonNm
Person Title	CFO/TREASURER	PersonTitleTxt
Phone	5406891000	PhoneNum
Signature	2017-09-18	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	J MICHAEL BURRIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1Txt
City	HARRISONBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$407,779,500	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RMHONLINE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	NOT-FOR-PROFIT COMMUNITY HOSPITAL ORGANIZATION.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	2993	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,373,778	PYContributionsGrantsAmt
CY Contributions Grants	$4,099,112	CYContributionsGrantsAmt
PY Program Service Revenue	$354,912,991	PYProgramServiceRevenueAmt
CY Program Service Revenue	$383,184,814	CYProgramServiceRevenueAmt
PY Investment Income	$14,965,295	PYInvestmentIncomeAmt
CY Investment Income	$2,671,330	CYInvestmentIncomeAmt
PY Other Revenue	$1,297,522	PYOtherRevenueAmt
CY Other Revenue	$349,427	CYOtherRevenueAmt
PY Total Revenue	$374,549,586	PYTotalRevenueAmt
CY Total Revenue	$390,304,683	CYTotalRevenueAmt
PY Grants And Similar Paid	$301,391	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$333,625	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$174,768,267	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$181,233,715	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,141,922	CYTotalFundraisingExpenseAmt
PY Other Expenses	$168,225,847	PYOtherExpensesAmt
CY Other Expenses	$179,519,355	CYOtherExpensesAmt
PY Total Expenses	$343,295,505	PYTotalExpensesAmt
CY Total Expenses	$361,086,695	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,254,081	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,217,988	CYRevenuesLessExpensesAmt
Total Assets BOY	$485,827,116	TotalAssetsBOYAmt
Total Assets EOY	$297,137,880	TotalAssetsEOYAmt
Total Liabilities BOY	$352,768,393	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$68,079,140	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$133,058,723	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$229,058,740	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$306,800,414	ExpenseAmt
Grant	$333,625	GrantAmt
Revenue	$383,184,814	RevenueAmt
Desc	HOSPITAL 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 AND DELIVERING CLOSE TO 1,800 BABIES PER YEAR. 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 2014.	Desc
Total Program Service Expenses	$306,800,414	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	Yes (1)	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	252	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2993	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5406891245	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1Txt
City	HARRISONBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	228018679	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANN E C HOMAN
CHAIR/DIRECTOR	2.00	2.20	Yes (X)	Yes (X)	$0	$0	$0
HOWARD P KERN
DIRECTOR/VICE CHAIR	2.00	50.20	Yes (X)	Yes (X)	$0	$1,973,999	$3,513,837
JAMES R MESSNER
DIRECTOR(THRU 5/14)/SECR (THRU 5/14)	2.00	0.20	Yes (X)	Yes (X)	$0	$0	$0
A JERRY BENSON PHD
DIRECTOR	2.00	0.20	Yes (X)		$0	$0	$0
DAVID L BERND
DIRECTOR	2.00	52.20	Yes (X)		$0	$4,230,690	$87,267
MENSEL D DEAN JR
DIRECTOR(THRU 5/14)	2.00	0.20	Yes (X)		$0	$0	$0
JOSEPH K FUNKHOUSER II
DIRECTOR	2.00	0.20	Yes (X)		$0	$0	$0
ALDEN L HOSTETTER MD
DIRECTOR/SECRETARY(EFF. 5/14)	2.00	0.20	Yes (X)	Yes (X)	$0	$0	$0
ELMER E KENNEL MD
DIRECTOR(THRU 5/14)	2.00	0.20	Yes (X)		$0	$0	$0
MARTHA D SHIFFLETT
DIRECTOR(EFF. 5/14)	2.00	0.20	Yes (X)		$0	$0	$0
ALLON H LEFEVER
DIRECTOR(THRU 5/14)	2.00	0.20	Yes (X)		$0	$0	$0
TERRY M GILLILAND MD
DIRECTOR	2.00	44.20	Yes (X)		$0	$1,117,730	$144,274
JAMES E HARTMAN
DIRECTOR(EFF. 5/14)	2.00	0.20	Yes (X)		$0	$0	$0
DEVON ANDERS
DIRECTOR(EFF. 5/14)	2.00	0.20	Yes (X)		$0	$0	$0
J MICHAEL BURRIS
CFO/TREASURER	35.00	35.20		Yes (X)	$0	$380,934	$309,513
JAMES D KRAUSS
PRESIDENT	40.00	0.20		Yes (X)	$1,023,906	$0	$187,880
DONNA S HAHN
VP, ACUTE CARE/CNE	40.00	0.00			$272,154	$0	$128,421	Yes (X)
JOHN A MCGOWAN
RMH MEDICAL GROUP CEO	40.00	0.00			$429,851	$0	$60,113	Yes (X)
WILLIAM LENNEN MD
ORTHOPEDIC SURGEON	40.00	0.00			$996,073	$0	$52,454		Yes (X)
MARK COGGINS MD
ORTHOPEDIC SURGEON	40.00	0.00			$680,765	$0	$57,690		Yes (X)
CHRISTOPHER DIPASQUALE DO
ORTHOPEDIC SURGEON	40.00	0.00			$1,055,002	$0	$52,381		Yes (X)
JEROME MCDONALD MD
CARDIOTHORACIC SURGEON	40.00	0.00			$703,060	$0	$21,457		Yes (X)
CHAD MUXLOW MD
ORTHOPEDIC SURGEON	40.00	0.00			$1,055,857	$0	$44,044		Yes (X)
DALE A CARROLL
FORMER KEY EMPLOYEE	40.00	0.00			$559,587	$0	$192,958			Yes (X)
KATHERINE A HARRISON
FORMER KEY EMPLOYEE	37.00	3.00			$232,558	$0	$92,437			Yes (X)
RICHARD L HAUSHALTER
FORMER KEY EMPLOYEE	40.00	0.00			$516,806	$0	$189,686			Yes (X)
MICHAEL J ROZMUS
FORMER KEY EMPLOYEE	40.00	0.00			$303,199	$0	$153,097			Yes (X)
MARK ZIMMERMAN
FORMER KEY EMPLOYEE	40.00	0.00			$287,114	$0	$173,003			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,115,932	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,703,353	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,460,512	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	213	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HARRISONBURG MEDICAL ASSOCIATES
1871 EVELYN BYRD AVE	HARRISONBURG	VA	22801	MEDICAL SERVICES	$14,804,669
HARRISONBURG PHYSICIANS ANETHESIOLOGY
1840 EAST MARKET STREET	HARRISONBURG	VA	22801	MEDICAL SERVICES	$8,524,271
LANTZ CONSTRUCTION
539 SOUTH MAIN STREET	BROADWAY	VA	22815	CONSTRUCTION	$3,750,957
HEMATOLOGYONCOLOGY ASSOCIATES
605 E BEVERLY STREET	STAUNTON	VA	24401	MEDICAL SERVICES	$2,194,398
HARRISONBURG SURGICAL ASSOCIATES LTD
3320 EMMAUS ROAD	HARRISONBURG	VA	22801	MEDICAL SERVICES	$2,173,759

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	79	CntrctRcvdGreaterThan100KCnt
Membership Dues	$900	MembershipDuesAmt
Government Grants	$2,000,316	GovernmentGrantsAmt
All Other Contributions	$2,097,896	AllOtherContributionsAmt
Noncash Contributions	$84,657	NoncashContributionsAmt
Total Contributions	$4,099,112	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SRVC REV	621300	$376,337,849	$376,337,849
OTHER PROGRAM SERVICES	621300	$6,846,965	$6,846,965

Field	Value	IRS element (for citing)
Total Program Service Revenue	$383,184,814	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$565,296	TotalRevenueColumnAmt
Exclusion	$565,296	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$189,663	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$77,110	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$112,553	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,553	TotalRevenueColumnAmt
Exclusion	$112,553	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,221,724	SecuritiesAmt
Other	$1,470	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$17,115,053	SecuritiesAmt
Other	$2,107	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,106,671	SecuritiesAmt
Other	-$637	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,106,034	TotalRevenueColumnAmt
Exclusion	$2,106,034	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$67,475	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$52,008	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,467	TotalRevenueColumnAmt
Exclusion	$15,467	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$429,425	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$228,539	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,886	TotalRevenueColumnAmt
Exclusion	$200,886	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	DIETARY SALES	Desc
Business	722210	BusinessCd
Total Revenue Column	$20,521	TotalRevenueColumnAmt
Exclusion	$20,521	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$20,521	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$390,304,683	TotalRevenueColumnAmt
Related Or Exempt Func Income	$383,184,814	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,020,757	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$57,807	TotalAmt
Program Services	$57,807	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$275,818	TotalAmt
Program Services	$275,818	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,110,357	TotalAmt
Program Services	$1,646,078	ProgramServicesAmt
Management And General	$464,279	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$144,707,638	TotalAmt
Program Services	$112,293,605	ProgramServicesAmt
Management And General	$31,672,555	ManagementAndGeneralAmt
Fundraising	$741,478	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,432,598	TotalAmt
Program Services	$6,543,464	ProgramServicesAmt
Management And General	$1,845,592	ManagementAndGeneralAmt
Fundraising	$43,542	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,634,649	TotalAmt
Program Services	$12,908,777	ProgramServicesAmt
Management And General	$3,640,937	ManagementAndGeneralAmt
Fundraising	$84,935	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,348,473	TotalAmt
Program Services	$7,254,575	ProgramServicesAmt
Management And General	$2,046,162	ManagementAndGeneralAmt
Fundraising	$47,736	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$388,193	TotalAmt
Program Services	$302,791	ProgramServicesAmt
Management And General	$85,402	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$153,496	TotalAmt
Program Services	$119,727	ProgramServicesAmt
Management And General	$33,769	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$75,142	TotalAmt
Program Services	$58,611	ProgramServicesAmt
Management And General	$16,531	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,867,168	TotalAmt
Program Services	$38,796,341	ProgramServicesAmt
Management And General	$1,070,827	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,298,091	TotalAmt
Program Services	$973,510	ProgramServicesAmt
Management And General	$274,580	ManagementAndGeneralAmt
Fundraising	$50,001	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,951,937	TotalAmt
Program Services	$6,091,142	ProgramServicesAmt
Management And General	$1,718,015	ManagementAndGeneralAmt
Fundraising	$142,780	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,213,415	TotalAmt
Program Services	$7,958,455	ProgramServicesAmt
Management And General	$2,244,692	ManagementAndGeneralAmt
Fundraising	$10,268	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,201,069	TotalAmt
Program Services	$4,056,834	ProgramServicesAmt
Management And General	$1,144,235	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$100,594	TotalAmt
Program Services	$78,463	ProgramServicesAmt
Management And General	$22,131	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$861,108	TotalAmt
Program Services	$669,057	ProgramServicesAmt
Management And General	$188,709	ManagementAndGeneralAmt
Fundraising	$3,342	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,260,556	TotalAmt
Program Services	$10,260,556	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,680,768	TotalAmt
Program Services	$11,450,999	ProgramServicesAmt
Management And General	$3,229,769	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,751,772	TotalAmt
Program Services	$2,146,382	ProgramServicesAmt
Management And General	$605,390	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$58,882,645	$58,882,645
BAD DEBT PROVISION	$13,902,902	$13,902,902
PURCHASED & CONTRACTED	$11,805,166	$9,208,029	$2,597,137
DUES, BOOKS & SUBSCRIPT	$516,739	$402,280	$113,463	$996

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$608,594	TotalAmt
Program Services	$461,566	ProgramServicesAmt
Management And General	$130,184	ManagementAndGeneralAmt
Fundraising	$16,844	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$361,086,695	TotalAmt
Program Services	$306,800,414	ProgramServicesAmt
Management And General	$53,144,359	ManagementAndGeneralAmt
Fundraising	$1,141,922	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50,744,893	BOYAmt
EOY	$57,061,990	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,402,982	BOYAmt
EOY	$1,229,263	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,925,517	BOYAmt
EOY	$43,486,660	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$150,257	BOYAmt
EOY	$208,333	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,216,095	BOYAmt
EOY	$1,208,306	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,957,870	BOYAmt
EOY	$5,330,762	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,052,907	BOYAmt
EOY	$4,118,207	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$187,731,650	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,765,937	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$141,203,504	BOYAmt
EOY	$140,965,713	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$202,635,426	BOYAmt
EOY	$15,435,489	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,552,769	BOYAmt
EOY	$13,408,745	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,249,979	BOYAmt
EOY	$1,229,422	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,734,917	BOYAmt
EOY	$13,454,990	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$485,827,116	BOYAmt
EOY	$297,137,880	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,365,652	BOYAmt
EOY	$23,204,411	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$326,402,741	BOYAmt
EOY	$44,874,729	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$352,768,393	BOYAmt
EOY	$68,079,140	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,053,893	BOYAmt
EOY	$195,563,411	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,880,741	BOYAmt
EOY	$17,702,443	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,124,089	BOYAmt
EOY	$15,792,886	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,058,723	BOYAmt
EOY	$229,058,740	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$485,827,116	BOYAmt
EOY	$297,137,880	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,217,988	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,232,436	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$63,549,593	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$33,693,873	BeginningYearBalanceAmt
Contributions	$1,941,005	ContributionsAmt
Investment Earnings Or Losses	$1,870,472	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,166,293	OtherExpendituresAmt
End Year Balance	$34,339,057	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,171,837	BeginningYearBalanceAmt
Contributions	$7,634,593	ContributionsAmt
Investment Earnings Or Losses	$119,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,231,557	OtherExpendituresAmt
End Year Balance	$33,693,873	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,098,549	BeginningYearBalanceAmt
Contributions	$1,334,949	ContributionsAmt
Investment Earnings Or Losses	$2,080,749	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,342,410	OtherExpendituresAmt
End Year Balance	$29,171,837	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.47150	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.52850	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,906,814	OtherCostOrOtherBasisAmt
Book Value	$11,906,814	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,364,744	OtherCostOrOtherBasisAmt
Depreciation	$3,754,773	DepreciationAmt
Book Value	$39,609,971	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,244,185	OtherCostOrOtherBasisAmt
Depreciation	$41,592,961	DepreciationAmt
Book Value	$73,651,224	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,215,907	OtherCostOrOtherBasisAmt
Depreciation	$1,418,203	DepreciationAmt
Book Value	$15,797,704	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$140,965,713	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$3,651,956
ANNUITIES PAYABLE	$594,135
DUE TO THIRD PARTIES	$1,434,584
OTHER CURRENT LIABILITIES	$4,078,949
OTHER NON-CURRENT LIABILITIES	$35,115,105

Field	Value	IRS element (for citing)
Total Liability	$44,874,729	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	ENDOWMENT FUNDS ARE USED FOR VARIOUS EQUIPMENT, PROGRAMS, AND OPERATING EXPENSES IN ACCORDANCE WITH DONOR RESTRICTIONS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN -	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$1,844,640	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,844,640	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,844,640	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	INVESTMENTS ARE RECORDED AT FAIR MARKET VALUE.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CLOUD'S SHOE SALE	Event1Nm
Gross Receipts Event1	$32,862	GrossReceiptsEvent1Amt
Gross Revenue Event1	$32,862	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$26,318	OtherDirectExpensesEvent1Amt
Event2	FIRST UNIFORM/SHOE SALE	Event2Nm
Gross Receipts Event2	$6,960	GrossReceiptsEvent2Amt
Gross Revenue Event2	$6,960	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$5,698	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$6,492	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$6,492	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$5,121	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$46,314	GrossReceiptsTotalAmt
Gross Revenue Total Events	$46,314	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$37,137	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$37,137	DirectExpenseSummaryEventsAmt
Net Income Summary	$9,177	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,797,332	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,797,332	NetCommunityBenefitExpnsAmt
Total Expense	0.04840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,930,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,716,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,214,453	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,727,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,716,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,011,785	NetCommunityBenefitExpnsAmt
Total Expense	0.06340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,352,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,352,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,172,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$987,712	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,185,285	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,765,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,919,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,845,966	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,385,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,907,613	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,477,726	NetCommunityBenefitExpnsAmt
Total Expense	0.04460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,113,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,623,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,489,511	NetCommunityBenefitExpnsAmt
Total Expense	0.10800	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,902,902	BadDebtExpenseAmt
Reimbursed By Medicare	$107,986,474	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$101,765,610	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,220,864	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SENTARA RMH MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DR	AddressLine1Txt
City	HARRISONBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SENTARA.COM	WebsiteAddressTxt
State License	H1891	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OTHER MENTAL HEALTH AND SUBSTANCE ABUSE	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SENTARA RMH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SECTION C BELOW.	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SENTARA RMH MEDICAL CENTER	PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), 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 THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH 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.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.
SENTARA RMH MEDICAL CENTER	PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN PROVIDED 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/RMH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2012.PDF
SENTARA RMH MEDICAL CENTER	PART 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, AND THE HOSPITAL'S MISSION. FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTIVE 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 CENTER	PART V, SECTION B, LINE 13H: SEE EXPLANATION FOR PART I, LINE 3C.
SENTARA RMH MEDICAL CENTER	PART V, SECTION B, LINE 16I: NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE CONTACT INFORMATION FOR MORE INFORMATION OR TO APPLY IS POSTED ON THE HOSPITAL'S WEB SITE, POSTED IN ALL WAITING ROOMS AND REGISTRATION AREAS, AND ON ALL PATIENT BILLING STATEMENTS.
SENTARA RMH MEDICAL CENTER	PART V, SECTION B, LINE 20E: 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.
SENTARA RMH MEDICAL CENTER	PART V, SECTION B, LINE 22D: THE HOSPITAL USED THE LOOK-BACK METHOD UNDER TREAS. REG. SEC. 1.501(R)-5(B)(3) TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
PART V SECTION B LINES 16A, 16B, AND 16C	THE ORGANIZATION'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT WWW.RMHONLINE.COM (NOW HTTP://WWW.SENTARA.COM/HARRISONBURG-VIRGINIA/PATIENTGUIDE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE.ASPX.)
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:	SEE PART VI
SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:	SEE PART VI
SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:	SEE PART VI

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MEDICAL OFFICE BLDG - PHYSIC PRACT
2006 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	PHYSICIAN OFFICES - SPECIALTY PRACTICES
FUNKHOUSER WOMEN'S CENTER
2275 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	MAMMOGRAPHY SERVICES, BREAST SURGERY CLINIC, IMAGE RECOVERY
RMH SOUTH MAIN HEALTH CENTER
1661 S MAIN STREET	HARRISONBURG	VA	22801	FAMILY PRACTICE, INTERNAL MEDICINE, ENDOCRINOLOGY
RMH EAST ROCKINGHAM HEALTH CENTER
13737 SPOTSWOOD TRAIL	ELKTON	VA	22827	FAMILY PRACTICE, LAB, REHAB SERVICES
REHAB SERVICES - PAVILION
2500 WELLNESS DRIVE	HARRISONBURG	VA	22801	OUTPATIENT PHYSICAN THERAPY SERVICES
RMH CENTER FOR SLEEP MEDICINE
640 SOUTH MAIN ST	HARRISONBURG	VA	22801	SLEEP STUDIES
RMH SPRINGBROOK FAMILY MEDICINE
173 E SPRINGBROOK ROAD	BROADWAY	VA	22815	FAMILY PRACTICE
RMH INTEGRATIVE MEDICINE
1931 MEDICAL AVENUE	HARRISONBURG	VA	22801	INTEGRATIVE MEDICINE
RMH HAHN CANCER CENTER
2008 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	SPECIALTY PHYSICIAN OFFICES
RMH VALLEY BEHAVIORAL MEDICINE
644 UNIVERSITY BLVD	BROADWAY	VA	22815	MENTAL HEALTH SERVICES
RMH TIMBERVILLE HEALTH CENTER
165 NEW MARKET ROAD	TIMBERVILLE	VA	22853	FAMILY PRACTICE
RMH OCCUPATIONAL HEALTH CENTER
1790-64B E MARKET STREET	HARRISONBURG	VA	22801	OCCUPATIONAL MEDICINE
RMH LURAY HEALTH CENTER
135 GENERAL DRIVE	LURAY	VA	22835	FAMILY PRACTICE
RMH NEW MARKET HEALTH CENTER
9626 S CONGRESS ST	NEW MARKET	VA	22844	FAMILY PRACTICE
RMH MOUNT JACKSON HEALTH CENTER
120 MEDICAL AVENUE	MT JACKSON	VA	22842	FAMILY PRACTICE
BRIDGEWATER REHAB
302 N SECOND STREET	BRIDGEWATER	VA	22812	OUTPATIENT PHYSICAL THERAPY
RMH TIMBERVILLE RADIOLOGYLAB
444 NEW MARKET ROAD	TIMBERVILLE	VA	22853	OUTPATIENT IMAGING AND LAB SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	AND PART V, SECTION B LINE 13H:UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, UNINSUREDINDIVIDUALS RECEIVING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARECHARGED NO MORE THAN AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVEINSURANCE COVERING SUCH CARE. IN ADDITION, AN INDIVIDUAL WHOSE INCOME ISAT OR BELOW 300% OF THE FPG MAY BE ELIGIBLE FOR ADDITIONAL FINANCIALASSISTANCE. WHEN AN INDIVIDUAL SUBMITS A FINANCIAL ASSISTANCE APPLICATION, THE ORGANIZATION USES A MULTI-FACETED REVIEW OF AN APPLICANT'S SITUATION TO DETERMINE BOTH ELIGIBILITY FOR FREE OR ADDITIONAL DISCOUNTED CARE, AND THE LEVEL OF DISCOUNT PROVIDED. AMONG THE FACTORS TAKEN INTO CONSIDERATION ARE FAMILY SIZE,THE AMOUNT OF ASSETS AVAILABLE TO CONTRIBUTE TOWARDS THE COST OF CARE AND WHETHER AN INDIVIDUAL HAD ELIGIBILITY THROUGH A GOVERNMENT PROGRAM AND FAILED TO APPLY.
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER.
PART I, LINE 7:	A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN LINES 7A AND 7B. FOR LINE 7G, THE ORGANIZATION USED ITS INTERNAL COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7G:	$12,845,966 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LINE 7, COLUMN (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 $ 13,902,902.
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 PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DISCUSSES BAD DEBT.
PART III, LINE 4:	SEE PAGE 17 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 THE COMMUNITIES IT SERVES THROUGH A HEALTH STATUS AND DEMOGRAPHIC ANALYSIS, AND A SURVEY OF KEY STAKEHOLDERS IN THE COMMUNITY. HEALTH PRIORITIES WERE DISCUSSED AND INDENTIFIED BY THE ORGANIZATION'S CHNA WORKGROUP.
PART VI, LINE 3:	SEE EXPLANATION FOR PART V, SECTION C, LINE 20E.
PART VI, LINE 4:	THE ORGANIZATION'S SERVICE AREA IS RURAL AND CONTAINS TWO MEDICALLY UNDERSERVED POPULATIONS. IN THE CITY OF HARRISONBURG, THERE ARE OVER 50 DISTINCT LANGUAGES OF ORIGIN SPOKEN BY STUDENTS IN THE HARRISONBURG CITY PUBLIC SCHOOLS. COMPARED TO VIRGINIA AS A WHOLE, THE RMH SERVICE AREA HAS HIGHER RATES OF LOW-INCOME HOUSEHOLDS AND LOWERS EDUCATIONAL ATTAINMENT.
PART VI, LINE 5:	THE ORGANIZATION HAS A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO ARE 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 IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
PART VI, LINE 6:	THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA, A NOT FOR PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 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 FIVE MEDICAL GROUPS WITH OVER 600 PROVIDERS. 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

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
HARRISONBURG ROCKINGHAM FREE CLINIC
25 WEST WATER STEET	HARRISONBURG	VA	22801	541568909	501(C)(3)	$13,025	COUNCIL'S AMERICAN HEART ASSOCIATION COMMUNITY TRAINING CENTER SUPPORT
SHENANDOAH AREA AGENCY ON AGING
207 MOSBY LANE	FRONT ROYAL	VA	22630	541008875	501(C)(3)	$12,000	CHRONIC DIABETES MANAGEMENT PROGRAM
INSTITUTE FOR INNOVATION IN HEALTH AND HUMAN SERVICES AT JMU
JMU BLUE RIDGE HALL 601 UNIVERSITY	HARRISONBURG	VA	22807	546001756	501(C)(3)	$15,000	PENDELTON COUNTY DIABETES MANAGEMENT PROGRAM	BLVD MSC 9008
FELLOWSHIP OF CHRISTIAN ATHLETES
1866 C EAST MARKET STEET 323	HARRISONBURG	VA	22801	440610626	501(C)(3)	$6,782	POWER CAMP FOR HARRISONBURG ROCKINGHAM COUNTY COMMUNITY
VMRC
1501 VIRGINIA AVENUE	HARRISONBURG	VA	22801	510249314	501(C)(3)	$11,000	HEALTH RISK ASSESSMENTS

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
EMPLOYEE RELIEF FUND	35	$46,050
INDIGENT MEDICAL EXPENSES	338	$193,565
FITNESS CENTER SCHOLARSHIPS	104	$5,903
SCHOLARSHIPS	16	$30,300

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

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

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HOWARD P KERN
DIRECTOR/VICE CHAIR	$0	$973,020	$0	$814,072	$0	$186,907	$0	$3,496,873	$0	$16,964	$0	$5,487,836	$0	$0
DAVID L BERND
DIRECTOR	$0	$1,401,631	$0	$1,431,286	$0	$1,397,773	$0	$65,011	$0	$22,256	$0	$4,317,957	$0	$777,268
TERRY M GILLILAND MD
DIRECTOR	$0	$716,219	$0	$387,919	$0	$13,592	$0	$129,664	$0	$14,610	$0	$1,262,004	$0	$0
J MICHAEL BURRIS
CFO/TREASURER	$0	$292,225	$0	$88,709	$0	$0	$0	$284,617	$0	$24,896	$0	$690,447	$0	$0
JAMES D KRAUSS
PRESIDENT	$508,937	$0	$430,805	$0	$84,164	$0	$167,090	$0	$20,790	$0	$1,211,786	$0	$0	$0
DONNA S HAHN
VP, ACUTE CARE/CNE	$213,779	$0	$57,591	$0	$784	$0	$105,248	$0	$23,173	$0	$400,575	$0	$0	$0
JOHN A MCGOWAN
RMH MEDICAL GROUP CEO	$320,842	$0	$104,673	$0	$4,336	$0	$38,266	$0	$21,847	$0	$489,964	$0	$0	$0
WILLIAM LENNEN MD
ORTHOPEDIC SURGEON	$794,516	$0	$115,278	$0	$86,279	$0	$27,758	$0	$24,696	$0	$1,048,527	$0	$0	$0
MARK COGGINS MD
ORTHOPEDIC SURGEON	$497,368	$0	$181,351	$0	$2,046	$0	$29,245	$0	$28,445	$0	$738,455	$0	$0	$0
CHRISTOPHER DIPASQUALE DO
ORTHOPEDIC SURGEON	$914,732	$0	$138,560	$0	$1,710	$0	$24,013	$0	$28,368	$0	$1,107,383	$0	$0	$0
JEROME MCDONALD MD
CARDIOTHORACIC SURGEON	$667,282	$0	$0	$0	$35,778	$0	$0	$0	$21,457	$0	$724,517	$0	$0	$0
CHAD MUXLOW MD
ORTHOPEDIC SURGEON	$511,235	$0	$516,161	$0	$28,461	$0	$18,496	$0	$25,548	$0	$1,099,901	$0	$0	$0
DALE A CARROLL
FORMER KEY EMPLOYEE	$384,342	$0	$124,334	$0	$50,911	$0	$171,322	$0	$21,636	$0	$752,545	$0	$0	$0
KATHERINE A HARRISON
FORMER KEY EMPLOYEE	$119,890	$0	$45,003	$0	$67,665	$0	$86,365	$0	$6,072	$0	$324,995	$0	$0	$0
RICHARD L HAUSHALTER
FORMER KEY EMPLOYEE	$328,227	$0	$107,850	$0	$80,729	$0	$172,073	$0	$17,613	$0	$706,492	$0	$0	$0
MICHAEL J ROZMUS
FORMER KEY EMPLOYEE	$231,084	$0	$61,947	$0	$10,168	$0	$130,670	$0	$22,427	$0	$456,296	$0	$0	$0
MARK ZIMMERMAN
FORMER KEY EMPLOYEE	$226,856	$0	$59,401	$0	$857	$0	$153,795	$0	$19,208	$0	$460,117	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	MEMBERSHIP TO VALLEY WELLNESS CENTER, A RELATED 501(C)(3) ORGANIZATION WAS PROVIDED AT REDUCED RATES. THIS BENEFIT IS AVAILABLE TO ALL ORGANIZATION'S EMPLOYEES.
PART I, LINE 3	SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE.
PART I, LINE 4B	HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND AND HOWARD KERN 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. DAVID BERND, HOWARD KERN, 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 2014, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($1,328,440 ); HOWARD KERN ($146,902); AND JAMES KRAUSS ($71,070.) THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. DALE CARROLL AND RICHARD HAUSHALTER PARTICIPATE IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IS LIMITED TO THE CEO, CMO, AND COO POSITIONS. 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 2014, DISTRIBUTIONS UNDER THE PLAN WERE AS FOLLOWS: DALE CARROLL ($41,505) AND RICHARD HAUSHALTER ($55,935). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	DURING 2014, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
DR WILLIAM LENNEN HIGHEST COMPENSA
PHYS RECRUIT-INC GUAR	Yes (X)	$150,000	$8,078	0	0	Yes (1)
DR WILLIAM LENNEN HIGHEST COMPENS
PHYS RECRUIT-INC GUAR	Yes (X)	$120,000	$72,692	0	0	Yes (1)
DR JEROME MCDONALD HIGHEST COMPEN
PHYS RECRUIT-INC GUAR	Yes (X)	$100,000	$60,256	0	0	Yes (1)
DR CHAD MUXLOW HIGHEST COMPENSATE
PHYS RECRUIT-INC GUAR	Yes (X)	$100,000	$67,307	0	0	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$208,333	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
PATHOLOGY ASSOCIATES OF HARRISONBURG
>5%-OWNED BY DIRECTOR ALDEN HOSTETTER, M.D.	$255,792	PATHOLOGY SERVICES	0
A&J DEVELOPMENT
>5%-OWNED BY DIRECTOR DEVON ANDERS	$234,429	CONSTRUCTION SERVICES	0
EMMAUS PROPERTIES
>5%-OWNED BY DIRECTOR MENSEL D. DEAN, JR.	$135,919	RENT PAYMENTS	0
VICKI KRAUSS
FAMILY MEMBER OF OFFICER JAMES KRAUSS	$56,497	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$84,657	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (4 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionTxt
SENTARA HEALTHCARE
INVESTMENTS	2014-05-01	$193,979,585	BROKERAGE STATEMENT	521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)
SENTARA HEALTHCARE
CASH	2014-11-30	$50,000,000		521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)
SENTARA HEALTHCARE
PENSION DEBT	2014-04-30	-$19,650,044	BOOK VALUE	521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)
SENTARA HEALTHCARE
INTERCO DEBT	2014-06-30	-$288,197,246	BOOK VALUE	521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	0	DirectorOfSuccessor2Ind
Employee Of Successor2	0	EmployeeOfSuccessor2Ind
Owner Of Successor2	0	OwnerOfSuccessor2Ind
Receive Compensation2	0	ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	SENTARA HEALTHCARE I. YOUR NOT-FOR-PROFIT HEALTH PARTNER FOR MORE THAN 126 YEARS, SENTARA HAS BEEN COMMITTED TO HELPING PEOPLE WHO WANT THE MOST DEDICATED MEDICAL PROFESSIONALS HELPING THEM THROUGH EVERY STAGE OF LIFE. TO PROVIDE A RANGE OF QUALITY CARE, WE HAVE GROWN SLOWLY THROUGHOUT VIRGINIA AND NORTH CAROLINA. WE HAVE REACHED OUT TO INDUSTRY LEADERS AND JOINED FORCES, AND WE NOW OPERATE MORE THAN 100 SITES OF CARE, INCLUDING 12 ACUTE CARE HOSPITALS - SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGION OF VIRGINIA, ONE IN SOUTHERN VIRGINIA AND ONE IN NORTH CAROLINA. FOR MORE THAN A DECADE, MODERN HEALTHCARE MAGAZINE RANKED US AS ONE OF THE NATION'S TOP INTEGRATED HEALTHCARE SYSTEMS. OUR NOT-FOR-PROFIT SYSTEM PROUDLY INCLUDES ADVANCED IMAGING CENTERS, NURSING AND ASSISTED-LIVING CENTERS, OUTPATIENT CAMPUSES, PHYSICAL THERAPY AND REHABILITATION SERVICES, HOME HEALTH AND HOSPICE AGENCY, A 3,800-PROVIDER MEDICAL STAFF, AND FIVE MEDICAL GROUPS. IN ADDITION, WE PROVIDE MEDICAL TRANSPORT AMBULANCES AND THE NIGHTINGALE AIR AMBULANCE, AND EXTEND HEALTH INSURANCE TO 450,000 PEOPLE THROUGH OPTIMA HEALTH, OUR AWARD-WINNING HEALTH PLAN. AMONG OUR STRENGTHS, WE ARE A NATIONAL LEADER IN HEART AND KIDNEY CARE, STROKE CARE, AND INFECTION PREVENTION, AND WE WERE THE FIRST IN THE NATION TO PIONEER AND DEVELOP THE EICU, A REMOTE MONITORING SYSTEM FOR INTENSIVE CARE. OUR DEDICATION TO IMPROVING AND INCREASING MEDICAL OPTIONS FOR OUR PATIENTS IS REINFORCED BY OUR ONGOING PARTICIPATION IN NATIONAL AND INTERNATIONAL RESEARCH. THESE VITAL MEDICAL TRIALS HELP US ADVANCE TOWARD OUR MISSION TO IMPROVE HEALTH EVERY DAY. IN NOVEMBER 2014, WE PROUDLY CELEBRATED 126 YEARS OF DELIVERING COMPASSIONATE AND QUALITY CARE. WHEN WE BEGAN AS THE RETREAT FOR THE SICK IN 1888 IN NORFOLK, VIRGINIA, MEDICAL PROVIDERS DEDICATED THEMSELVES TO CARING FOR NORFOLK'S POOR, FOCUSED ON MEETING THEIR IMMEDIATE HEALTHCARE NEEDS. AS NOTED ABOVE AND DETAILED IN THIS REPORT, WE HAVE GROWN INTO A MULTI-STATE, INTEGRATED HEALTHCARE SYSTEM COMMITTED TO STILL DELIVERING THAT SAME COMPASSIONATE AND QUALITY CARE - AND REACHING FAR BEYOND THE PATIENTS WHO COME DIRECTLY TO US. WE STRIVE TO SERVE EVERYONE IN OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION AND FINANCIAL SUPPORT OF OTHER NOT-FOR-PROFIT HEALTH ORGANIZATIONS. II. GROWING THE SENTARA FAMILY SINCE THE BEGINNING, SENTARA HAS REACHED OUT TO NEARBY INDUSTRY LEADERS AND JOINED FORCES TO EXTEND HEALTHCARE TO MORE PEOPLE. IN RECENT YEARS, WE HAVE GROWN IN VIRGINIA AND NORTH CAROLINA BY SEEKING PARTNERSHIPS WITH LONG-ESTABLISHED AND SUCCESSFUL HOSPITALS AND HEALTHCARE SYSTEMS THAT SHARE OUR DEDICATION TO EXCELLENCE AND VALUE. SOME OF OUR MOST RECENT ADDITIONS INCLUDE: A. HALIFAX REGIONAL HEALTH SYSTEM IN THE FALL OF 2012, HALIFAX REGIONAL HEALTH SYSTEM SIGNED A LETTER OF INTENT TO MERGE WITH SENTARA HEALTHCARE. IT IS AN INTEGRATED SYSTEM INCLUDING A 192-BED HOSPITAL, THREE LONG-TERM CARE FACILITIES, A HOME CARE AND HOSPICE FACILITY, AND A BROAD RANGE OF SPECIALTIES AND OUTPATIENT SERVICES ACROSS THE SOUTH BOSTON REGION, ABOUT 165 MILES WEST OF NORFOLK. THE MERGER WAS COMPLETED JULY 1, 2013, WHICH ALSO MARKED HALIFAX'S 60TH ANNIVERSARY SERVING THE SOUTH BOSTON COMMUNITY. THE SYSTEM'S EXTENSIVE EXPERIENCE CARING FOR RURAL COMMUNITIES MAKES IT PARTICULARLY VALUABLE TO LOCALS AND COMPLEMENTS THE SENTARA COMMITMENT TO PERSONALIZED HEALTHCARE. IT IS NOW THE 11TH OF TWELVE HOSPITALS IN OUR NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEM. IN FEBRUARY 2015, HALIFAX REGIONAL HOSPITAL AND SUBSIDIARIES ADOPTED THE SENTARA NAME. B. SENTARA ALBEMARLE MEDICAL CENTER, MEDICAL GROUP AND RELATED FACILITIES SENTARA HEALTHCARE AND ALBEMARLE HEALTH OF NORTHEASTERN NORTH CAROLINA BEGAN A PARTNERSHIP MARCH 1, 2014, AFTER APPROVAL BY THE PASQUOTANK COUNTY BOARD OF COMMISSIONERS AND THE ALBEMARLE HOSPITAL AUTHORITY BOARD OF COMMISSIONERS AND THEIR TWO-YEAR PROCESS OF EVALUATING POTENTIAL PARTNERS. ALL FOUR ENTITIES SHARE THE GOALS OF IMPROVING THE COMMUNITY'S ACCESS TO PRIMARY CARE, MANAGING CHRONIC DISEASE AND IMPROVING SERVICES AND PROGRAMS IN THE REGION. LOCATED IN ELIZABETH CITY, SENTARA ALBEMARLE MEDICAL CENTER IS A 182 LICENSED-BED, FULL-SERVICE FACILITY OFFERING A WIDE RANGE OF SERVICES, INCLUDING: INPATIENT AND CRITICAL CARE, A FULL ARRAY OF SURGICAL SERVICES, SOPHISTICATED DIAGNOSTIC IMAGING TECHNOLOGY, COMPREHENSIVE WOMEN'S CARE, CARDIOLOGY, CANCER TREATMENT, REHABILITATION SERVICES AND MORE. SENTARA ALBEMARLE MEDICAL CENTER HAS ASSEMBLED A MEDICAL STAFF OF MORE THAN 100 PHYSICIANS, REPRESENTING NEARLY 30 SPECIALTIES, AND A CARING STAFF OF ALMOST 1,000 EMPLOYEES. IT IS NUMBER TWELVE OF OUR 12 HOSPITALS. ALBEMARLE PHYSICIAN SERVICES - SENTARA BRINGS TOGETHER A DEDICATED TEAM OF PRIMARY CARE AND SPECIALTY PHYSICIANS TO CARE FOR PATIENTS ACROSS NORTHEASTERN NORTH CAROLINA. ALL OF THE FACILITIES ADOPTED THE SENTARA NAME IN MAY 2014. III. CONSTANTLY LOOKING AHEAD TO BEST SERVE OUR COMMUNITIES AND PROVIDE THE MOST PATIENT-FOCUSED, COST-EFFECTIVE HEALTHCARE POSSIBLE, WE SEEK TO EXPAND AND ENHANCE OUR SERVICES IN A VARIETY OF WAYS. WE STRIVE TO BE THE FIRST IN OUR COMMUNITIES TO OFFER NEW, YET PROVEN, MEDICAL PROCEDURES, AND WE REACH OUT TO NEW COMMUNITIES TO OFFER SERVICES WE HAVE PROUDLY AND SUCCESSFULLY OFFERED IN OTHER REGIONS. WE ALSO LEAD AND PARTICIPATE IN RESEARCH EFFORTS TO IDENTIFY AND TEST FUTURE TREATMENTS AND BEST PRACTICES. SOME OF THE WAYS WE HAVE DONE THIS RECENTLY INCLUDE: A. OFFERING NEW PROCEDURES AND TECHNOLOGY SENTARA PHYSICIANS LEAD THE WAY BY OFFERING LIFE-SAVING PROCEDURES PREVIOUSLY NOT AVAILABLE OR NOT READILY AVAILABLE. BY DOING SO, THEY GIVE RESIDENTS THE COMFORT AND COST-SAVINGS OF BEING CLOSE TO HOME WHILE IMPROVING THEIR HEALTH. IN 2014, MARTHA JEFFERSON HOSPITAL BECAME THE FIRST HOSPITAL IN VIRGINIA TO INSTALL THE VARIAN PERFECTPITCH SIX-DEGREES-OF-FREEDOM ROBOTIC COUCH ON ITS LINEAR ACCELERATORS IN RADIATION ONCOLOGY. THE TECHNOLOGY HELPS TO PROVIDE PINPOINT POSITIONING OF PATIENTS UNDERGOING RADIATION THERAPY. IN 2014, SENTARA RMH MEDICAL CENTER JOINED FOUR OTHER SENTARA-RELATED LOCATIONS IN TREATING ADVANCED PROSTATE CANCER USING XOFIGO (RADIUM-223 DICHLORIDE), WHICH RECEIVED FDA APPROVAL IN MAY 2013. IT IS USED IN MEN WITH PROSTATE CANCER METASTASIZED TO THE BONES. THE PROGRAM IS ALSO OFFERED AT SENTARA CAREPLEX, SENTARA NORFOLK GENERAL, MARTHA JEFFERSON HOSPITAL AND PARTNER VIRGINIA ONCOLOGY ASSOCIATES' LAKE WRIGHT LOCATION IN NORFOLK. ALSO IN 2014, THE SENTARA LAKE RIDGE ADVANCED IMAGING CENTER INSTALLED AN MRI MACHINE TO PROVIDE GREATER ACCESS TO DIAGNOSTIC TESTING FOR PATIENTS IN THE EVER-EXPANDING NORTHERN VIRGINIA COMMUNITY. THE NEW MRI OFFERS A LARGER AND SHORTER BORE THAN TRADITIONAL MRI MACHINES, INSTANTLY PUTTING PATIENTS AT GREATER EASE IN THE MORE SPACIOUS DEVICE. THE MRI ROOM FEATURES NATURAL LIGHT THROUGH FROSTED WINDOWS AND MRI GOGGLES FOR TV OR MOVIE VIEWING TO FURTHER FOSTER A RELAXING EXAMINATION ENVIRONMENT. ADDITIONALLY, SENTARA LAKE RIDGE HAS INTRODUCED SCREENING TOOLS FOR PATIENT SAFETY TO AIDE MRI TECHNOLOGISTS IN DETECTING METAL IN A PATIENT'S BODY PRIOR TO ENTERING THE MRI ROOM. 2014 MARKED THE OPENING OF THE SENTARA AUTONOMIC LAB AT SENTARA HEART HOSPITAL AS WELL. THERE ARE ONLY A HANDFUL OF AUTONOMIC LABS IN THE COUNTRY. AUTONOMIC TESTING DETERMINES HOW WELL YOUR BODY IS REGULATING BLOOD PRESSURE, HEART RATE AND OTHER FUNCTIONS RELATED TO THE AUTONOMIC NERVOUS SYSTEM. THE AUTONOMIC LAB, INCLUDING THERMOREGULATORY SWEAT TESTING, OFFERS FULL-SERVICE AUTONOMIC TESTING AND IS A POTENTIAL REFERRAL SITE FOR PATIENTS THROUGHOUT THE COUNTRY. THE SAME YEAR, SENTARA RMH MEDICAL CENTER STAFF PERFORMED THE HOSPITAL'S FIRST MRI SCAN ON A PATIENT FITTED WITH A PACEMAKER FDA-APPROVED FOR USE IN THE MRI ENVIRONMENT. BEFORE THIS TYPE OF DEVICE WAS INVENTED, PATIENTS WITH IMPLANTED PACEMAKERS WERE PROHIBITED FROM GETTING AN MRI SCAN OVER THE LIFETIME OF THEIR IMPLANTED DEVICE BECAUSE IT WAS UNSAFE. IN 2013, SENTARA ADDED 3D MAMMOGRAPHY, A BREAKTHROUGH TECHNOLOGY FOR DETECTING EARLY BREAST CANCER, AT EIGHT BREAST IMAGING LOCATIONS FROM WILLIAMSBURG TO VIRGINIA BEACH. THE ADVANCED TECHNOLOGY CREATES 3D BREAST RECONSTRUCTIONS SO RADIOLOGISTS CAN VIEW BREASTS IN THIN LAYERS AND SEE EARLY CANCERS THAT WOULD NOT BE VISIBLE USING OTHER MAMMOGRAPHY. IN 2012, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER STARTED A NEW TREATMENT FOR SEVERE ASTHMA CALLED BRONCHIAL THERMOPLASTY. THE MINIMALLY INVASIVE OUTPATIENT PROCEDURE USES A BRONCHOSCOPE TO DELIVER THERMAL ENERGY TO THE LUNGS OF PATIENTS WITH ASTHMA TO DECREASE THE AMOUNT OF SMOOTH MUSCLE IN THE LUNGS - THE MUSCLES THAT CONSTRICT AND RESULT IN ASTHMA SYMPTOMS.
FORM 990, PART III, LINE 4A	ALSO IN 2012, THE SENTARA CANCER NETWORK'S MOBILE PET/CT BEGAN PERFORMING BODY SCANS TO DISCOVER AND STAGE CANCERS THAT MAY HAVE SPREAD TO THE BONES. THIS IS POSSIBLE DUE TO THE FDA'S APPROVAL OF THE USE OF 18F-SODIUM FLUORIDE AS AN INJECTION. AT SENTARA RMH MEDICAL CENTER IN 2012, PATIENTS WITH THE HEART CONDITION ATRIAL FIBRILLATION BENEFITTED FROM A PROCEDURE CALLED CARDIAC CRYOABLATION, APPROVED BY THE FDA IN LATE 2010. CRYOABLATION EMPLOYS A SPECIAL BALLOON THAT'S FILLED WITH A COOLANT TO REDUCE ITS TEMPERATURE TO MINUS 80 DEGREES CELSIUS. THE BALLOON IS APPLIED TO THE HEART TISSUES THAT CAUSE IRREGULAR HEARTBEATS, AND THE COLD TEMPERATURES DESTROY THE TISSUE AND CORRECT THE HEART'S PROBLEM. IT HAS PROVED SUCCESSFUL FOR PATIENTS WHO DID NOT RESPOND FULLY TO OTHER TREATMENTS. WITH A $725,000 GRANT FROM THE POTOMAC HEALTH FOUNDATION, SENTARA NORTHERN VIRGINIA MEDICAL CENTER PURCHASED A NEW DIGITAL MAMMOGRAPHY VAN. WITH THE VAN, THE CENTER REACHES WOMEN WITH LITTLE OR NO INSURANCE, IN HOPES OF DETECTING CANCER EARLIER IN WOMEN IN PRINCE WILLIAM COUNTY, WHERE THERE'S A HIGHER-THAN-AVERAGE DEATH RATE FROM BREAST CANCER. B. EXPANDING SERVICE AREAS AND PARTNERSHIPS IN JUNE 2014, SENTARA JOINED FORCES WITH FOUR OF THE NATION'S TOP HEART TREATMENT CENTERS AND A LEADING PATIENT ADVOCACY ORGANIZATION TO FORM THE NATIONAL ALLIANCE OF INTEGRATED AFIB CENTERS (NAIAC). THEY SEEK TO COMBAT THE GROWING AND LIFE-THREATENING CONDITION OF AFIB (ATRIAL FIBRILLATION). SENTARA AND THE FIVE OTHER MEMBERS - CEDARS-SINAI HEART INSTITUTE, ST. HELENA ARRHYTHMIA CENTER, ST. VINCENT'S MEDICAL CENTER, ORLANDO HEALTH HEART INSTITUTE AND STOPAFIB.ORG - WILL IMPROVE MEDICAL CARE AND ENHANCE AFIB PATIENTS' QUALITY OF LIFE. AS OF JULY 1, 2014, SENTARA NORTHERN VIRGINIA MEDICAL CENTER (SNVMC) INSTITUTED A PARTNERSHIP WITH CHILDREN'S NATIONAL HEALTH SYSTEM TO PROVIDE NEONATAL CARE SERVICES. CHILDREN'S NATIONAL HEALTH SYSTEM NEONATOLOGISTS PROVIDE LEVEL 1 (TERM NURSERY) AND LEVEL 2 (INTERMEDIATE NURSERY) COVERAGE WITHIN THE SNVMC NICU (NEONATAL INTENSIVE CARE UNIT). THEY WORK JOINTLY WITH HOSPITAL STAFF AND ON-STAFF OBSTETRICIANS TO DETERMINE THE FEASIBILITY OF PROVIDING CARE FOR 28/29-WEEK NEWBORNS, AS WELL AS MOTHER AND BABY TREATMENT PLANS CREATED IN COLLABORATION WITH THE MOTHER'S OBSTETRICIAN. THE PARTNERSHIP ALLOWS SNVMC TO REDUCE THE NUMBER OF NICU TRANSFERS TO OTHER FACILITIES, FOSTERING THE CARE OF THESE SPECIAL PATIENTS CLOSER TO HOME. IN AUGUST 2014, SENTARA INVESTED IN NUSCRIPTRX, A COMPANY THAT ENHANCES MEDICATION SAFETY IN LONG-TERM CARE FACILITIES WHILE REDUCING WASTE AND COST. NUSCRIPTRX HAS DEVELOPED A FULLY AUTOMATED ON-SITE EMEDSTAT MEDICATION DISPENSING SYSTEM AND A FULL SERVICE CENTRALIZED PHARMACY THAT OFFERS SEVEN-DAY MEDICATION REPLENISHMENT VERSUS THE INDUSTRY STANDARD OF 30 DAYS. THIS ENSURES A MORE TIMELY RESPONSE TO MEDICATION CHANGES AND UP TO A SIXTY PERCENT REDUCTION IN PRODUCT WASTES AND TEN TO FIFTEEN PERCENT COST SAVINGS. DAILY DOSAGE PACKAGING CAN REDUCE MEDICATION PASS TIMES FROM THIRTY-FIVE TO FIFTY PERCENT. THE NUSCRIPTRX SYSTEM ALSO HELPS IMPROVE MEDICATION SAFETY WITH ONLINE PATIENT RECORDS. IN AUGUST 2012, SENTARA AND MDLIVE ANNOUNCED AN EQUITY PARTNERSHIP TO DELIVER REAL-TIME MEDICAL CONSULTATIONS VIA TELEPHONE AND ONLINE VIDEO THROUGH AN ESTABLISHED NETWORK OF PHYSICIANS. PATIENTS USE THE MDLIVE VIRTUAL CONSULT PLATFORM TO CONSULT DIRECTLY WITH A LICENSED SENTARA OR PARTNER PHYSICIAN WHO CAN DIAGNOSE LOW-ACUITY ILLNESSES, PROVIDE CARE, AND PRESCRIBE MEDICATIONS. IN 2013, SENTARA EMPLOYEES WITH OPTIMA HEALTH AND CIGNA INSURANCE RECEIVED THE BENEFIT OF SENTARA MDLIVE APPOINTMENTS FOR A $15 CO-PAY. WE SAW OVER 2,000 SENTARA EMPLOYEES/DEPENDENTS COVERED UNDER OPTIMA INSURANCE REGISTER WITH MDLIVE. THAT SAME YEAR, 429 EMPLOYEES AND THEIR FAMILIES MADE AN APPOINTMENT WITH MDLIVE. SENTARA IS WORKING WITH MDLIVE TO PARTNER WITH OTHER HEALTH SYSTEMS TO OFFER THE BENEFITS TO THEIR EMPLOYEES AND IS WORKING TO LEVERAGE THE TECHNOLOGY TO PILOT NEW MODELS TO TRANSFORM CARE AND IMPROVE LIVES. C. EXPANDING EDUCATIONAL SERVICES CONTINUING TO GROW AND DEVELOP AS WE AIM TO MEET THE DEMAND FOR WELL-EDUCATED HEALTHCARE EXPERTS, THE SENTARA SCHOOL OF HEALTH PROFESSIONALS CHANGED ITS NAME IN 2009 TO THE SENTARA COLLEGE OF HEALTH SCIENCES (SCHS). AT THE SAME TIME, IT RECEIVED APPROVAL TO OFFER A BACCALAUREATE DEGREE IN NURSING, A REQUIREMENT MORE HOSPITALS ARE SETTING FOR ITS STAFF. OUR BACHELOR OF SCIENCE IN NURSING PROGRAM BEGAN IN AUGUST 2010 WITH FOUR WAYS TO RECEIVE A DEGREE: TRADITIONAL BSN, LPN TO BSN, RN TO BSN AND EARLY ADMISSION FOR HIGH SCHOOL SENIORS. THE COLLEGE IS PROVIDING A NEW POOL OF HIGHLY COMPETENT NURSES: THE FIRST RN TO BSN CLASS GRADUATED IN MAY 2012 WITH SEVEN GRADUATES. TWENTY-SIX STUDENTS ALSO GRADUATED IN THE NEW, TRADITIONAL BSN PROGRAM, AND ONE STUDENT GRADUATED IN THE NEW LPN TO BSN PROGRAM. ALL STUDENTS PRACTICE THEIR SKILLS IN THE SENTARA SIMULATION LAB A MINIMUM OF EIGHT TIMES, ENABLING THEM TO PERFECT THEIR CRITICAL-THINKING SKILLS IN A SAFE ENVIRONMENT. THE LAB, EQUIPPED WITH SIX HIGH-FIDELITY PROGRAMMABLE MANNEQUINS WHO CAN CRY, SWEAT, BREATHE RAPIDLY AND DEVELOP SYMPTOMS OF CARDIAC ARREST, IS LOCATED INSIDE SCHS -- A FEATURE NOT FOUND IN MANY NURSING PROGRAMS -- SO THAT IT IS EASILY ACCESSIBLE FOR BOTH STUDENTS AND PROFESSORS, AND CLASSROOM INSTRUCTION OR FEEDBACK CAN OCCUR IMMEDIATELY AFTERWARDS. WE FURTHERED OUR OFFERINGS WITH THE SURGICAL TECHNOLOGY PROGRAM AT THE COLLEGE LAUNCHING THE FIRST ASSOCIATE OF OCCUPATIONAL SCIENCE DEGREE WITH THE JANUARY 2013 CLASS. D. RESEARCHING FOR THE FUTURE IN A PATIENT STUDY CONDUCTED AT SENTARA LEIGH HOSPITAL IN 2012, NURSES WERE EMPOWERED TO GIVE IV FLUIDS AT THE EARLIEST SIGNS THAT A KNEE OR HIP JOINT REPLACEMENT PATIENT'S BLOOD PRESSURE WAS TRENDING DOWNWARD. BEFORE THE STUDY, A 10-STEP PROCESS INCLUDING A PHYSICIAN ORDER WAS REQUIRED. THE NEW PROTOCOL SPED CARE AND REDUCED THE NUMBER OF PATIENTS WHOSE CONDITIONS WORSENED DUE TO LOW BLOOD PRESSURE BY THIRTY PERCENT. STUDY FINDINGS WERE SHARED WITH ORTHOPAEDIC NURSES FROM AROUND THE UNITED STATES DURING THE 33RD ANNUAL NATIONAL ASSOCIATION OF ORTHOPAEDIC NURSES CONFERENCE IN SAN ANTONIO IN MAY 2013. IN APRIL 2012, SENTARA HEART HOSPITAL JOINED THE HEARTLIGHT TRIAL FOR THE TREATMENT OF SYMPTOMATIC ATRIAL FIBRILLATION. USING A FIBER OPTIC LIGHT, DOCTORS LOOK INSIDE THE BEATING HEART OF PATIENTS, TESTING A NEW DEVICE CALLED THE CARDIOFOCUS HEARTLIGHT ENDOSCOPIC ABLATION SYSTEM. THE SYSTEM INCLUDES A BALLOON, SMALL CAMERA AND LASER LIGHT TO PRECISELY DELIVER LIGHT ENERGY TO MISFIRING AREAS OF THE HEART AND TO HELP RESTORE REGULAR HEART RHYTHM. THE STUDY REACHED A MILESTONE IN FEBRUARY 2013 WHEN IT ENROLLED MORE THAN HALF OF THE TOTAL STUDY PARTICIPANTS. IN A 10-MONTH, 2012 STUDY, SENTARA PHYSICIANS WORKED WITH THE EASTERN VIRGINIA MEDICAL SCHOOL STRELITZ DIABETES CENTER TO DEVELOP ALERTS IN THE SENTARA ECARE HEALTH NETWORK, OUR ELECTRONIC MEDICAL RECORD SYSTEM, WHEN A CHANGE OCCURS IN A DIABETIC PATIENT'S CONDITION. THE ALERTS OFFER GUIDANCE ABOUT THE APPROPRIATE CARE FOR EACH SITUATION. DURING THE STUDY PERIOD, PATIENTS SHOWED SUBSTANTIAL IMPROVEMENT. NEARLY 900 PATIENTS MOVED FROM THE HIGHEST LEVEL OF RISK FOR COMPLICATIONS TO A HEALTHIER RANGE. THE RESULTS WERE PRESENTED MAY 2, 2013 IN PHOENIX AT THE 22ND ANNUAL SCIENTIFIC AND CLINICAL CONGRESS OF THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGIST (AACE). SENTARA PARTNERED WITH CUPRON AND EOS SURFACES IN 2013 TO LAUNCH THE WORLD'S LARGEST CLINICAL TRIAL TO TEST THE EFFECTIVENESS OF COPPER-INFUSED HARD SURFACES AND LINENS IN PREVENTING HOSPITAL-ACQUIRED INFECTIONS. THE STUDY LAUNCHED AT THE SENTARA NORFOLK GENERAL HOSPITAL ICU AND IN THE SENTARA LEIGH HOSPITAL EAST TOWER IN THE FIRST QUARTER OF 2014 WITH MORE THAN 15,000 HORIZONTAL SQUARE FEET OF PATENT-PENDING CUPRON-ENHANCED EOS SURFACES INSTALLED. ANTI-ODOR TEXTILES MANUFACTURED BY ENCOMPASS ARE USED FOR PATIENT BED LINENS, GOWNS AND OTHER TEXTILES. BEGINNING NOVEMBER 2, 2014, SENTARA CAREPLEX HOSPITAL BECAME THE THIRD FACILITY IN OUR HOSPITAL FAMILY TO ADOPT COPPER-INFUSED LINENS. IN FEBRUARY 2015, SENTARA NORFOLK NURSING FACILITY BECAME THE FOURTH CENTER TO IMPLEMENT THE LINENS. THE COMPREHENSIVE PROGRAM IS BELIEVED TO BE THE WORLD'S LARGEST HOSPITAL EVALUATION OF ANTIMICROBIAL -PROTECTED MATERIALS, WITH THE GOAL OF COMBATING THE SPREAD OF PATHOGENS KNOWN TO CONTRIBUTE TO HEALTHCARE INFECTIONS. APPROXIMATELY SEVEN MILLION PEOPLE WORLDWIDE SUFFER FROM HOSPITAL-ACQUIRED INFECTIONS EACH YEAR.
FORM 990, PART III, LINE 4A	IN FEBRUARY 2014, RESEARCHERS AT THE SENTARA CARDIOVASCULAR RESEARCH INSTITUTE WERE AMONG THE FIRST IN VIRGINIA TO ENROLL PATIENTS IN THE PARACHUTE IV TRIAL OF AN INVESTIGATIONAL DEVICE TO TREAT HEART FAILURE IN PEOPLE WHO HAVE SUFFERED A HEART ATTACK. THE PARACHUTE VENTRICULAR PARTITIONING DEVICE, IF PROVEN EFFECTIVE IN THE FIVE-YEAR, 20-SITE STUDY, WOULD OFFER A NEW, NON-SURGICAL, MINIMALLY INVASIVE MEANS OF HELPING A DAMAGED HEART RECOVER. IV. BUILDING FOR THE FUTURE ALONG WITH REACHING OUT TO NEW COMMUNITIES, SENTARA HEALTHCARE STRIVES TO BUILD ON OUR EXISTING SERVICES AND IN OUR ESTABLISHED AREAS SO THAT WE EXCEED OUR PATIENTS' EXPECTATIONS AND MEET GROWING HEALTHCARE DEMANDS. SOME OF THE CHANGES WE HAVE INVESTED IN IN OUR ESTABLISHED COMMUNITIES RECENTLY INCLUDE: A. SENTARA NORTHERN VIRGINIA MEDICAL CENTER COMPLETES OPERATING ROOM MODERNIZATION TOPPING OFF SENTARA NORTHERN VIRGINIA MEDICAL CENTER REACHED A MAJOR CONSTRUCTION MILESTONE IN LATE 2014, TOPPING OFF THE STEEL FRAME OF THE NEW SURGICAL CENTER. THE TOPPING OFF EVENT MARKS THE COMPLETION OF THE STEEL CONSTRUCTION PHASE OF THE PROJECT THAT WILL PROVIDE ENHANCED SURGICAL SERVICES TO THE COMMUNITY. THE NEW FACILITY WILL ADJOIN THE MAIN HOSPITAL AND INCLUDE GENERAL-PURPOSE OPERATING ROOMS OUTFITTED WITH STATE-OF-THE-ART EQUIPMENT. B. SENTARA LORTON STATION WOMEN'S IMAGING CENTER OPENS ON SEPTEMBER 2, 2014, SENTARA NORTHERN VIRGINIA MEDICAL CENTER ANNOUNCED THE GRAND OPENING OF THE SENTARA LORTON STATION WOMEN'S IMAGING CENTER. THE CENTER OFFERS SOPHISTICATED TECHNOLOGY BACKED BY A TEAM OF HIGHLY SKILLED TECHNOLOGISTS AND FELLOWSHIP-TRAINED RADIOLOGISTS DEDICATED TO WOMEN'S IMAGING. SERVICES PROVIDED AT THE CENTER INCLUDE GENERAL, OB, AND BREAST ULTRASOUND; 3D MAMMOGRAPHY; IMAGE-GUIDED BIOPSY; FINE-NEEDLE ASPIRATION; AND BONE DENSITY (DEXA) TESTING. C. SENTARA MEDICAL GROUP GROWS IN NORTHERN VIRGINIA SENTARA MEDICAL GROUP CONTINUES TO GROW IN NORTHERN VIRGINIA WITH THE ADDITION OF SENTARA HOSPITAL MEDICINE PHYSICIANS AT SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN 2014. WITH EIGHT BOARD-CERTIFIED, HOSPITAL-BASED PHYSICIANS, THE NEW SENTARA HOSPITAL MEDICINE PHYSICIANS TEAM IN NORTHERN VIRGINIA IS DEDICATED TO PROVIDING QUALITY CARE. D. MARTHA JEFFERSON NOW OFFERING GASTRIC SLEEVE OPTION FOR BARIATRIC SURGERY MARTHA JEFFERSON HOSPITAL BEGAN OFFERING THE GASTRIC SLEEVE OPTION FOR BARIATRIC SURGERY IN 2014. THE GASTRIC SLEEVE PROCEDURE IS AN ALTERNATIVE TO THE GASTRIC BYPASS SURGERY AND THE ADJUSTABLE GASTRIC BAND. ALSO KNOWN AS A LAPAROSCOPIC SLEEVE GASTRECTOMY, IT IS A PREFERRED OPTION BY SOME PATIENTS BECAUSE IT DOES NOT REARRANGE THE BOWELS LIKE THE GASTRIC BYPASS SURGERY AND DOES NOT HAVE A PROSTHETIC INSERTED LIKE THE GASTRIC BAND. ADDITIONALLY, PATIENTS ARE AT LESS RISK FOR ULCERS, PROTEIN DEFICIENCIES, OR DUMPING SYNDROME. E. UNDER CONSTRUCTION: SENTARA RMH MEDICAL CENTER CAMPUS CONSTRUCTION IS UNDERWAY ON A NEW MEDICAL BUILDING ON THE SENTARA RMH MEDICAL CENTER CAMPUS, WHICH WILL HOUSE THE HOSPITAL'S ORTHOPAEDICS, SPINE, SPORTS MEDICINE, REHABILITATION AND OUTPATIENT ADVANCED IMAGING SERVICES. THE PROJECT IS EXPECTED TO BE COMPLETE IN THE WINTER OF 2015-16. F. MARTHA JEFFERSON AND SENTARA RMH CARDIAC GENETIC COUNSELING SERVICES MARTHA JEFFERSON HOSPITAL AND SENTARA RMH MEDICAL CENTER BEGAN OFFERING PATIENTS IN THE BLUE RIDGE REGION CARDIAC GENETIC COUNSELING AND GENETIC TESTING OPTIONS IN MAY 2014. WHILE HEART DISEASE IS OFTEN RELATED TO ENVIRONMENTAL FACTORS INCLUDING SMOKING, EATING AND EXERCISE HABITS, SOME TYPES OF HEART DISEASE CAN BE CAUSED BY GENETIC MUTATIONS. G. FOOT AND ANKLE PILOT ON THE PENINSULA A NEW SENTARA ORTHOPAEDICS PRODUCT, THE SENTARA FOOT & ANKLE CENTER, WAS PILOTED FOR THE SYSTEM IN JUNE 2014 AT SENTARA PORT WARWICK AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. THE CENTER'S GOAL IS TO HELP PATIENTS TO CONNECT WITH THE FOOT AND ANKLE CARE THAT IS MOST APPROPRIATE FOR THEM, INCLUDING OFFICE VISITS, INPATIENT AND OUTPATIENT SURGICAL CARE AND THE SERVICES OF THE SENTARA WOUND HEALING CENTERS AT BOTH LOCATIONS. H. ORTHOJOINT CENTER OPENS AT SNVMC SENTARA NORTHERN VIRGINIA MEDICAL CENTER OPENED THE SENTARA ORTHOJOINT CENTER IN APRIL 2014 TO ENHANCE ORTHOPAEDIC PATIENT EXPERIENCES, INCLUDING A SEAMLESS, COORDINATED CARE APPROACH PROVIDED BY A TEAM OF EXPERIENCED SURGEONS, NURSES, THERAPISTS AND TECHNICIANS. THE CENTER OFFERS DEDICATED ORTHOPAEDIC SERVICES FOCUSED ON THE NEEDS OF PATIENTS REQUIRING HIP AND KNEE REPLACEMENTS. JOINT REPLACEMENT PATIENTS ARE ENCOURAGED TO INVOLVE THEIR FAMILIES AND MAKE CONNECTIONS WITH OTHERS UNDERGOING THE SAME PROCEDURE. I. SENTARA BACK & NECK CENTER AT OBICI A NEW ORTHOPAEDIC SERVICE, SENTARA BACK & NECK CENTER, OPENED AT SENTARA OBICI HOSPITAL IN SUFFOLK, VA, IN APRIL 2014. THE CENTER FOCUSES ON IMPLEMENTING PROVEN PROTOCOLS THAT PROVIDE STANDARDS OF CARE TO OPTIMIZE EACH PATIENT'S BACK OR NECK SURGICAL PROCEDURE. SIMILAR TO THE SENTARA ORTHOJOINT CENTERS, AN ORTHOPAEDIC/SPINE PATIENT NAVIGATOR IS ASSIGNED TO PATIENTS AND THEIR FAMILIES THROUGHOUT THE SURGICAL EVENT FOR PRE-SURGERY EDUCATION AND GUIDANCE, INPATIENT RECOVERY AND EVEN A REUNION LUNCHEON SEVERAL MONTHS DOWN THE ROAD TO CHECK ON THE PATIENT'S RECOVERY. J. LORTON OUTPATIENT FACILITIES NEW OUTPATIENT FACILITIES OPENED IN LORTON/FAIRFAX COUNTY IN JUNE 2013. THEY INCLUDE A 24-HOUR EMERGENCY DEPARTMENT AND AN ADVANCED IMAGING CENTER WITH A 64-SLICE CT AT LORTON MARKETPLACE AND ANOTHER IMAGING CENTER AT LORTON STATION, WHICH ADDED 3D MAMMOGRAPHY IN JULY 2013. THESE ARE CONVENIENT HEALTHCARE DESTINATIONS IN A FAST-GROWING MARKETPLACE WHERE THE MAJORITY OF POPULATION GROWTH WILL BE FROM PEOPLE OVER 65. K. BEHAVIORAL HEALTH UNIT A 24-BED INPATIENT BEHAVIORAL HEALTH UNIT OPENED AT SENTARA VIRGINIA BEACH GENERAL HOSPITAL IN JANUARY 2014. THE UNIT INCLUDES 16 BEDS DESIGNATED FOR GERIATRIC PATIENTS AND EIGHT GENERAL ADULT BEDS. THE NUMBER OF PATIENTS SEEKING PSYCHIATRIC SERVICES THROUGH THE EMERGENCY DEPARTMENT AT SENTARA VIRGINIA BEACH GENERAL HAS INCREASED ONE HUNDRED AND ELEVEN PERCENT SINCE 2006. IN THE PAST, SOME PATIENTS HAVE HAD TO WAIT FOR ADMISSION IN THE EMERGENCY DEPARTMENT, WHERE A STAFF PERSON HAD TO BE COMMITTED TO THE PATIENT FOR HIS OR HER SAFETY. THE NEW BEDS SPEED UP ADMISSION AND IMPROVE CARE. L. MARTHA JEFFERSON NEUROSCIENCE CENTER THE NEUROSCIENCE CENTER BEGAN SERVING PATIENTS IN JANUARY 2013. IT IS EQUIPPED WITH THE LATEST TECHNOLOGY, WITH ELECTROMYOGRAPHY (EMG) AND ELECTROENCEPHALOGRAPHY (EEG) DIAGNOSTIC EQUIPMENT, NEW VESTIBULAR BALANCE REHABILITATION EQUIPMENT, LOW-DOSE CT-IMAGING, AND COMPLETE COMPLEX BRAIN SURGERY SUCH AS STEREOTACTIC RADIOSURGERY (SRS). FOUR NEUROLOGISTS, TWO NEUROSURGEONS AND 13 REHAB THERAPISTS ARE UNDER ONE ROOF TO ENSURE PATIENTS RECEIVE CARE IN ONE LOCATION. THE CENTER HAS ROLLED-OUT MULTI-DISCIPLINARY SUBSPECIALTY CLINICS THAT DELIVER A COORDINATED, PATIENT-CENTERED APPROACH. THE CLINICS INCLUDE THE SEIZURE DISORDER AND EPILEPSY CLINIC, THE NEUROPATHY CLINIC, THE STROKE RECOVERY CLINIC, THE COGNITIVE REHABILITATION CLINIC AND THE VESTIBULAR BALANCE AND FALLS PREVENTION CLINIC. M. SENTARA EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) COMPREHENSIVE PELVIC FLOOR CENTER SENTARA AND EVMS PARTNERED IN FEBRUARY 2013 TO CREATE THE CENTER AND COMBINE THE LATEST IN RESEARCH, STATE-OF-THE-ART TECHNOLOGY AND A MULTIDISCIPLINARY CARE TEAM. THE CENTER BRINGS TOGETHER SPECIALISTS IN UROGYNECOLOGY, GASTROENTEROLOGY, SPECIALIZED RADIOLOGY, UROLOGY, COLORECTAL MEDICINE AND SURGERY, PHYSICAL MEDICINE AND REHABILITATION, NUTRITION AND PHYSICAL THERAPY TO HELP PATIENTS WITH PROBLEMS RELATED TO THE LOWER URINARY TRACT AND THE PELVIC FLOOR. ALMOST HALF OF ALL WOMEN AND ONE IN FIVE MEN WILL EXPERIENCE URINARY INCONTINENCE, AND ROUGHLY TEN PERCENT OF WOMEN WILL UNDERGO SURGERY FOR PELVIC ORGAN PROLAPSE OR URINARY INCONTINENCE. N. SENTARA LEIGH TOWERS WORK BEGAN IN DECEMBER 2011 ON A MULTI-PHASE, THREE-YEAR PROJECT TO BUILD A NEW SENTARA LEIGH HOSPITAL ON THE SITE OF THE CURRENT ONE. SENTARA OPENED THE NEW EAST TOWER IN NOVEMBER 2013. ALONG WITH THE WEST TOWER, WHICH OPENED IN APRIL 2015, IT REPLACES THREE 1970S-ERA WINGS AT THE NORFOLK, VIRGINIA HOSPITAL. THE TOWERS FEATURE STATE-OF-THE-ART PATIENT ROOMS WITH PRIVATE BATHROOMS, NO-STEP SHOWERS AND OVERNIGHT ACCOMMODATIONS FOR FAMILIES. THE PROJECT ALSO INCLUDES A 48-BED ORTHOPAEDIC AND REHABILITATION CENTER ON THE FIRST FLOOR AND EMPLOYS PART OF THE OUTSIDE GARDEN SPACE FOR WALKING EXERCISES ON DIFFERENT GRADES AND SURFACES, MAKING IT A TRUE HEALING GARDEN. O. SENTARA HOSPICE HOUSE IN MARCH 2013, SENTARA OPENED SENTARA HOSPICE HOUSE, AN 8,311 SQUARE-FOOT FACILITY TO PROVIDE CARE FOR UP TO 12 PEOPLE AND THEIR FAMILIES. PREVIOUSLY, WITH ONLY FIVE LIVE-IN HOSPICES IN VIRGINIA AND NONE IN HAMPTON ROADS, PATIENTS WERE NOT OFTEN ABLE TO CHOOSE THIS CARE. NOW THEY CAN.
FORM 990, PART III, LINE 4A	P. SENTARA RMH MEDICAL CENTER WOMEN'S CENTER CONSTRUCTION BEGAN ON THE RMH FUNKHOUSER WOMEN'S CENTER IN JUNE 2012 AND WAS COMPLETED JUNE 2013. THE 15,000 SQUARE FOOT CENTER HOUSES WOMEN'S IMAGING, INCLUDING ADVANCED BREAST IMAGING/MAMMOGRAPHY AND BONE DENSITY SCREENING, RMH BREAST CARE, THE IMAGE RECOVERY CENTER AND RMH HEART CHECK FOR MEN AND WOMEN AND A SURGEON'S OFFICE. Q. SENTARA RMH MEDICAL CENTER OUTPATIENT ORTHOPAEDICS & ADVANCED IMAGING CENTER SENTARA RMH GAINED APPROVAL FOR THE NEW CENTER IN JULY 2012. THE NEW FACILITY WILL BE AN ORTHOPAEDIC AND SPORTS MEDICINE DESTINATION INCLUDING ADVANCED IMAGING, RMH ORTHOPAEDICS AND SPORTS MEDICINE, REHABILITATION THERAPY, A SPORTS PERFORMANCE ARENA AND AN INTERVENTIONAL SUITE FOR PAIN MANAGEMENT AND SPECIAL PROCEDURES. THE CENTER IS SCHEDULED TO BE COMPLETED IN LATE 2015. R. MARTHA JEFFERSON OUTPATIENT CARE CENTER A NEW OUTPATIENT CARE CENTER OPENED IN THE FALL OF 2012, WITH A FREE-STANDING 24-HOUR ED AND IMAGING, LABORATORY SERVICES AND A PRIMARY CARE PRACTICE. THE ED SHORTENS TRAVEL TIME FOR EMS PROVIDERS, AND THE FACILITY AS A WHOLE HELPS CUT TRAVEL TIME FOR PATIENTS IN THE NORTHERN COUNTIES OF VIRGINIA. V. SENTARA QUALITY & PATIENT SAFETY DISTINCTIONS A. MEASURING QUALITY HEALTHCARE SINCE OUR HEALTH SYSTEM'S EARLIEST YEARS, WE HAVE BELIEVED THE COMMUNITY DESERVES HEALTHCARE THAT IS MEASURABLY BETTER. SENTARA'S GOAL IS TO BE ACCREDITED BY RESPECTED NATIONAL ORGANIZATIONS AND TO ACHIEVE TOP TEN PERCENT PERFORMANCE WHEREVER BENCHMARKS EXIST. WE ARE PROUD OF THE WORK WE HAVE DONE SO FAR TOWARD THIS GOAL, AS IT HAS BEEN RECOGNIZED IN MANY WAYS: 1. TOP 100 INTEGRATED HEALTHCARE NETWORKS SENTARA HAS CONSISTENTLY RANKED AMONG THE NATION'S TOP INTEGRATED HEALTHCARE NETWORKS AS PUBLISHED IN MODERN HEALTHCARE'S FACT-BASED RANKING. THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY TO BE AMONG THE NATION'S TOP 10 FOR ALL 15 YEARS OF THE SURVEY, SENTARA LANDED AT NUMBER ONE IN 2001, 2010 AND 2011. THE STUDY, PUBLISHED ANNUALLY, HIGHLIGHTS THE TOP 100 INTEGRATED HEALTH CARE NETWORKS ACROSS THE NATION AS SELECTED BY SDI, A HEALTH INFORMATION COMPANY. 2. USING TECHNOLOGY TO IMPROVE CARE ALL SENTARA HOSPITALS IN HAMPTON ROADS AS WELL AS SENTARA NORTHERN VIRGINIA MEDICAL CENTER AND MARTHA JEFFERSON HOSPITAL WERE RECENTLY RECOGNIZED FOR THEIR IT EFFORTS, RECEIVING THE 2014 "MOST WIRED" AWARD FROM HOSPITALS AND HEALTH NETWORKS. SENTARA ALBEMARLE MEDICAL CENTER WAS NAMED AS A "MOST IMPROVED" RECIPIENT. THE AWARDS LOOK AT HOW WELL HOSPITALS PERFORM IN THE AREAS OF INFRASTRUCTURE, BUSINESS AND ADMINISTRATIVE MANAGEMENT, CLINICAL QUALITY AND SAFETY, AND CLINICAL INTEGRATION. SENTARA HEALTHCARE RECEIVED THE SAME HONOR IN 2013 AND 2012. 3. AWARD-WINING CARDIAC AND NEPHROLOGY CARE SENTARA HEART HOSPITAL/SENTARA NORFOLK GENERAL HOSPITAL IS A COMPREHENSIVE NETWORK OF PROVIDERS, FACILITIES AND SERVICES WORKING TOGETHER TO ENSURE THE HIGHEST LEVEL OF CARE. SENTARA NORFOLK GENERAL HOSPITAL HAS BEEN RANKED THE NUMBER ONE HOSPITAL IN VIRGINIA AND HAMPTON ROADS BY U.S. NEWS & WORLD REPORT. IN THE 2014-15 U.S. NEWS BEST HOSPITALS RANKINGS, THE HOSPITAL WAS RECOGNIZED WITH TWO NATIONALLY RANKED TOP 50 PROGRAMS. CARDIOLOGY AND HEART SURGERY ARE RANKED 44TH, WHICH MARKS THE PROGRAM'S 14TH CONSECUTIVE YEAR AMONG THE NATION'S ELITE PROGRAMS IN THE U.S. NEWS NATIONAL SURVEY. FOR THE FIRST TIME, EAR, NOSE AND THROAT IS ALSO AMONG THE NATION'S TOP 50 PROGRAMS AT NUMBER 41. THIS NATIONAL RANKING IS DUE, IN PART, TO INNOVATIVE PROCEDURES USED BY SURGEONS AND RADIOLOGISTS WITH EASTERN VIRGINIA MEDICAL SCHOOL MEDICAL GROUP FOR PATIENTS WITH HEAD AND NECK CANCERS AND TRAUMATIC INJURIES. THE TWO SPECIALTIES ARE THE ONLY TOP-50 RANKED HEART AND ENT PROGRAMS IN VIRGINIA. IN ADDITION TO THE NATIONAL RANKINGS, U.S. NEWS INCLUDED RANKINGS FOR STATE AND METRO AREAS. SEVEN SENTARA HOSPITALS WERE FEATURED IN THE RANKINGS, WITH SENTARA NORFOLK GENERAL HOSPITAL LISTED AT NUMBER ONE IN THE REGION AND NUMBER ONE IN THE STATE. SENTARA VIRGINIA BEACH GENERAL HOSPITAL WAS 8TH IN THE STATE AND SECOND IN HAMPTON ROADS. MARTHA JEFFERSON HOSPITAL RANKED 11TH IN THE STATE. SENTARA RMH MEDICAL CENTER TIED WITH SENTARA PRINCESS ANNE HOSPITAL FOR 15TH IN THE STATE. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER TIED WITH SENTARA LEIGH HOSPITAL FOR 20TH IN THE STATE. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER TIED WITH SENTARA PRINCESS ANNE FOR THIRD IN HAMPTON ROADS AND SENTARA LEIGH HOSPITAL WAS RANKED SIXTH. 4. OUTSTANDING CANCER CARE AFTER A THREE-DAY SURVEY IN 2012, THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER RE-ACCREDITED THE SENTARA CANCER NETWORK FOR THREE YEARS WITH COMMENDATIONS. THE ACCREDITATION WAS AS AN "INTEGRATED NETWORK" -THE ONLY ONE IN VIRGINIA - WITH NO DEFICIENCIES. 5. SENTARA SYSTEM STROKE TEAM IN FEBRUARY 2013, THE VOLUNTARY HOSPITAL ASSOCIATION (VHA) SELECTED SENTARA'S STANDARDIZED STROKE PROGRAM AS A LEADING BEST PRACTICE. THE SYSTEM STROKE TEAM AT SENTARA DEVELOPED A STANDARDIZED PROGRAM AND IMPLEMENTED IT AT 10 SENTARA HOSPITALS. THE TEAM EVALUATED THE ENTIRE STROKE PROCESS FROM DIAGNOSIS IN THE FIELD AND TREATMENT IN THE EMERGENCY DEPARTMENT TO PATIENT DISCHARGE. THE RESULTS INCLUDED A REDUCTION IN SYSTEM-WIDE STROKE MORTALITY FROM ELEVEN PERCENT IN 2008 TO FIVE PERCENT IN 2012; A REDUCTION IN AVERAGE LENGTH OF STAY BY TWO DAYS WITH AN ASSOCIATED COST SAVINGS OF $1.1 MILLION; AND INCREASED STROKE CORE METRIC PERFORMANCE FROM 54.9 PERCENT OF GOAL MET IN 2009 TO 92.1 PERCENT OF GOAL MET IN 2012. 6. THE JOINT COMMISSION AND DET NORSKE VERITAS HEALTHCARE, INC. (DNVHC) ACCREDITATION PRIOR TO CONVERTING ALL HOSPITALS IN THE SENTARA SYSTEM TO DNV, THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS HAS GIVEN SEVERAL OF OUR HOSPITALS ITS GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CARE CERTIFICATION. AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION, THE JOINT COMMISSION ACCREDITS AND CERTIFIES MORE THAN 20,500 HEALTH CARE ORGANIZATIONS AND PROGRAMS IN THE UNITED STATES. JOINT COMMISSION ACCREDITATION AND CERTIFICATION IS RECOGNIZED NATIONWIDE AS A SYMBOL OF QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO MEETING CERTAIN PERFORMANCE STANDARDS. THEIR MISSION IS TO CONTINUOUSLY IMPROVE HEALTH CARE FOR THE PUBLIC BY EVALUATING HEALTH CARE ORGANIZATIONS AND INSPIRING THEM TO EXCEL IN PROVIDING SAFE AND EFFECTIVE CARE OF THE HIGHEST QUALITY AND VALUE. SENTARA NORFOLK GENERAL HOSPITAL EARNED THE JOINT COMMISSION'S VASCULAR CERTIFICATION. SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA OBICI HOSPITAL, AND SENTARA PRINCESS ANNE HOSPITAL ALL EARNED PRIMARY STROKE CERTIFICATION. VOLUNTARY HOSPITALS ASSOCIATION "BLUEPRINTED" THE SENTARA HAMPTON ROADS' HOSPITALS STROKE PROGRAMS AS A "LEADING PRACTICE IN STROKE CARE" WITH A WEBINAR ORIGINATING FROM SENTARA. THE JOINT COMMISSION CERTIFIED SENTARA RMH MEDICAL CENTER AS AN ADVANCED PRIMARY STROKE CENTER. THE SURVEYORS RECOGNIZED RMH'S PATIENT DISCHARGE PHONE CALL PROGRAM AND ITS COLLABORATION WITH LOCAL EMS PROVIDERS AS BEST PRACTICES IN STROKE CARE. IN 2013 - FOLLOWING THE LEAD OF SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER - ALL HOSPITALS IN THE SENTARA SYSTEM ACHIEVED DNVHC ACCREDITATION. ALL PREVIOUS STROKE CERTIFICATION ALSO FOLLOWED AND MARTHA JEFFERSON HOSPITAL WAS AWARDED A STROKE PROGRAM CERTIFICATION. DNVHC'S ACCREDITATION PROGRAM INVOLVES ANNUAL HOSPITAL SURVEYS AND ENCOURAGES HOSPITALS TO OPENLY SHARE INFORMATION ACROSS DEPARTMENTS AND TO DISCOVER IMPROVEMENTS IN CLINICAL WORKFLOWS AND SAFETY PROTOCOLS. DNVHC IS AN INTERNATIONAL COMPANY BASED OUTSIDE OF OSLO, NORWAY FOUNDED IN 1864. IN 2012, DNV MERGED WITH GERMAN-BASED GERMANISCHER LLOYD TO FORM THE DNV-GL GROUP. 7. AMERICAN ASSOCIATION OF BLOOD BANKS ACCREDITATION (AABB) AABB GRANTED ACCREDITATION TO SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN 2014. THE ACCREDITATION PROGRAM STRIVES TO IMPROVE THE QUALITY AND THE SAFETY OF COLLECTING, PROCESSING, TESTING, DISTRIBUTING AND ADMINISTERING BLOOD AND BLOOD PRODUCTS AND REPRESENTS A STRONG COMMITMENT TO QUALITY OUTCOMES AND PATIENT SAFETY IN THE FIELDS OF TRANSFUSION MEDICINE AND CELLULAR THERAPIES. THE PROGRAM LEADERS ASSESS THE QUALITY AND OPERATIONAL SYSTEMS IN PLACE WITHIN EACH FACILITY THEY REVIEW. THE BASIS FOR ASSESSMENT INCLUDES COMPLIANCE WITH STANDARDS, CODE OF FEDERAL REGULATIONS AND FEDERAL GUIDANCE DOCUMENTS. THE AABB ASSESSMENT PROCESS IS RIGOROUS AND BASED ON A QUALITY AND OPERATION SYSTEMS ASSESSMENT DESIGNED TO ENCOURAGE INNOVATION AND ONGOING QUALITY IMPROVEMENT.
FORM 990, PART III, LINE 4A	8. FIVE-STAR RANKINGS, SILVER ACHIEVEMENT, AND EXCELLENCE IN ACTION AWARDS FOR NURSING CENTERS IN 2014, FOUR SENTARA NURSING CENTERS IN VIRGINIA AND NORTH CAROLINA RECEIVED THE HIGHEST POSSIBLE OVERALL RATING OF FIVE STARS IN U.S. NEWS & WORLD REPORT'S SIXTH ANNUAL BEST NURSING HOMES: SENTARA NURSING CENTER-WINDERMERE (VIRGINIA BEACH, VA), SENTARA NURSING CENTER (BARCO, NC), SENTARA NURSING CENTER (PORTSMOUTH, VA) AND SENTARA NURSING CENTER (CHESAPEAKE, VA). U.S. NEWS & WORLD REPORT'S BEST NURSING HOMES RECOGNIZES TOP-RATED HOMES IN THE UNITED STATES. MORE THAN 15,500 HOMES WERE RATED AND FEWER THAN ONE IN EIGHT RECEIVED A FIVE-STAR RATING. IN 2011, 2012 AND 2013, SENTARA NURSING CENTER WINDMERE, VIRGINIA BEACH AND NURSING CENTER PORTSMOUTH ALSO RECEIVED FIVE-STAR RATINGS. SENTARA NURSING CENTER BARCO, NORTH CAROLINA RECEIVED FIVE STARS IN 2012 AND 2013 AS WELL. IN 2014, MEADOWVIEW TERRACE, HALIFAX REGIONAL HOSPITAL'S 150-BED LONG-TERM CARE FACILITY IN CLARKSVILLE, VA, RECEIVED A FIVE-STAR RATING IN THE NEW FIVE-STAR QUALITY RATING SYSTEM FOR NURSING HOMES CONDUCTED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE OVERALL RATING IS BASED ON THE STAR RATINGS IN THREE SEPARATE CATEGORIES: HEALTH INSPECTIONS, QUALITY MEASURES AND STAFFING LEVELS. FORTY-TWO OF MEADOWVIEW TERRACE'S 150 BEDS ARE LOCATED IN THE FACILITY'S TWO SELF-CONTAINED HOUSEHOLDS FOR RESIDENTS WITH MEMORY-SUPPORT NEEDS, SUCH AS ALZHEIMER'S DISEASE AND OTHER RELATED DEMENTIAS. SENTARA NURSING CENTER-CURRITUCK RECEIVED A 2012 SILVER-ACHIEVEMENT IN QUALITY AWARD FROM THE AMERICAN HEALTHCARE ASSOCIATION AND NATIONAL CENTER FOR ASSISTED LIVING. THE COMPETITIVE AWARDS FOLLOW CRITERIA IN THE BALDRIGE PERFORMANCE EXCELLENCE PROGRAM AND MARK MEASURABLE PROGRESS IN QUALITY IMPROVEMENTS IN LONG TERM CARE. 9. MAGNET HOSPITAL CERTIFICATION IN 2014, THE AMERICAN NURSE CREDENTIALING CENTER (ANCC) RE-DESIGNATED SENTARA NORFOLK GENERAL HOSPITAL (SNGH) AS A MAGNET HOSPITAL. THIS IS THE HIGHEST QUALITY RECOGNITION A HOSPITAL OR HEALTH ORGANIZATION CAN RECEIVE FOR BEST PRACTICES IN NURSING THROUGHOUT THE WORLD. THE DESIGNATION LASTS FOR FOUR YEARS. THE SAME YEAR, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AND SENTARA RMH MEDICAL CENTER RECEIVED MAGNET CERTIFICATION FOR THE FIRST TIME. MARTHA JEFFERSON HOSPITAL ALSO HOLDS MAGNET CERTIFICATION. 10. AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN) AWARD IN 2014, THE AACN CONFERRED A SILVER-LEVEL BEACON AWARD FOR EXCELLENCE ON THE ICU AT SENTARA PRINCESS ANNE HOSPITAL. THE AWARD RECOGNIZES CAREGIVERS IN UNITS WHOSE CONSISTENT AND SYSTEMATIC APPROACH TO EVIDENCE-BASED CARE OPTIMIZES PATIENT OUTCOMES. 11. BECKER'S HOSPITAL REVIEW "GREAT 100" ACCOLADE BECKER'S HOSPITAL REVIEW NAMED SENTARA NORFOLK GENERAL HOSPITAL AS ONE OF THE 100 GREAT HOSPITALS IN AMERICA IN 2014 BASED UPON ITS "RICH HISTORY, STRONG CREDENTIALS AND GROWING FOCUS ON HOW TO BEST CARE FOR PATIENTS IN AN ERA OF REFORM." 12. MARSHALL STEELE PROGRAM/DESTINATION JOINT CENTER THE MARTHA JEFFERSON JOINT REPLACEMENT CENTER HAS ACHIEVED ITS DESIGNATION AS A DESTINATION JOINT CENTER BY MARSHALL STEELE. BASED ON A NATIONAL BEST PRACTICE MODEL FOR HIP AND KNEE REPLACEMENTS, AND STRUCTURED AROUND THE FUNDAMENTAL PRINCIPLE OF WELLNESS, THE PROGRAM BY CONSULTANT MARSHALL STEELE HAS ALLOWED THE JOINT REPLACEMENT SERVICES AT MARTHA JEFFERSON TO IMPROVE AT EVERY LEVEL, FROM PRE-OPERATIVE CARE TO SURGICAL TIMES AND IN-PATIENT STAYS. HOSPITALS THAT HAVE IMPLEMENTED THE PROGRAM REPORT SUPERIOR OUTCOMES. 13. MISSION: HEALTH GAME CHANGER AWARD IN 2014, MISSION: HEALTH WAS THE RECIPIENT OF VIRGINIA'S FIRST ANNUAL GAME CHANGER AWARD. VIRGINIA HEALTH SECRETARY DR. WILLIAM HAZEL PRESENTED THE AWARD TO TERRINA THOMAS OF SENTARA HEALTH AND PREVENTATIVE SERVICES, ON BEHALF OF THE VIRGINIA HEALTH INNOVATION NETWORK, A PROJECT OF THE VIRGINIA CENTER FOR HEALTH INNOVATION. THE GAME CHANGER AWARD RECOGNIZES AN ORGANIZATION THAT HAS IMPLEMENTED AN OUTSTANDING EMPLOYEE HEALTH STRATEGY THAT ENGAGES EMPLOYEES IN HEALTH CARE DECISION-MAKING, IMPROVES EMPLOYEE HEALTH, AND IMPROVES THE VALUE OF THE ORGANIZATION'S INVESTMENT IN EMPLOYEE HEALTH. 14. SENTARA HOSPITALS RECOGNIZED FOR HEART ATTACK CARE FIVE SENTARA HOSPITALS WERE RECOGNIZED BY THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION IN 2014 FOR IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS IN TWO AREAS. ACTION PERFORMANCE RECOGNITION/MISSION LIFELINE PERFORMANCE RECOGNITION: - MARTHA JEFFERSON HOSPITAL - PLATINUM/BRONZE - SENTARA CAREPLEX HOSPITAL - PLATINUM/SILVER - SENTARA LEIGH HOSPITAL - SILVER/SILVER - SENTARA VIRGINIA BEACH GENERAL HOSPITAL - PLATINUM/BRONZE - SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER - PLATINUM/GOLD FOUR HOSPITALS WERE RECOGNIZED IN ACTION PERFORMANCE ONLY, ALL RECEIVED PLATINUM AWARDS: - SENTARA NORFOLK GENERAL HOSPITAL - SENTARA NORTHERN VIRGINIA MEDICAL CENTER - SENTARA PRINCESS ANNE HOSPITAL - SENTARA RMH MEDICAL CENTER 15. FIRST IN THE WORLD TO RECEIVE MIR CERTIFICATION FROM DNV MANAGING INFECTION RISK HAS BEEN PART OF THE SENTARA SAFETY JOURNEY FOR MANY YEARS. THAT'S WHY WE WERE EXCITED TO WORK WITH DET NORSKE VERITAS HEALTHCARE, INC. (DNV) AS THEY DEVELOPED AND INTRODUCED A NEW CERTIFICATION FOR MANAGING INFECTION RISK (MIR). BOTH SENTARA LEIGH AND SENTARA VIRGINIA BEACH GENERAL HOSPITALS RECEIVED THE CERTIFICATION IN OCTOBER 2014. THEY WERE THE FIRST IN THE WORLD TO ACHIEVE THE DESIGNATION, WHICH DEMONSTRATES THEIR EFFORTS TO EMBRACE IMPROVEMENT, REDUCE VARIATION, IMPROVE SAFETY AND ENGAGE EVERYONE FACILITY-WIDE IN THE PROCESS. B. PATIENT SAFETY OUR FOCUS GOES BEYOND THE BASICS OF MAKING HEALTHCARE SAFE FOR OUR PATIENTS. SENTARA HAS BUILT A STRONG "CULTURE OF SAFETY" TO REDUCE MEDICAL ERRORS BY MODELING SUCCESSFUL PROGRAMS FROM THE NUCLEAR POWER AND AVIATION INDUSTRIES. THIS CULTURE OF SAFETY PROMOTES BEHAVIORS THAT RESULT IN SAFE, RELIABLE AND EFFECTIVE CARE. THE FOUNDATION OF THIS CULTURE IS A STRONG ACCOUNTABILITY TO PERFORM REGIMENTED BEHAVIORS THAT REDUCE MEDICAL ERRORS. OUR STAFF USES GUIDELINES KNOWN AS "BEHAVIOR-BASED EXPECTATIONS OR BBE'S TO ENSURE THE HIGHEST STANDARD OF CARE. THE GOAL IS TO MAKE THESE TOOLS AND TECHNIQUES A HABIT. FOR OUR DEDICATION, WE HAVE RECEIVED NUMEROUS AWARDS FOR PATIENT SAFETY AND QUALITY OF CARE STANDARDS. 1. THE LEAPFROG HOSPITAL SURVEY THE LEAPFROG HOSPITAL RECOGNITION PROGRAM (LHRP) HONORS HOSPITALS THAT DEMONSTRATE EXCELLENCE OR IMPROVEMENT IN PATIENT SAFETY, QUALITY, AND RESOURCE UTILIZATION. IN 2012, THE LEAPFROG GROUP DEVELOPED THE HOSPITAL SAFETY SCORE, GRADING MORE THAN 2,600 OF THE NATION'S HOSPITALS ON PATIENT SAFETY. IN VIRGINIA, 58 HOSPITALS WERE NAMED IN THE REPORT, AND SEVEN SENTARA HOSPITALS ACHIEVED THE HIGHEST GRADE OF A FOR DELIVERING SAFE CARE TO PATIENTS. IN 2013, LEAPFROG RECOGNIZED SENTARA NORFOLK GENERAL HOSPITAL WITH AN A RATING. 2. INFECTION PREVENTION PREVENTION OF HEALTH CARE-ASSOCIATED INFECTIONS IS A NATIONAL CONCERN, AND SENTARA CONTINUALLY STRIVES TO REDUCE THESE CASES. ALL OF OUR HOSPITALS HAVE BEEN WORKING DILIGENTLY TO REDUCE THE OCCURRENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP), WHICH CAN DEVELOP IN PATIENTS WHO HAVE BEEN ON MECHANICAL VENTILATION FOR 48 HOURS OR MORE. IN 2014, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER MARKED 10 CONSECUTIVE YEARS WITH ZERO CASES OF VAP, WHICH NO OTHER HOSPITAL IN THE COUNTRY CAN CLAIM. THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE CRITICAL CARE SOCIETIES COLLABORATIVE HAVE RECOGNIZED WILLIAMSBURG FOR OUTSTANDING ACHIEVEMENT AND LEADERSHIP IN THE ELIMINATION OF VAP. VOLUNTARY HOSPITALS OF AMERICA (VHA), A VOLUNTARY NATIONAL ORGANIZATION FOCUSED ON HEALTH CARE FINANCIAL PERFORMANCE THROUGH CLINICAL EXCELLENCE AND SUPPLY CHAIN MANAGEMENT, "BLUEPRINTED" THE PRACTICES AT SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AS A MODEL FOR HOSPITALS ACROSS THE COUNTRY. 3. IMPROVING PATIENT SAFETY THROUGH TECHNOLOGY SENTARA HEALTHCARE PROVIDES THE SENTARA ECARE HEALTH NETWORK. THE CLINICAL SYSTEM USES INNOVATIVE TECHNOLOGY TO LINK PATIENT MEDICAL INFORMATION BETWEEN OUR HOSPITALS, PHYSICIAN PRACTICES AND OTHER HEALTH CARE SITES OVER A PROTECTED NETWORK, ENABLING THE SECURE SHARING OF PATIENT INFORMATION, INCREASING PATIENT SAFETY AND REDUCING PREVENTABLE MEDICAL ERRORS. MYCHART, THE COMPONENT OF ECARE THAT ALLOWS PATIENTS TO ACCESS PART OF THEIR MEDICAL RECORDS, WAS PROMOTED TO PATIENTS IN 2011. A PHONE APP WAS CREATED TO PROVIDE EASY ACCESS AS WELL.
FORM 990, PART III, LINE 4A	IN 2014, MARTHA JEFFERSON HOSPITAL IN CHARLOTTESVILLE WENT LIVE WITH ITS PATIENT PORTAL, MY MARTHA JEFFERSON RECORD. MY MARTHA JEFFERSON RECORD IS SIMILAR TO MYCHART. THROUGH THE PORTAL, PATIENTS CAN MANAGE AND MONITOR THEIR HEALTH AND THEIR FAMILY'S HEALTH - EASILY, IMMEDIATELY, ACCURATELY AND SECURELY ONLINE. MY MARTHA JEFFERSON RECORD ALLOWS PATIENTS TO VIEW MEDICAL INFORMATION ONLINE, AT ANY TIME, AND FROM ANYWHERE FOR FREE. THAT SAME YEAR, MORE THAN 700 PATIENTS CONNECTED WITH SENTARA ALBEMARLE MEDICAL CENTER THROUGH THE MY ALBEMARLE MEDICAL RECORD PATIENT PORTAL. IN THE FIRST ITERATION OF THE PRODUCT, PATIENTS ARE ABLE TO LOOK AT REPORTS FROM MEDICAL TESTS, PRE-REGISTER FOR APPOINTMENTS, TRANSITION THEIR MEDICAL RECORD TO A COMMUNITY PROVIDER ELECTRONICALLY AND ESTABLISH MEDICAL PROXIES. ALSO IN 2014, OPTIMA HEALTH LAUNCHED A MOBILE APP FOR MEMBERS CALLED MYOPTIMA. IT PROVIDES A SECURE, CONVENIENT, AND EASY WAY TO ACCESS IMPORTANT HEALTH PLAN INFORMATION ON DEMAND. WITH THE APP, ANYONE CAN SHOP FOR HEALTH PLANS, LOCATE DOCTORS AND FIND URGENT CARE CENTERS. OPTIMA HEALTH MEMBERS CAN ALSO SECURELY VIEW BENEFIT INFORMATION, MEMBER ID CARDS, CLAIMS INFORMATION AND THEIR USER PROFILE. 2014 MARKED THE 14TH YEAR THAT WE EMPLOYED OUR EICU REMOTE MONITORING SYSTEM FOR OUR SICKEST HOSPITAL PATIENTS. SENTARA WAS THE FIRST HOSPITAL SYSTEM IN THE COUNTRY TO IMPLEMENT THE EICU SYSTEM, WHICH USES A NETWORK OF CAMERAS, MONITORS, ALERTS, AND TWO-WAY COMMUNICATION LINKS. DOCTORS AND CRITICAL CARE NURSES AT THE EICU COMMAND CENTER MAKE VIRTUAL ROUNDS ON ICU PATIENTS. THIS SENTARA-PIONEERED TECHNOLOGY IS NOW USED TO HELP CARE FOR PATIENTS IN NEARLY 5,000 ICU BEDS NATIONALLY. ANOTHER SAFETY INITIATIVE ADOPTED BY SENTARA IS BEDSIDE MEDICATION VERIFICATION, INCLUDING BAR-CODING TECHNOLOGY. NATIONAL STUDIES HAVE FOUND THAT BEDSIDE VERIFICATION CAN REDUCE HOSPITAL MEDICATION ERRORS BY NEARLY 70 PERCENT. VI. COMMITMENT TO THE COMMUNITY AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, WE CONTINUOUSLY REINVEST IN THE COMMUNITY-BY PURCHASING THE MOST MEDICALLY ADVANCED TECHNOLOGY; BUILDING NEW, STATE-OF-THE-ART HEALTHCARE FACILITIES; TRAINING MEDICAL PROFESSIONALS; AND PROVIDING THE HIGHEST QUALITY HEALTHCARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IT'S NOT JUST OUR MISSION; IT'S OUR COMMITMENT TO THE COMMUNITY. WE ARE HONORED TO BE RECOGNIZED FOR BENEFITS WE BRING TO OUR COMMUNITIES AND PROUD TO LEAD THE WAY IN CREATING NEW METHODS OF MEETING COMMUNITY NEEDS. SOME OF OUR RECENT HONORS AND EFFORTS INCLUDE: THE PRINCE WILLIAM CHAMBER OF COMMERCE HONORED SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN 2014 WITH ITS BUSINESS OF THE YEAR AWARD. THE AWARD RECOGNIZES BUSINESSES FOR INNOVATIVE AND OUTSTANDING CONTRIBUTIONS TO THE LOCAL ECONOMY, QUALITY OF LIFE AND THE CHAMBER OF COMMERCE. SENTARA RMH MEDICAL CENTER RECEIVED THE CRYSTAL AWARD IN SUSTAINABILITY FOR HEALTHCARE AT THE SECOND ANNUAL ENERGY AND SUSTAINABILITY CONFERENCE IN RICHMOND, VA IN FEBRUARY 2014. THE CRYSTAL AWARDS IN SUSTAINABILITY RECOGNIZE VIRGINIA COMPANIES AND INSTITUTIONS FOR THEIR SUSTAINABILITY. MARTHA JEFFERSON HOSPITAL WAS HONORED BY THE CHARLOTTESVILLE REGIONAL CHAMBER OF COMMERCE WITH THE 2012 HOVEY S. DABNEY AWARD FOR CORPORATE CITIZENSHIP. ORGANIZATIONS RECEIVING THIS AWARD ARE KNOWN FOR ENGAGING IN SOUND, SUCCESSFUL BUSINESS PRACTICE AND BEING GOOD PARTNERS WITH OTHER BUSINESSES, INVESTING DIRECTLY IN THE ECONOMIC AND CULTURAL ADVANCEMENT OF THE COMMUNITY, PERSUING A POSITIVE WORK ENVIRONMENT, AND INSPIRING BY EXAMPLE. THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES AWARDED SENTARA RMH MEDICAL CENTER WITH A $3.1 MILLION, FIVE-YEAR GRANT IN NOVEMBER 2012 TO HELP FAMILIES AT RISK FROM SUBSTANCE ABUSE. AS A FISCAL AGENT, SENTARA RMH MEDICAL CENTER OVERSEES ADMINISTRATION OF THE GRANT, AND CENTRAL SHENANDOAH VALLEY FAMILY PARTNERSHIP HELPS FAMILIES WITH CHILDREN IN DANGER OF BEING REMOVED FROM THEIR HOMES BECAUSE OF SUBSTANCE ABUSE BY A CAREGIVER. HALIFAX REGIONAL DENTAL CLINIC CELEBRATED ITS ONE-YEAR ANNIVERSARY IN EARLY 2014 WITH MORE THAN 4,400 PEOPLE HAVING RECEIVED DENTAL CARE. OPERATING SUPPORT FOR THE TWO DENTISTS IS POSSIBLE BECAUSE OF A GRANT ADMINISTERED BY THE VIRGINIA HEALTH CARE FOUNDATION. A SIGNIFICANT PORTION OF THE GRANT WAS PROVIDED BY SENTARA TO SERVE HALIFAX COUNTY. HERE ARE SOME OF THE OTHER WAYS WE'VE INVESTED IN THE PEOPLE WE SERVE: A. THE SENTARA HEALTH FOUNDATION WE ESTABLISHED THE SENTARA HEALTH FOUNDATION IN 1998 TO IMPROVE HEALTH AND QUALITY OF LIFE THROUGHOUT SOUTHEASTERN VIRGINIA AND NORTH CAROLINA, AND TO DEMONSTRATE OUR NOT-FOR-PROFIT MISSION. THE FOUNDATION HAS TOUCHED THE LIVES OF MANY VIRGINIA RESIDENTS FROM THE EASTERN SHORE TO GREATER HAMPTON ROADS THROUGH GRANTS SUPPORTING COMMUNITY HEALTH PROGRAMS. SPECIFICALLY, IT HAS AWARDED OVER $10 MILLION IN GRANTS, INCLUDING $625,000 IN 2014. PROGRAMS INCLUDE DENTAL CARE, PRENATAL SUPPORT, MEDICATION ASSISTANCE, AND REDUCED-COST PRIMARY CARE. LOOKING AT THE GRANTS AWARDED BY CATEGORIES, 79 PERCENT WENT TO PRIMARY, SPECIALTY AND CHRONIC DISEASE SERVICES; NINE PERCENT TO MENTAL HEALTH SERVICES; SIX PERCENT TO PRESCRIPTION DRUG SERVICES; FOUR PERCENT TO ORAL HEALTH SERVICES; AND TWO PERCENT TO MATERNAL HEALTH SERVICES. B. IN SUPPORT OF THE COMMUNITY LED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS, SENTARA PROUDLY PROVIDES CARE TO ALL, AND REINVESTS IN THE COMMUNITY IN NUMEROUS WAYS: 1. CONTRIBUTIONS EACH YEAR, WE PROVIDE MILLIONS OF DOLLARS IN BENEFITS TO THE COMMUNITY. IN 2014, SENTARA REINVESTED $307,232,000 INTO OUR COMMUNITIES. SENTARA EARMARKED $14,159,000 FOR HEALTH CARE TEACHING PROGRAMS TO ENSURE A QUALIFIED POOL OF PHYSICIANS AND NURSES. WE ALSO SPENT $7,539,000 TO SUPPORT LOCAL COMMUNITY PROGRAMS THAT PROVIDED HEALTH EVENTS AND HEALTH SCREENINGS TO INDIVIDUALS. WE FUNDED $285,534,000 IN UNCOMPENSATED PATIENT CARE FOR PEOPLE WHO WERE UNINSURED OR UNDERINSURED. 2. MEDICALLY UNDERSERVED SENTARA MEDICAL GROUP'S PHYSICIANS AND MEDICAL STAFF VOLUNTEER THOUSANDS OF HOURS TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS), FREE CLINICS, COMMUNITY EDUCATION, AND CIVIC AND CHARITABLE PROGRAMS. WE SUPPORT AND OPERATE UNCOMPENSATED CARE CLINICS THROUGHOUT THE REGION, INCLUDING THE SENTARA AMBULATORY CARE CENTER (ACC). THE ACC IS A COLLABORATIVE EFFORT WITH EVMS AND IS LOCATED NEAR SENTARA NORFOLK GENERAL HOSPITAL. IT FEATURES AN APPOINTMENT SIDE, WHICH FUNCTIONS LIKE A DOCTOR'S OFFICE, AND A SAME-DAY "WALK-IN" SERVICE SIDE FOR MORE PRESSING AND IMMEDIATE HEALTH CONCERNS. IN NOVEMBER 2012, SENTARA PARTNERED WITH THE FREE FOUNDATION TO OPEN A VIRGINIA BEACH FACILITY. THE NON-PROFIT COLLECTS, REFURBISHES, STERILIZES, AND DISTRIBUTES USED DURABLE MEDICAL EQUIPMENT TO THOSE WHO CANNOT AFFORD IT. THE SENTARA HEALTH FOUNDATION SUPPORTED THE FREE SET-UP AND DONATED SPACE. C. IN SUPPORT OF COMMUNITY HEALTH INITIATIVES 1. SENTARA COMMUNITY HEALTH AND PREVENTION AS PART OF SENTARA'S COMMITMENT TO PREVENTIVE HEALTH MEASURES, WE SPONSOR AND HOST SPECIAL COMMUNITY INITIATIVES THAT ARE DESIGNED TO EDUCATE THE COMMUNITY ABOUT HEALTH AND DEVELOP INDIVIDUALS. OUR CAMPAIGNS HAVE INCLUDED: - PARTNERING WITH MINOR LEAGUE BASEBALL TO PROMOTE STRIKE OUT STROKE - RECRUITING AND SUPERVISING DEVELOPMENTALLY CHALLENGED YOUNG ADULT INTERNS THROUGH PROJECT SEARCH - NATIONAL DRUG TAKE BACK DAY - DRIVE-THRU FLU SHOTS - WOMEN'S DAY HEALTH FAIR - WEBINARS FOR WEIGHT LOSS SURGERY - PAINT FACEBOOK PINK TO RAISE AWARENESS FOR BREAST HEALTH - TEXT OUTREACH TO PREGNANT WOMEN - EATING FOR LIFE, AN AWARD-WINNING NUTRITION AND HEALTHY EATING PROGRAM - KNOW YOUR NUMBERS, A CARDIOVASCULAR RISK REDUCTION AND HEALTH IMPROVEMENT PROGRAM - WALK-ABOUT WITH HEALTHY EDGE, A WALKING PROGRAM THAT ENCOURAGES WALKING FOR CARDIOVASCULAR HEALTH - GET OFF YOUR BUTT: STAY SMOKELESS FOR LIFE, A SMOKING CESSATION PROGRAM - HEALTHY HEART PROGRAM, A CARDIOVASCULAR DISEASE REDUCTION PROGRAM - SENTARA LIVING, A COMPREHENSIVE WELLNESS PROGRAM FOR SENIORS - SENTARA'S MOBILE MAMMOGRAPHY UNIT VISITS NUMEROUS WORK SITES EVERY YEAR TO ENCOURAGE WELLNESS. - CAMP LIGHTHOUSE, A GRIEF CAMP FOR KIDS AGES 5-16 WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE - DON'T SIT ON COLON CANCER HEALTHY EATING AND SCREENING CAMPAIGN AND 5K - PROSTATE CANCER EDUCATION AND FREE SCREENINGS - MOBILE ER TENTS AT VIRGINIA BEACH ROCK 'N' ROLL HALF MARATHON - A NEW BLOG FOR WOMEN OF CHILDBEARING AGE WITH INFORMATION AND SUPPORT FOR MOTHERS AND MOTHERS-TO-BE - COURAGE F.U.N, A PROJECT TO COMBAT CHILDHOOD OBESITY THROUGH SOCCER TRAINING AND WEIGHT MANAGEMENT EDUCATION - LUNG CANCER SCREENING EDUCATION FOR SMOKERS 55 AND OLDER WHO HAVE SMOKED A PACK A DAY FOR OVER 30 YEARS
FORM 990, PART III, LINE 4A	2. TOBACCO-FREE ENVIRONMENTS HOSPITALS SEE THE EFFECTS OF TOBACCO EVERY DAY IN HEART DISEASE, RESPIRATORY AILMENTS, AND CANCERS. IN RESPONSE, SENTARA HAS IMPLEMENTED OUR TOBACCO-FREE ENVIRONMENT CAMPAIGN. NO ONE IS ALLOWED TO SMOKE, CHEW OR DIP ANYWHERE ON CAMPUS, NOT EVEN IN CARS. THE GOAL IS NOT JUST TO AVOID THE AESTHETIC AND HEALTH ISSUES OF SECOND-HAND SMOKE, BUT ALSO TO PUT SENTARA'S MISSION INTO PRACTICE BY HELPING STAFF, PATIENTS, AND VISITORS QUIT THIS HABIT. AS OF 2011, ALL OF OUR FACILITIES ADOPTED THE TOBACCO FREE ENVIRONMENT INITIATIVES. WE HAVE EARNED THE AMERICAN CANCER SOCIETY "EXCELLENCE IN THE WORKPLACE TOBACCO CONTROL" AWARD FOR OUR EFFORTS. VII. OPTIMA HEALTH PLAN A. IMPROVING HEALTH OPERATING WITH THE SAME MISSION IN MIND -- TO IMPROVE HEALTH EVERY DAY --IS OUR HEALTH PLAN, OPTIMA HEALTH. WITH MORE THAN 25 YEARS OF HEALTH INSURANCE EXPERIENCE, OPTIMA HEALTH PROVIDES HEALTH PLAN COVERAGE TO MORE THAN 450,000 MEMBERS THROUGHOUT THE STATE. OUR QUALITY PROVIDER NETWORK FEATURES MORE THAN 15,000 PROVIDERS INCLUDING SPECIALISTS, PRIMARY CARE PHYSICIANS, AND HOSPITALS. B. SUPPORTING THE COMMUNITY OPTIMA HEALTH PROVIDES MORE THAN INSURANCE FOR OUR COMMUNITIES; WE REACH OUT THROUGH HEALTH SCREENINGS, EVENTS, EDUCATION MATERIALS, AND IMMUNIZATIONS. OUR HIGHLIGHTS IN 2014 INCLUDED: - WE INTRODUCED A NEW TOOL TO HELP MEMBERS TAKE CONTROL OF HEALTHCARE EXPENSES. IT'S CALLED THE TREATMENT COST CALCULATOR. LINKED TO A MEMBER'S "MYOPTIMA" ACCOUNT, THE ONLINE TOOL LETS MEMBERS COMPARE PRICES BETWEEN PROVIDERS FOR MORE THAN 300 PROCEDURES AND SERVICES AND ESTIMATE OUT-OF-POCKET COSTS. - HEALTH IMPROVEMENT EVENT REQUESTS DECREASED BY ONE PERCENT AND THE NUMBER OF PARTICIPANTS INCREASED BY ELEVEN PERCENT. (IN 2013 THERE WERE 1,516 EVENTS WITH 43,351 PARTICIPANTS, COMPARED TO 1,505 EVENTS WITH 47,987 PARTICIPANTS IN 2014.) THESE EVENTS WERE OFFERED TO CHURCHES, EMPLOYER GROUPS INCLUDING SENTARA HEALTHCARE EMPLOYEES, COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY LOCATIONS. - FLU PATROL ADMINISTERED A TOTAL OF 10,496 IMMUNIZATIONS. THEY GAVE 9,042 TO OPTIMA HEALTH INSURED GROUPS IN VIRGINIA. THE REMAINDER WAS DELIVERED TO CHURCHES AND OTHER COMMUNITY GROUPS. - PREVENTIVE BIRTHDAY CARD REMINDERS FOR PREVENTIVE HEALTH SCREENINGS DELIVERED MESSAGES TO 192,967 ADULT HEALTH PLAN MEMBERS. PREVENTIVE BIRTHDAY CARD REMINDERS FOR CHILDREN DELIVERED ANNUAL PHYSICAL EXAM MESSAGES TO 150,271 HEALTH PLAN MEMBERS. SELF-CARE MANUALS WERE DISTRIBUTED TO HEALTH PLAN MEMBERS AND COMMUNITY ORGANIZATIONS. WE SENT OUT 388 IN 2014. - THE TOBACCO CESSATION PROGRAM HAD OVER 12,000 INTERVENTIONS IN 2014. WE SENT OUT 46,261 CAMPUS-WIDE ELECTRONIC INTERVENTIONS TO PROMOTE THE GREAT AMERICAN SMOKEOUT (GASO) AND DISTRIBUTED 5,000 GASO QUIT KITS. OUR CERTIFIED TOBACCO TREATMENT SPECIALISTS FACILITATED 14 TOBACCO CESSATION AWARENESS GROUP PROGRAMS FOR 79 PARTICIPANTS AND PROVIDED 12 TOBACCO AWARENESS PRESENTATIONS FOR 60 COMMUNITY AND EMPLOYER GROUPS. OVER 400 INPATIENTS FROM SENTARA VIRGINIA BEACH GENERAL HOSPITAL AND SENTARA HEART HOSPITAL WERE CONTACTED FOUR WEEKS AFTER THEIR HOSPITAL DISCHARGE FOR TOBACCO CESSATION FOLLOW-UP. - HEALTHY EDGE/MISSION: HEALTH. DURING THE MONTH OF NOVEMBER, 17,817 EMPLOYEES COMPLETED A HEALTH RISK ASSESSMENT IN CONJUNCTION WITH THE MISSION: HEALTH PROGRAM. OF THOSE, 10,022 EMPLOYEES ATTENDED 130 ON-SITE HEALTH SCREENINGS WITHIN SIX MONTHS. IN 2014, 5,105 EMPLOYEES WERE IDENTIFIED WITH TWO OR MORE HEALTH RISKS. 2,338 EMPLOYEES AGREED TO ONLINE COACHING AND 2,767 EMPLOYEES AGREED TO TELEPHONIC COACHING. 2,998 EMPLOYEES AGREED TO CONTINUE ENGAGING WITH THEIR HEALTH COACH. 3,086 EMPLOYEES FROM 2014 WILL NO LONGER NEED TO ENGAGE WITH A HEALTH COACH. - WEBMD BECAME OUR NEW HEALTH COACHING AND HEALTH EDUCATION PORTAL PARTNER IN OCTOBER 2014. THIS IS A REPLACEMENT FOR HEALTHYROADS. - WELLNESSFORLIFE: 12,374 CITY OF VIRGINIA BEACH AND VIRGINIA BEACH PUBLIC SCHOOL EMPLOYEES COMPLETED REGISTRATION FOR ENROLLMENT INTO THE WELLNESS PROGRAM. OF THOSE, 6,470 EMPLOYEES ATTENDED 56 ON-SITE HEALTH SCREENINGS WITHIN NINE MONTHS. 3,486 EMPLOYEES WERE IDENTIFIED WITH TWO OR MORE HEALTH RISKS. OVERALL EIGHTY PERCENT OF ELIGIBLE EMPLOYEES PARTICIPATED. - HAMPTON ROADS SANITATION DISTRICT AWARDED A THREE-YEAR HEALTH IMPROVEMENT SERVICES CONTRACT TO OPTIMA HEALTH & PREVENTIVE SERVICES. THIS UNIQUE CONTRACT IS BETWEEN OPTIMA HEALTH AND A GROUP THAT IS INSURED WITH ANOTHER CARRIER FOR OUR OUTSTANDING WELLNESS SERVICES. PROGRAMMING POSITIVELY AFFECTED NINE HUNDRED AND THIRTY EMPLOYEES AND THEIR SPOUSES IN 2014. - POCKET EKG SCREENED 189 PARTICIPANTS IN 2014. ONE HUNDRED AND SEVENTY NINE (95 PERCENT) OF THOSE PARTICIPANTS WERE IDENTIFIED WITH CARDIOVASCULAR HEALTH RISKS. C. ACCREDITATION AND AWARDS THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) HAS RECOGNIZED OUR QUEST FOR EXCELLENCE BY AWARDING OUR COMMERCIAL HMO AND MEDICAID HMO PRODUCTS WITH AN "EXCELLENT" ACCREDITATION STATUS. WE HAVE MAINTAINED THIS RATING SINCE 1998, A CLAIM NO OTHER HEALTH PLAN IN THE REGION CAN MAKE. OPTIMA HEALTH RECEIVED AN A+ RATING FROM THESTREET.COM (WEISS RATINGS, INC.) FOR FINANCIAL SOUNDNESS, RECOGNIZING OUR ABILITY TO WITHSTAND SEVERE ECONOMIC ADVERSITY AND SHOWING EXCEPTIONAL FINANCIAL STRENGTH. THESTREET.COM IS THE NATION'S LEADING INDEPENDENT PROVIDER OF RATINGS AND ANALYSES OF FINANCIAL SERVICE COMPANIES, MUTUAL FUNDS, AND STOCKS. THE RATING RECOGNIZES OPTIMA HEALTH AS AN OUTSTANDING INSURER OFFERING EXCELLENT FINANCIAL STABILITY FOR ITS CUSTOMERS. FEWER THAN FIVE PERCENT OF THE NATION'S HMOS AND HEALTH INSURERS MEET THESTREET.COM RATING'S CRITERIA FOR EXCEPTIONAL FINANCIAL STRENGTH. VIII. CONCLUSION THROUGH ALL THAT WE DO AT SENTARA HEALTHCARE AND OPTIMA HEALTH, WE STRIVE TO IMPROVE HEALTH EVERY DAY, WHETHER IT IS BY USING THE MOST ADVANCED MEDICAL EQUIPMENT POSSIBLE, CARING FOR A NEW PATIENT WHO MIGHT NOT OTHERWISE BE HELPED, OR RESEARCHING NEW WAYS TO PREVENT OR CURE CHALLENGING HEALTH CONDITIONS. WHILE OUR OFFICIAL PATIENT COUNT COULD BE FIGURED HOSPITAL BY HOSPITAL AND PHYSICIAN'S OFFICE BY PHYSICIAN'S OFFICE, WE BELIEVE WE MAY HELP OVER THREE MILLION PEOPLE - WHETHER ENROLLED PATIENTS OR COMMUNITY MEMBERS -- ACROSS VIRGINIA AND NORTH CAROLINA, THANKS TO ALL OF OUR VITAL HEALTH SERVICES AND PROGRAMS OFFERED EACH YEAR.
FORM 990, PART V, LINE 1A: FORM 1096	THE ORGANIZATION IS THE 501(C)(3) SOLE MEMBER OF ANOTHER 501(C)(3) ORGANIZATION FOR WHICH IT MAINTAINS AN AGENCY RELATIONSHIP AND ISSUES 1099S. 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 ORGANIZATION ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099S ATTRIBUTABLE SOLELY TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. DAVID BERND AND HOWARD KERN HAVE A BUSINESS RELATIONSHIP. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.
FORM 990, PART VI, SECTION A, LINE 6	EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED AS FOLLOWS: SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, APPOINTED THE CLASS B DIRECTORS AND RATIFIED THE CLASS A DIRECTORS. CLASS A DIRECTORS WERE NOMINATED BY THE ORGANIZATION'S NOMINATING COMMITTEE AND ELECTED BY THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE HOSPITAL, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS SOLE MEMBER: 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. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, 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 11	THE ORGANIZATION WAS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH THE ORGANIZATION AND OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ALL MEMBERS WITH ANY CONFLICT OF INTEREST ARE MADE AWARE OF THE NEED TO EXCUSE THEMSELVES FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON ANY ISSUES WHERE THERE MAY BE A CONFLICT. OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE AWARE OF THEIR DUTIES AND RESPONSIBILITIES IN REGARDS TO THIS ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 30 NOT-FOR-PROFIT HEALTHCARE SYSTEMS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, BOND RATING, AND QUALITATIVE PERFORMANCE MEASURES BASED ON RANKINGS FROM SDI'S NATIONAL TOP INTEGRATED HEALTH NETWORKS. 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 VICE CHAIRMAN AND PRESIDENT; WHO ALSO SERVED AS PRESIDENT AND COO, AND CORPORATE VICE PRESIDENT OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING 2014 FOR ALL POSITIONS LISTED.
FORM 990, PART VI, SECTION C, LINE 19	THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	NON-EMPLOYEE HEALTHCARE PROFESSIONAL: PROGRAM SERVICE EXPENSES 34,999,774. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,999,774. OTHER NON-MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,796,567. MANAGEMENT AND GENERAL EXPENSES 1,070,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,867,394.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFER TO PARENT 63,867,705. OTHER CHANGES -318,112.
STATEMENT FILED PURSUANT TO TREASURY REGULATION SEC. 1.6038-2(J)(3):	THE TAXPAYER IS A MEMBER OF THE SENTARA HEALTHCARE ("SHC") CONTROLLED GROUP. SHC, EIN 52-1271901, OWNS BAY PRIMEX INSURANCE COMPANY, LTD., A CONTROLLED FOREIGN CORPORATION. SHC FURNISHES ALL INFORMATION REQUIRED OF THE TAXPAYER BY IRC SECTION 6038 AND THE REGULATIONS THEREUNDER WITH RESPECT TO BAY PRIMEX INSURANCE COMPANY, LTD. THEREFORE, PURSUANT TO TREASURY REGULATION SEC. 1.6038-2(J)(2), THE TAXPAYER IS EXCEPTED FROM PROVIDING SUCH INFORMATION. THE REQUIRED INFORMATION IS E-FILED WITH SHC'S FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. IN ADDITION, ONE MEMBER OF THE SHC CONTROLLED GROUP OWNS A NON-CONTROLLING INTEREST IN VIRGINIA SOLUTIONS SPC, LTD., A CONTROLLED FOREIGN CORPORATION. ALL INFORMATION REQUIRED OF THE TAXPAYER BY IRC SECTION 6038 AND THE REGULATIONS THEREUNDER WITH RESPECT TO VIRGINIA SOLUTIONS SPC, LTD. IS FURNISHED BY HALIFAX REGIONAL HOSPITAL, EIN 54-0648699. THEREFORE, PURSUANT TO TREASURY REGULATION SEC. 1.6038-2(J)(2), THE TAXPAYER IS EXCEPTED FROM PROVIDING SUCH INFORMATION. THE REQUIRED INFORMATION IS E-FILED WITH THE ORGANIZATION'S FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX.
FORM 990-EXPLANATION OF AMENDED RETURN	THE ORGANIZATION IS AMENDING FORM 990, PART VII, SECTION A, COLUMN (F), AND SCHEDULE J, PART II, COLUMNS (B) AND (C) TO CORRECTLY REPORT ITEMS OF DEFERRED COMPENSATION WHICH WERE EITHER NOT REPORTED IN THE ORIGINAL FILING OR WERE ORIGINALLY REPORTED IN THE WRONG COLUMN OF SCHEDULE J.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RMH MEDICAL GROUP LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2010 HEALTH CAMPUS DRIVE	AddressLine1Txt
City	HARRISONBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22801	ZIPCd

Field	Value	IRS element (for citing)
EIN	271444665	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$36,278,274	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ROCKINGHAM MEMORIAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CLARKSVILLE SENIOR CARE LLC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541957066	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes (1)
HALIFAX REGIONAL DEV FOUNDATION INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801459	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes (1)
HALIFAX REGIONAL HOSPITAL INCORPORATED
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	540648699	HEALTHCARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes (1)
HALIFAX REGIONAL LONG TERM CARE INC
103 ROSE HILL DRIVE	SOUTH BOSTON	VA	24592	546074529	SENIOR CARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes (1)
SENTARA HALIFAX REGIONAL PROPERTIES INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801463	HLTH/WELFARE	VA	501(C)(3)	11A TYPE I	HALIFAX REGIONAL HOSPITAL	Yes (1)
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	LN7_NORMALGOVTSUPPOR		0	N/A
TIDEWATER HEALTH CARE INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HOSPITALS	Yes (1)
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes (1)
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	Yes (1)
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	Yes (1)
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	Yes (1)
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	Yes (1)
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I	SENTARA HEALTHCARE	Yes (1)
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes (1)
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA RMH MEDICAL CENTER	Yes (1)
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11A - I	MARTHA JEFFERSON HOSPITAL	Yes (1)
MARTHA JEFFERSON HOSPITAL FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	300041113	FUNDRAISING	VA	501(C)(3)	11A - I	MARTHA JEFFERSON HOSPITAL	Yes (1)
MARTHA JEFFERSON HOSPITAL
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	540261840	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	Yes (1)
ROCKINGHAM HEALTH CARE INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	521309259	SUPPORT OF HEALTHCARE ORGS	VA	501(C)(3)	11B - II		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	N/A
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA	N/A
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA	N/A
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	N/A
AMER HEALTH EVAL CTR-WMSBG LLC
739 THIMBLE SHOALS STE 105	NEWPORT NEWS	VA	23606	263761741	HEALTH CARE	VA	N/A
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA	N/A
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VIRGINIA BEACH	VA	23462	200942600	HEALTH CARE	VA	N/A
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR STE 180	VIRGINIA BEACH	VA	23462	204024074	CONSULTING	VA	N/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	N/A
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA	N/A
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	N/A
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA	N/A
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA	N/A
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	N/A
MNS SUPPLY CHAIN NETWORK LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	454235238	GPO	DE	N/A
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204	WOODBRIDGE	VA	22192	455347932	HEALTH CARE	VA	N/A
ALETA HEALTH LLC
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	465661314	MSO	DE	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SENTARA SOUTHSIDE HEALTH SERVICES INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541417772	HEALTH SERVICES	VA	N/A	C	Yes (1)
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541060357	PHYS PRACTICE	VA	N/A	C	Yes (1)
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA	N/A	C	Yes (1)
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA	N/A	C	Yes (1)
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA	N/A	C	Yes (1)
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA	N/A	C	Yes (1)
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA	N/A	C	Yes (1)
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA	N/A	C	Yes (1)
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA	N/A	C	Yes (1)
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA	N/A	C	Yes (1)
SENTARA STRATEGIC SOLUTIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA	N/A	C	Yes (1)
POTOMAC VENTURES CORP
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	541441420	PHARMACY	VA	N/A	C	Yes (1)
ROCKINGHAM HEALTH SERVICES INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	541721387	CONTRACTING SVCS	VA		C	Yes (1)	SENTARA RMH MEDICAL CENTER	1.00000
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SVCS	VA	N/A	C	Yes (1)
BAY PRIMEX INSURANCE COMPANY LTD
				980704114	INSURANCE		N/A	C	Yes (1)			PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
1144 NORTH ROAD STREET	ELIZABETH CITY	NC	27909	264592192	PHYS PRACTICE	NC	N/A	C	Yes (1)
SENTARA HEALTH PLANS OF OHIO INC
4417 CORPORATION LANE	VIRGINIA BEACH	VA	23462	471509408	TPA	OH	N/A	C	Yes (1)
SENTARA HEALTH INSURANCE CO OF NC
4417 CORPORATION LANE	VIRGINIA BEACH	VA	23462	471888140	HEALTH INSURANCE	NC	N/A	C	Yes (1)
SENTARA HEALTH PLANS OF NC INC
4417 CORPORATION LANE	VIRGINIA BEACH	VA	23462	465510421	TPA	NC	N/A	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARTHA JEFFERSON HOSPITAL
O	$138,080	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
Q	$270,358	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
R	$174,545	CORP BOOKS/REC
OPTIMA HEALTH PLAN
L	$13,735,833	CORP BOOKS/REC
SENTARA ENTERPRISES
K	$113,771	CORP BOOKS/REC
VALLEY WELLNESS CENTER
K	$124,500	CORP BOOKS/REC
VALLEY WELLNESS CENTER
S	$301,582	CORP BOOKS/REC