SENTARA HOSPITALS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SENTARA HOSPITALS (EIN 54-1547408)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2017-09-18
IRS object ID: 201722619349300777
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-09-18T12:34:34-05:00	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	541547408	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT A BROERMANN	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	7574557020	PhoneNum
Signature	2017-09-18	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	HOWARD P KERN	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,053,320,855	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SENTARA.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	13440	TotalEmployeeCnt
Total Volunteers	2231	TotalVolunteersCnt
Total Gross UBI	$25,324,812	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$88,877	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,691,692	PYContributionsGrantsAmt
CY Contributions Grants	$7,397,483	CYContributionsGrantsAmt
PY Program Service Revenue	$1,889,889,700	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,034,391,259	CYProgramServiceRevenueAmt
PY Investment Income	$2,178,314	PYInvestmentIncomeAmt
CY Investment Income	$2,777,733	CYInvestmentIncomeAmt
PY Other Revenue	$8,570,001	PYOtherRevenueAmt
CY Other Revenue	$7,855,964	CYOtherRevenueAmt
PY Total Revenue	$1,914,329,707	PYTotalRevenueAmt
CY Total Revenue	$2,052,422,439	CYTotalRevenueAmt
PY Grants And Similar Paid	$27,265,706	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$25,021,219	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$785,908,870	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$827,172,452	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$954,462,943	PYOtherExpensesAmt
CY Other Expenses	$1,002,085,465	CYOtherExpensesAmt
PY Total Expenses	$1,767,637,519	PYTotalExpensesAmt
CY Total Expenses	$1,854,279,136	CYTotalExpensesAmt
PY Revenues Less Expenses	$146,692,188	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$198,143,303	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,139,263,060	TotalAssetsBOYAmt
Total Assets EOY	$1,282,307,864	TotalAssetsEOYAmt
Total Liabilities BOY	$159,712,676	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$199,986,889	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$979,550,384	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,082,320,975	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,613,748,014	ExpenseAmt
Grant	$25,021,219	GrantAmt
Revenue	$2,013,161,409	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,613,748,014	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1542	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	13440	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7574557020	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID L BERND
DIRECTOR/CHAIRMAN	3.00	51.20	Yes (X)	Yes (X)	$0	$4,230,690	$87,267
ROBERT A BROERMANN
DIRECTOR/TREASURER	4.00	48.80	Yes (X)	Yes (X)	$0	$1,506,536	$238,926
HOWARD P KERN
DIRECTOR/PRESIDENT	2.00	50.20	Yes (X)	Yes (X)	$0	$1,973,999	$3,513,837
KENNETH M KRAKAUR
DIRECTOR	5.00	40.00	Yes (X)		$0	$788,841	$117,707
JEFFREY P KING
SECRETARY	1.00	46.00		Yes (X)	$0	$669,601	$105,930
MARY L BLUNT
KE (CORPORATE VP)	40.00	1.00			$949,902	$0	$233,330	Yes (X)
ELWOOD B BOONE III
KE (PRESIDENT, VBGH)	40.00	0.00			$410,189	$0	$80,692	Yes (X)
JENNIFER A BURROWS
KE (VP PATIENT CARE SERVICES SNGH)	40.00	0.00			$257,051	$0	$74,765	Yes (X)
TERESA L EDWARDS
KE (PRESIDENT SLH)	40.00	0.00			$532,822	$0	$109,155	Yes (X)
ROBERT C FIRESTONE
KE (VP OPERATIONS SNGH)	40.00	0.00			$262,006	$0	$73,398	Yes (X)
DEBRA A FLORES
KE (PRESIDENT, SCH)	40.00	0.00			$458,150	$0	$185,677	Yes (X)
MICHAEL V GENTRY
KE (CORPORATE VP)	40.00	3.80			$945,093	$0	$137,601	Yes (X)
KURT T HOFELICH
KE (PRESIDENT, SNGH)	40.00	0.00			$522,784	$0	$200,293	Yes (X)
GENEMARIE W MCGEE
KE (CNO)	40.00	0.00			$390,679	$0	$216,102	Yes (X)
BERTRAM S REESE
KE (SHC SVP & CIO)	40.00	0.00			$893,376	$0	$165,336	Yes (X)
ROBERT L GRAVES
KE (SHC VP/PRESIDENT SWRMC)	40.00	0.00			$254,667	$0	$31,550	Yes (X)
JOSEPH T BUTZ
DIV SVP CARDIAC	40.00	0.00			$537,636	$0	$70,793		Yes (X)
J STEPHEN JULIAN JR
PRESIDENT SOH	40.00	0.00			$425,274	$0	$99,035		Yes (X)
GENE H BURKE
VP /EXEC MED DIRECTOR CLINICAL EFFECTIVENESS	40.00	0.00			$490,664	$0	$160,077		Yes (X)
PAUL D CHIDESTER
VP MEDICAL AFFAIRS	40.00	0.00			$447,275	$0	$78,986		Yes (X)
DAVID N MOHR
VP CLIN INFORMATICS/TRANSFORMATION	40.00	0.00			$417,601	$0	$67,258		Yes (X)
GRACE R HINES
FORMER OFFICER	0.00	40.00			$0	$566,306	$170,903			Yes (X)
STEPHEN D PORTER
FORMER OFFICER AND KEY EMPLOYEE	0.00	41.00			$0	$600,661	$203,397			Yes (X)
SYLVIA M RICHENDOLLAR
FORMER OFFICER AND KEY EMPLOYEE	40.00	0.00			$269,168	$0	$272,829			Yes (X)
THOMAS THAMES
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	40.00			$0	$427,776	$112,535			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,464,337	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,764,410	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,807,379	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	727	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
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	MEDICAL PROFESSIONAL SERVICES	$18,964,353
MORRISON MANAGEMENT SPECIALISTS INC
PO BOX 160266	MOBILE	AL	36625	FOOD & FACIL. MGMT	$11,058,786
MASTERPLAN INC
9582 TOPANGA CANYON ROAD	CHATSWORTH	CA	91311	MEDICAL SYS SUPPORT	$8,190,758
ATLANTIC ANESTHESIA INC
134 BUSINESS PARK DRIVE	VIRGINIA BEACH	VA	23462	MEDICAL PROFESSIONAL SERVICES	$6,804,495
LAB CORP OF AM HOLDINGS
PO BOX 12140	BURLINGTON	NC	27216	DIAGNOSITC TESTING SERVICES	$5,180,686

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	246	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,744,605	GovernmentGrantsAmt
All Other Contributions	$2,652,878	AllOtherContributionsAmt
Total Contributions	$7,397,483	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$1,976,803,657	$1,976,471,953	$331,704
OUTSIDE LAB SERVICES	621500	$21,000,976		$21,000,976
EQUITY IN AFFILIATES	900099	$20,221,980	$20,221,980
OTHER PROGRAM SERVICE REVENUE	900099	$12,647,864	$12,647,864
PREMIUM & CAP REVENUE	900099	$3,716,782	$3,716,782

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,034,391,259	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,066,996	TotalRevenueColumnAmt
Exclusion	$2,066,996	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,569,675	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$34,148	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,535,527	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,535,527	TotalRevenueColumnAmt
Unrelated Business Revenue	$9	UnrelatedBusinessRevenueAmt
Exclusion	$3,535,518	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,575,005	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$864,268	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$710,737	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$710,737	TotalRevenueColumnAmt
Exclusion	$710,737	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MISC. SERVICES	900099	$3,443,214	$3,443,214
INCOME FROM S CORP	900099	$512,626	$512,626
DIETARY REVENUE	900099	$200,376		$200,376

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,221	TotalRevenueColumnAmt
Related Or Exempt Func Income	$119,497	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$36,283	UnrelatedBusinessRevenueAmt
Exclusion	$8,441	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,320,437	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,052,422,439	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,013,178,076	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$25,324,812	UnrelatedBusinessRevenueAmt
Exclusion	$6,522,068	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$24,779,019	TotalAmt
Program Services	$24,779,019	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$242,200	TotalAmt
Program Services	$242,200	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,384,616	TotalAmt
Program Services	$5,907,693	ProgramServicesAmt
Management And General	$1,476,923	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$161,347	TotalAmt
Program Services	$129,078	ProgramServicesAmt
Management And General	$32,269	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$654,617,348	TotalAmt
Program Services	$523,693,878	ProgramServicesAmt
Management And General	$130,923,470	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$41,836,886	TotalAmt
Program Services	$33,469,509	ProgramServicesAmt
Management And General	$8,367,377	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$74,085,730	TotalAmt
Program Services	$59,268,584	ProgramServicesAmt
Management And General	$14,817,146	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$49,086,525	TotalAmt
Program Services	$39,269,220	ProgramServicesAmt
Management And General	$9,817,305	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$18,811,678	TotalAmt
Program Services	$15,049,342	ProgramServicesAmt
Management And General	$3,762,336	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$915,821	TotalAmt
Program Services	$732,657	ProgramServicesAmt
Management And General	$183,164	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$92,128	TotalAmt
Program Services	$73,702	ProgramServicesAmt
Management And General	$18,426	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$160,851,772	TotalAmt
Program Services	$154,960,686	ProgramServicesAmt
Management And General	$5,891,086	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$320,776	TotalAmt
Program Services	$256,621	ProgramServicesAmt
Management And General	$64,155	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$95,721,202	TotalAmt
Program Services	$76,576,962	ProgramServicesAmt
Management And General	$19,144,240	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,481,051	TotalAmt
Program Services	$19,584,841	ProgramServicesAmt
Management And General	$4,896,210	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$45,803,527	TotalAmt
Program Services	$36,642,822	ProgramServicesAmt
Management And General	$9,160,705	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,503,228	TotalAmt
Program Services	$2,002,582	ProgramServicesAmt
Management And General	$500,646	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$480,780	TotalAmt
Program Services	$384,624	ProgramServicesAmt
Management And General	$96,156	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,669,354	TotalAmt
Program Services	$13,160,568	ProgramServicesAmt
Management And General	$508,786	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$106,294,613	TotalAmt
Program Services	$85,035,690	ProgramServicesAmt
Management And General	$21,258,923	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,903,191	TotalAmt
Program Services	$7,122,553	ProgramServicesAmt
Management And General	$1,780,638	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$378,737,754	$378,737,754
BAD DEBT EXPENSE	$121,802,076	$121,802,076
UNRELATED BUSINESS INCO	$223,187	$223,187
PURCHASED & CONTRACTED	$35,100,273	$28,080,218	$7,020,055

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$12,626,946	TotalAmt
Program Services	-$13,438,052	ProgramServicesAmt
Management And General	$811,106	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,854,279,136	TotalAmt
Program Services	$1,613,748,014	ProgramServicesAmt
Management And General	$240,531,122	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$23,648,113	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$827,302	BOYAmt
EOY	$324,165	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$233,399,044	BOYAmt
EOY	$249,421,616	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$188,097	BOYAmt
EOY	$30,378	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$37,923,740	BOYAmt
EOY	$41,267,704	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,836,297	BOYAmt
EOY	$13,418,057	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,347,925,076	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,519,439,641	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$739,867,299	BOYAmt
EOY	$828,485,435	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,762,926	BOYAmt
EOY	$1,968,913	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,178,478	BOYAmt
EOY	$21,178,478	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$94,279,877	BOYAmt
EOY	$102,565,005	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,139,263,060	BOYAmt
EOY	$1,282,307,864	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,041,155	BOYAmt
EOY	$67,395,536	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,714,473	BOYAmt
EOY	$2,584,968	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,433,334	BOYAmt
EOY	$40,727,750	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$107,112	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,416,602	BOYAmt
EOY	$89,278,635	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$159,712,676	BOYAmt
EOY	$199,986,889	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$972,506,472	BOYAmt
EOY	$1,074,677,693	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,010,658	BOYAmt
EOY	$5,601,802	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,033,254	BOYAmt
EOY	$2,041,480	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$979,550,384	BOYAmt
EOY	$1,082,320,975	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,139,263,060	BOYAmt
EOY	$1,282,307,864	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$198,143,303	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,886	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$95,378,598	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	$7,043,911	BeginningYearBalanceAmt
Contributions	$2,993,334	ContributionsAmt
Investment Earnings Or Losses	$55,903	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$242,200	GrantsOrScholarshipsAmt
Other Expenditures	$2,207,666	OtherExpendituresAmt
End Year Balance	$7,643,282	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,376,302	BeginningYearBalanceAmt
Contributions	$3,491,779	ContributionsAmt
Investment Earnings Or Losses	$242,962	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$118,792	GrantsOrScholarshipsAmt
Other Expenditures	$6,542,790	OtherExpendituresAmt
End Year Balance	$6,449,461	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,738,107	BeginningYearBalanceAmt
Contributions	$3,808,369	ContributionsAmt
Investment Earnings Or Losses	$251,120	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$124,184	GrantsOrScholarshipsAmt
Other Expenditures	$5,297,110	OtherExpendituresAmt
End Year Balance	$9,376,302	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.26710	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.73290	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,967,319	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$37,412,173	OtherCostOrOtherBasisAmt
Book Value	$43,379,492	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$579,206,859	OtherCostOrOtherBasisAmt
Depreciation	$281,664,022	DepreciationAmt
Book Value	$297,542,837	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,633,029	OtherCostOrOtherBasisAmt
Depreciation	$25,230,928	DepreciationAmt
Book Value	$49,402,101	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,540,067,153	OtherCostOrOtherBasisAmt
Depreciation	$1,190,513,792	DepreciationAmt
Book Value	$349,553,361	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,638,543	OtherCostOrOtherBasisAmt
Depreciation	$22,030,899	DepreciationAmt
Book Value	$88,607,644	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$828,485,435	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$8,976,199
INVESTMENT IN AFFILIATES	$89,945,769
OTHER ASSETS	$3,643,037

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$102,565,005	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$9,434,146
OTHER CURRENT LIABILITIES	$23,240,905
OTHER LONG TERM LIABILITIES	$47,403,925
DUE TO 3RD PARTY PAYORS	$9,199,659

Field	Value	IRS element (for citing)
Total Liability	$89,278,635	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	TEMPORARILY RESTRICTED CONTRIBUTIONS ARE TO EITHER SPECIFIC PURPOSE FUNDS OR PLANT EXPANSION FUNDS. SPECIFIC PURPOSE FUNDS INCLUDE GENERAL BENEFIT FUNDS SUCH AS BIOTERRORISM RESPONSE, NIGHTINGALE AIR AMBULANCE, AND THE SCHOOL OF NURSING GIFT FUND. OTHER SPECIFIC PURPOSE FUNDS ARE FOR SCHOLARSHIPS, EDUCATION/RESEARCH/SYMPOSIUM, CANCER/ONCOLOGY, AND CARDIAC. PLANT EXPANSION INCLUDE FUNDS FOR GENERAL BUILDING, BURN UNIT AND CANCER INSTITUTE. PERMANENTLY RESTRICTED FUNDS CONSIST OF INCOME PROVISIONS FOR SCHOLARSHIPS AND EDUCATIONAL RESOURCES FOR THE SCHOOL OF NURSING, TO BENEFIT CARDIAC EDUCATION AND RESEARCH, AND TO SUPPORT STUDIES BY THE CARDIOVASCULAR RESEARCH INSTITUTE SURGEONS AND CARDIOLOGISTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$120,839,870	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$120,839,870	NetCommunityBenefitExpnsAmt
Total Expense	0.06930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,822,125	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$153,841,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,980,842	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$301,661,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$153,841,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$147,820,712	NetCommunityBenefitExpnsAmt
Total Expense	0.08480	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,202,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,202,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,988,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,968,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,019,629	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,768,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,711,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,057,120	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,267,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,267,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,226,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,679,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,547,024	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$364,888,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,520,826	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$182,367,736	NetCommunityBenefitExpnsAmt
Total Expense	0.10460	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$549	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$549	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,999	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,999	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148,541	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$148,541	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,455	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$189,544	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$189,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$121,802,076	BadDebtExpenseAmt
Bad Debt Expense Attributable	$36,540,623	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$548,157,294	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$568,483,827	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,326,533	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PRINCESS ANNE AMB SURG MGT
OUTPATIENT SURGERY CENTER	0.51560	0.48440
2 SENTARA OBICI AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.53040	0.46960
3 VA BEACH AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
4 CANCER CENTERS OF VA LLC
EQUIPMENT LEASING	0.50000	0.50000
5 OBICI REAL EST HOLDINGS LLC
REAL ESTATE RENTAL	0.61540	0.38460
6 PET INSTITUTE OF HAMPTON ROADS LLC
MEDICAL SERVICES	0.13750	0.45000
7 CAREPLEX ORTHO AMBULATORY SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
8 ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
ORTHO MGT SVCS	0.40000	0.60000

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

Hospital Facilities HospitalFacilitiesGrp (14 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	No Emergency CareNoEmergencyCareInd	Other ReasonOtherReasonInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other PublicityOtherPublicityInd	Other Actions TakenOtherActionsTakenInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	Communtity Notified FAPCommuntityNotifiedFAPInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Average Negotiated RatesAverageNegotiatedRatesInd
VA BEACH AMB SURG CTR
13	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 5D.	Yes (X)	Yes (X)	Yes (1)	13	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.VBASC.COM/PATIENT INFORMATION/FINANCIAL INFORMATION	Yes (X)	HTTP://WWW.VBASC.COM/PATIENT INFORMATION/FINANCIAL INFORMATION	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0
SENTARA OBICI AMB SURG CTR
14	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 5D.	Yes (X)	Yes (X)	Yes (1)	13	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000		Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)					Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)		Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)	Yes (X)
PRINCESS ANNE AMB SURG CTR
11	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 5D.	Yes (X)	Yes (X)	Yes (1)	13	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000		Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/	Yes (X)	HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)		Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)		Yes (X)	HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/	Yes (X)
CAREPLEX ORTHO AMBULATORY SURG CTR
12	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 5D.	Yes (X)	Yes (X)	Yes (1)	13	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000		Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)					Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (X)		Yes (X)	HTTP://CAREPLEXORTHO.COM/FINANCIAL-ASSISTANCE/	Yes (X)
FACILITY REPORTING GROUP A
	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	REFER TO PART V, SECTION C LINE 5D.	Yes (X)	Yes (X)	Yes (1)	13	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)		Yes (X)	Yes (1)					Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)				0	0	Yes (X)					600.000000000000	Yes (X)	Yes (X)	Yes (X)
SENTARA ALBEMARLE REGIONAL MEDICAL CENTE
7	0	Yes (1)	0																							0	Yes (1)	Yes (X)	200.000000000000	Yes (X)	Yes (X)	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)					Yes (X)	Yes (X)		Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)			Yes (X)	0	0						600.000000000000	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (44 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 5: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF VIRGINIA BEACH AMBULATORY SURGERY CENTER WAS CONDUCTED WITH PRINCESS ANNE AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF OBICI AMBULATORY SURGERY CENTER WAS CONDUCTED WITH SENTARA OBICI HOSPITAL, A HOSPITAL FACILITY INCLUDED IN FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF PRINCESS ANNE AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VIRGINIA BEACH AMBULATORY SURGERY CENTER; SENTARA PRINCESS ANNE HOSPITAL; AND VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 6A: THE CHNA OF CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER WAS CONDUCTED WITH VARIOUS HOSPITAL FACILITIES IN FACILITY REPORTING GROUP A (DETAILS GIVEN BELOW).
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 7D: THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/VIRGINIA-BEACH-ASC-COMPLETE-CHNA-2013-FINAL.PDF
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 7D: THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/OBICI-ASC-COMPLETE-CHNA-2013-FINAL.PDF
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 7D: THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/PRINCESS-ANNE-ASC-COMPLETE-CHNA-2013-FINAL.PDF
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 7D: THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/CAREPLEX-ORTHO-COMPLETE-CHNA-2013-FINAL.PDF
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 2: EFFECTIVE MARCH 1, 2014, THE HOSPITAL ORGANIZATION ACQUIRED THE ASSETS AND OPERATIONS OF SENTARA ALBEMARLE MEDICAL CENTER THROUGH A 30-YEAR CAPITAL LEASE AGREEMENT WITH PASQUOTANK COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF NORTH CAROLINA, AND ALBEMARLE HOSPITAL AUTHORITY, A NORTH CAROLINA HOSPITAL AUTHORITY.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 11: SEE RESPONSE UNDER FACILITY REPORTING GROUP A.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 16I: HANDOUTS DESCRIBING THE FACILITY'S FINANCIAL ASSISTANCE POLICY WERE AVAILABLE AT THE PATIENT REGISTRATION AREA AND INCLUDED CONTACT INFORMATION FOR RECEIVING ASSISTANCE. ALL LETTERS FOR PAYMENT INCLUDED A NOTIFICATION REGARDING THE FACILITY'S FINANCIAL ASSISTANCE POLICY ALONG WITH CONTACT INFORMATION FOR APPLYING FOR ASSISTANCE. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED IN ALL PATIENT PRE-REGISTRATION PACKETS, WHICH ARE DISTRIBUTED TO PATIENTS BY REFERRING PHYSICIAN PRIOR TO THEIR SURGERY DATES.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 16I: A PLAIN LANGUAGE SUMMARY DESCRIBING THE FACILITY'S FINANCIAL ASSISTANCE POLICY WAS AVAILABLE AT THE PATIENT REGISTRATION AREA AND INCLUDED CONTACT INFORMATION FOR RECEIVING ASSISTANCE. ALL LETTERS FOR PAYMENT INCLUDED A NOTIFICATION REGARDING THE FACILITY'S FINANCIAL ASSISTANCE POLICY ALONG WITH CONTACT INFORMATION FOR APPLYING FOR ASSISTANCE. A SUMMARY OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY WAS AVAILABLE ON THE SENTARA WEBSITE.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 16I: HANDOUTS DESCRIBING THE FACILITY'S FINANCIAL ASSISTANCE POLICY WERE AVAILABLE AT THE PATIENT REGISTRATION AREA AND INCLUDED CONTACT INFORMATION FOR RECEIVING ASSISTANCE. ALL LETTERS FOR PAYMENT INCLUDED A NOTIFICATION REGARDING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAMS ALONG WITH CONTACT INFORMATION FOR APPLYING FOR ASSISTANCE.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 20E: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS ALSO INCLUDED IN ALL PATIENT PRE-REGISTRATION PACKETS, WHICH ARE DISTRIBUTED TO PATIENTS BY REFERRING PHYSICIAN PRIOR TO THEIR SURGERY DATES.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
VA BEACH AMB SURG CTR	PART V, SECTION B, LINE 22D: ALL FAP-ELIGIBLE INDIVIDUALS OF THE AMBULATORY SURGERY CENTER RECEIVE FREE CARE, AS DISCOUNTED CARE IS NOT OFFERED UNDER ITS WRITTEN FINANCIAL ASSISTANCE POLICY.SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
SENTARA OBICI AMB SURG CTR	PART V, SECTION B, LINE 22D: ALL FAP-ELIGIBLE INDIVIDUALS OF THE AMBULATORY SURGERY CENTER RECEIVE FREE CARE, AS DISCOUNTED CARE IS NOT OFFERED UNDER ITS WRITTEN FINANCIAL ASSISTANCE POLICY.SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
PRINCESS ANNE AMB SURG CTR	PART V, SECTION B, LINE 22D: ALL FAP-ELIGIBLE INDIVIDUALS OF THE AMBULATORY SURGERY CENTER RECEIVE FREE CARE, AS DISCOUNTED CARE IS NOT OFFERED UNDER ITS WRITTEN FINANCIAL ASSISTANCE POLICY.SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
CAREPLEX ORTHO AMBULATORY SURG CTR	PART V, SECTION B, LINE 22D: ALL FAP-ELIGIBLE INDIVIDUALS OF THE AMBULATORY SURGERY CENTER RECEIVE FREE CARE, AS DISCOUNTED CARE IS NOT OFFERED UNDER ITS WRITTEN FINANCIAL ASSISTANCE POLICY.
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC	PART V, SECTION B, LINE 22D: AS A NEWLY ACQUIRED, TAX-EXEMPT HOSPITAL, THE HOSPITAL FACILITY USED THE SAME FINANCIAL ASSISTANCE POLICY AND OFFERED THE SAME LEVEL OF DISCOUNT AS THOSE HOSPITAL FACILITIES COMPRISING REPORTING GROUP A. THE DISCOUNT OFFERED WAS GREATER THAN THE ONE THAT WOULD'VE BEEN REQUIRED UNDER TREAS. REG. SEC. 1.501(R)-5(B)(3).
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SENTARA NORFOLK GENERAL HOSP, - FACILITY 3: SENTARA VA BEACH GEN HOSP, - FACILITY 2: SENTARA LEIGH HOSPITAL, - FACILITY 4: SENTARA CAREPLEX HOSPITAL, - FACILITY 6: SENTARA WMSBG REG MED CTR, - FACILITY 5: SENTARA OBICI HOSPITAL, - FACILITY 8: SENTARA LEIGH HOSP AMB SRG CTR, - FACILITY 9: SENTARA PORT WARWICK AMB SRG CTR, - FACILITY 10: GEDDY OUTPATIENT CTR AT SWRMC
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), EACH HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING 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) EACH HOSPITAL FACILITY PARTICIPATED IN A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. THE COMMITTEES WERE RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW UP WAS MADE TO ENSURE GOOD AND BROADLY REPRESENTATIVE PARTICIPATION.2) THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. SEVERAL OF THE LOCAL HEALTH DEPARTMENTS HAD GONE THROUGH THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS AND REPORTS WERE AVAILABLE FOR THE STEERING COMMITTEE. THE FINDINGS OF THESE REPORTS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. THE SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER CHNA STEERING COMMITTEE INCLUDED COMMUNITY REPRESENTATIVES WHO PROVIDED INPUT ON ISSUES AND PRIORITIES. MEMBERS OF THE STEERING COMMITTEES OF THE HOSPITAL FACILITIES PARTICIPATED IN LOCAL COALITIONS SUCH AS THE SUFFOLK PARTNERSHIP FOR A HEALTHY COMMUNITY AND ACCESS PARTNERSHIP AND PROVIDED ADDITIONAL INPUT.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	THE CHNAS OF SENTARA NORFOLK GENERAL HOSPITAL; SENTARA LEIGH HOSPITAL; SENTARA VIRGINIA BEACH GENERAL HOSPITAL; AND SENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTER, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH SENTARA PRINCESS ANNE HOSPITAL; PRINCESS ANNE AMBULATORY SURGERY CENTER; AND VIRGINIA BEACH AMBULATORY SURGERY CENTER.THE CHNAS OF SENTARA CAREPLEX HOSPITAL; SENTARA PORT WARWICK; SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER; AND GEDDY OUTPATIENT CENTER AT SWRMC, WHICH ARE ALL A PART OF FACILITY REPORTING GROUP A, WERE CONDUCTED WITH CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER.THE CHNA OF SENTARA OBICI HOSPITAL WAS CONDUCTED WITH OBICI AMBULATORY SURGERY CENTER.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D:	COPIES OF THE ASSESSMENTS HAVE BEEN PROVIDED TO OTHER ORGANIZATIONS SUCH AS ACCESS PARTNERSHIP AND LOCAL HEALTH DEPARTMENTS. PRESENTATIONS ON THE ASSESSMENTS HAVE BEEN MADE TO LOCAL GROUPS SUCH AS THE OBICI HEALTHCARE FOUNDATION BOARD. SUMMARIES OF THE INFORMATION HAVE BEEN PROVIDED FOR USE WITH UNITED WAY PLANNING.THE DIRECT URL ADDRESSES FOR THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS ARE AS FOLLOWS:SENTARA NORFOLK GENERAL HOSPITALHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-NORFOLK-COMPLETE-CHNA-2013-FINAL.PDFSENTARA LEIGH HOSPITALHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-LEIGH-COMPLETE-CHNA-2013-FINAL.PDFSENTARA VIRGINIA BEACH GENERAL HOSPITALHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-VIRGINIA-BEACH-COMPLETE-CHNA-2013-FINAL.PDFSENTARA CAREPLEX HOSPITAL HTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-CAREPLEX-COMPLETE-CHNA-2013-FINAL.PDFSENTARA OBICI HOSPITALHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-OBICI-COMPLETE-CHNA-2013-FINAL.PDFSENTARA WILLIAMSBURG REGIONAL MEDICAL CENTERHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-WILLIAMSBURG-COMPLETE-CHNA-2013-FINAL.PDFSENTARA LEIGH HOSPITAL AMBULATORY SURGERY CENTERHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-LEIGH-ASC-COMPLETE-CHNA-2013-FINAL.PDFSENTARA PORT WARWICK AMBULATORY SURGERY CENTERHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/SENTARA-PORT-WARWICK-ASC-COMPLETE-CHNA-2013-FINAL.PDFGEDDY OUTPATIENT CENTER AT SWRMCHTTP://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/GEDDY-ASC-COMPLETE-CHNA-2013-FINAL.PDF
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	EACH OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL FACILITIES UNDERWENT A PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. THE PROCESS CONSIDERED FACTORS SUCH AS SIZE AND SCOPE OF THE HEALTH PROBLEM, THE INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTIVE OF THE IMPLEMENTATION STRATEGIES, THE FACILITIES ARE PARTICIPATING IN CITY LEVEL COLLABORATIVE EFFORTS SUCH AS THE NORFOLK HEALTHCARE COALITION AND HEALTHYVB (VIRGINIA BEACH). SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. IN ADDITION, SOME COMMUNITY NEEDS ARE BEING ADDRESSED AT THE HEALTH SYSTEM LEVEL RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL. AN EXAMPLE IS IMPROVING ACCESS TO ORAL HEALTH SERVICES. THE SENTARA HEALTH FOUNDATION ANNUALLY PROVIDES FUNDING TO IMPROVE ACCESS FOR LOW INCOME INDIVIDUALS.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16I:	BROCHURES DESCRIBING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM WERE AVAILABLE IN THE EMERGENCY ROOM AND PATIENT REGISTRATION AREAS AND INCLUDED A CHARITY CARE APPLICATION AND CONTACT INFORMATION FOR RECEIVING ASSISTANCE. PATIENTS WHO PRESENTED AS SELF-INSURED WERE AUTOMATICALLY PROVIDED WITH THIS INFORMATION UPON REGISTRATION. POSTERS ADVERTISING THE FACILITY'S FINANCIAL ASSISTANCE POLICY WERE CONSPICUOUSLY DISPLAYED IN THE EMERGENCY ROOM AND PATIENT REGISTRATION AREAS. ALL LETTERS FOR PAYMENT INCLUDED A NOTIFICATION REGARDING THE FACILITY'S FINANCIAL ASSISTANCE POLICY ALONG WITH CONTACT INFORMATION FOR APPLYING FOR ASSISTANCE. A SUMMARY OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAMS WAS AVAILABLE ON THE PATIENT BILLING SECTION OF THE SENTARA WEBSITE AT WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/PATIENTGUIDE/BILLING-INFORMATION/FINANCIAL-ASSISTANCE.ASPX.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.VBASC.COM/PATIENT INFORMATION/FINANCIAL INFORMATION
VA BEACH AMB SURG CTR PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.VBASC.COM/PATIENT INFORMATION/FINANCIAL INFORMATION
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/
PRINCESS ANNE AMB SURG CTR PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/
CAREPLEX ORTHO AMBULATORY SURG CTR PART V, SECTION B, LINE 16A WEBSITE:	HTTP://CAREPLEXORTHO.COM/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	107	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (107 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ADVANCED IMAGING CENTER-1ST COLONIAL
1080 FIRST COLONIAL ROAD	VIRGINIA BEACH	VA	23454	IMAGING CENTER
ADVANCED IMAGING CENTER-LEIGH
890 KEMPSVILLE ROAD	NORFOLK	VA	23502	IMAGING CENTER
PORT WARWICK MEDICAL ARTS
11803 JEFFERSON AVE	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
ADVANCED IMAGING CENTER-GREENBRIER
713 VOLVO PARKWAY STE 105	CHESAPEAKE	VA	23320	OTHER OUTPATIENT SITE
SENTARA BELLEHARBOUR
3920A BRIDGE ROAD STE 100	SUFFOLK	VA	23435	DIAGNOSTIC CENTER
SENTARA INDEPENDENCE
800 INDEPENDENCE BLVD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
PORT WARWICK COMPREHENSIVE BREAST CTR
1051 LOFTIS BLVD STE 200	NEWPORT NEWS	VA	23606	DIAGNOSTIC CENTER
SENTARA LEIGH COMP BREAST CT
880 KEMPSVILLE ROAD STE 1200	NORFOLK	VA	23502	BREAST DIAGNOSTIC CENTER
SVBGH PAIN MANAGEMENT UNIT
1080 FIRST COLONIAL ROAD STE 201	VIRGINIA BEACH	VA	23454	PAIN MGT. CENTER
SENTARA HILLTOP THERAPY CENTER
1725 LASKIN ROAD STE 535	VIRGINIA BEACH	VA	23454	REHABILITATION CENTER
SENTARA LEIGH THERAPY CENTER
6315 N CENTER DR BLDG 20 STE 101	NORFOLK	VA	23502	REHABILITATION CENTER
SENTARA RADIOLOGY SPECIALISTS-KEMPS
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
NORFOLK DIAGNOSTIC CENTER
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	DIAGNOSTIC CENTER
SENTARA OBICI MAMMOGRAPHYDIAGNOSTIC CTR
913 S CHURCH ST	SMITHFIELD	VA	23430	BREAST DIAGNOSTIC CENTER
ADVANCED IMAGING CENTER-ST LUKE'S
20209 SENTARA WAY STE 108	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
SWRMC OUTPATIENT REHABILITATION SERVICES
YMCA BUILDING 301 SENTARA CIR	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
SWRMC OUTPATIENT PHYSICAL THERAPY
5301 LONGHILL ROAD	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
OUTPATIENT INFUSION CENTER III
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
SENTARA THERAPY CENTER GRANBY YMCA
2901 GRANBY ST STE 200	NORFOLK	VA	23504	REHABILITATION CENTER
GREENBRIER-BATTLEFIELD THERAPY CTR
713 VOLVO PARKWAY STE 101	CHESAPEAKE	VA	23320	REHABILITATION CENTER
ADVANCED IMAG CTR-WAINWRIGHT
229 WEST BUTE ST STE 900 9TH FL	NORFOLK	VA	23510	IMAGING CENTER
SVBGH-SENTARA HEALTH AND WELLNESS CTR
1708 OLD DONATION PARKWAY	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
SENTARA NORFOLK GENERAL DAY REHAB CTR
890 KEMPSVILLE ROAD	NORFOLK	VA	23502	REHABILITATION CENTER
SENTARA THERAPY CENTER-BLOCKER YMCA
312 WEST BUTE ST	NORFOLK	VA	23510	REHABILITATION CENTER
SENTARA HAND THERAPY CENTER
5712 CLEVELAND ST STE 150	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
SENTARA HAND THERAPY CENTER
6160 KEMPSVILLE CIRCLE 102A	NORFOLK	VA	23052	OTHER OUTPATIENT SITE
CARDIOLOGY SPEC-KEMPSVILLE RD
844 KEMPSVILLE ROAD STE 204	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
SENTARA PORT WAR PHYS THER & WOUND CARE
11803 JEFFERSON AVE STE 125	NEWPORT NEWS	VA	23606	REHABILITATION CENTER
SENTARA ST LUKE'S-SMITHFIELD THERAPY CTR
20209 SENTARA WAY STE 102	CARROLLTON	VA	23314	REHABILITATION CENTER
CAREPLEX MEDICAL ARTS SLEEP LAB
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	SLEEP DISORDER CLINIC
SENTARA INDEPENDENCE THERAPY CENTER
816 INDEPENDENCE BLVD STE 3F	VIRGINIA BEACH	VA	23455	REHABILITATION CENTER
SENTARA THERAPY CENTER-CAREPLEX
4000 COLISEUM DR STE 120	HAMPTON	VA	23666	REHABILITATION CENTER
SENTARA THERAPY CENTER-COLISEUM
4001 COLISEUM DR STE 200	HAMPTON	VA	23666	REHABILITATION CENTER
SENTARA GREAT BRIDGE THERAPY CENTER
633 BATTLEFIELD BLVD S	CHESAPEAKE	VA	23322	REHABILITATION CENTER
SENTARA INDIAN RIVER THERAPY CENTER
5660 INDIAN RIVER ROAD STE 121	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
SENTARA THERAPY CENTER-SUFFOLK YMCA
ROUTE 10/GODWIN BLVD	SUFFOLK	VA	23434	REHABILITATION CENTER
AMBULATORY CARE CLINIC
130 COLLEY AVE	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
CARDIOLOGY SPEC-FORT NORFOLK
301 RIVERVIEW AVE STE 700	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
SENTARA ST LUKE'S LAB SERVICES
5659 PARKWAY DR STE 100	GLOUCESTER	VA	23061	LAB SERVICES
SENTARA THERAPY CENTER-QUINTON
2500 NEW KENT HWY PO BOX 339	QUINTON	VA	23141	REHABILITATION CENTER
SENTARA MOBILE MAMMOGRAPHY
880 KEMPSVILLE ROAD	NORFOLK	VA	23502	MOBILE MAMMOGRAPHY
COMPREHENSIVE PAIN MANAGEMENT CENTER
400 GRESHAM DR STE 712	NORFOLK	VA	23501	PAIN MGT. CENTER
SENTARA PHYS THER CTR-WAKEFIELD
103 RAILROAD AVE	WAKEFIELD	VA	23888	REHABILITATION CENTER
SENTARA GRASSFIELD THERAPY CENTER
1001 SCENIC PARKWAY STE 101	CHESAPEAKE	VA	23323	REHABILITATION CENTER
SENTARA THERAPY CENTER-MATHEWS
75 MAIN STREET STE E	MATHEWS	VA	23109	REHABILITATION CENTER
SENTARA THERAPY CENTER KINGS MILL
1915 POCAHONTAS TRAIL STE F10	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
NEW TOWN INTERNAL MEDICINE
4374 NEW TOWN AVE STE 102	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA FAM MED PHYS-1ST COLONIAL
1024 FIRST COLONIAL ROAD STE 102	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
SENTARA THERAPY CENTER-JAMES CITY
5301 LONGHILL ROAD	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
NEW TOWN DIAGNOSTIC CENTER
4374 NEW TOWN AVE STE 104	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA FORT NK COMP BREAST CTR
301 RIVERVIEW AVE STE 830	NORFOLK	VA	23510	BREAST DIAGNOSTIC CENTER
SENTARA FAM & INT MED PHYS CLPX W
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
NEW TOWN FAMILY PRACTICE
4374 NEW TOWN AVE STE 200	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
FAMILY MED WILLIAMSBURG
400 SENTARA CIR STE 450	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA FAM MED & UC PHYS-VBTC INDEP
816 INDEPENDENCE BLVD STE 100	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
SENTARA PODIATRY SPECIALISTS
5253 PROVIDENCE ROAD STE 100	VIRGINIA BEACH	VA	23464	OTHER OUTPATIENT SITE
SENTARA INTERNAL MEDICINE PHYS-KINGSMILL
477 MCCLAWS CIR STE 1	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
GLOUCESTER IMAGING CENTER
5659 PARKWAY DR STE 130	GLOUCESTER	VA	23061	IMAGING CENTER
SENTARA FAM MED PHYS-OLD HAMPTON
200 EATON ST	HAMPTON	VA	23669	OTHER OUTPATIENT SITE
NEW TOWN URGENT CARE
4374 NEW TOWN AVE STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
VASCULAR & TRANSPLANT SPEC-PORT WARWICK
1051 LOFTIS BLVD STE 205	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
SENTARA INT MED PHYS-PORT WARWICK 1
11803 JEFFERSON AVE STE 140	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
VASCULAR & TRANSPLANT SPEC-VAB
397 LITTLE NECK ROAD STE 120	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
SENTARA FAMILY MED PHYS-ST LUKE'S
20209 SENTARA WAY STE 200	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
SENTARA HAND SURGERY SPECIALISTS-VAB
5716 CLEVELAND ST STE 210	VIRGINIA BEACH	VA	23462	REHABILITATION CENTER
FAMILY MED-THOROUGHGOOD
2017 PLEASURE HOUSE ROAD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
FORT NORFOLK MEDICAL CENTER
301 RIVERVIEW AVE	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
VIRGINIA ORTHO & SPORTS MED-NEW TOWN
5335 DISCOVERY PARK BLVD STE B	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA INTERNAL MED PHYS-FORT NK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
VASCULAR & TRANSPLANT SPECIALISTS-NK
600 GRESHAM DR STE 8620	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
NORFOLK SURGICAL GROUP
880 KEMPSVILLE ROAD STE 1000	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
OCEANFRONT FAMILY PRACTICE
303 35TH STREET STE 102	VIRGINIA BEACH	VA	23451	OTHER OUTPATIENT SITE
SENTARA PULMONARY & CC SPEC-CAREPLEX
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
SENTARA URGENT CARE-LITTLE CREEK
1326 E LITTLE CREEK ROAD	NORFOLK	VA	23518	OTHER OUTPATIENT SITE
FAMILY MED-1080 BLDG
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
SENTARA FAM MEDICINE PHYS-FORT NK
301 RIVERVIEW AVE STE 810	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
SENTARA FAM MED PHYS-PENINSULA TOWNE
2104 EXECUTIVE DR	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
FIRST COLONIAL DIAGNOSTIC CENTER
1080 FIRST COLONIAL ROAD STE 100	VIRGINIA BEACH	VA	23454	DIAGNOSTIC CENTER
SENTARA CARDIOLOGY SPEC-WILLIAMSBURG
500 SENTARA CIR STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA NEUROLOGY SPEC-CAREPLEX
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
SENTARA URGENT CARE-J CLYDE
747 J CLYDE MORRIS BLVD	NEWPORT NEWS	VA	23601	OTHER OUTPATIENT SITE
SENTARA SURG SPEC-PORT WARWICK I
11803 JEFFERSON AVE STE 235	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
SENTARA FAM MED PHYS-PORT WARWICK I
11803 JEFFERSON AVE STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
SENTARA SURGERY SPEC-CAREPLEX
4000 COLISEUM DR STE 320	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
VASCULAR & TRANSPLANT SPEC-CAREPLEX
4000 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
ENDOCRINOLOGY SPECIALISTS-SCP
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
SENTARA URGENT CARE-ST LUKE'S
20209 SENTARA WAY STE 100	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
SENTARA FAM MED& UC PHYS-LITTLE NECK
2859 VIRGINIA BEACH BLVD STE 100	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
SENTARA PHY MED & PAIN MGMT SPC-CAREPLEX
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
SENTARA PULMONARY & CC SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
SENTARA SURGERY SPEC-1080 BUILDING
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
SENTARA NEUROLOGY SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
VASCULAR & TRANSPLANT SPEC-SUFFOLK
171 N MAIN ST	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
SENTARA SURGERY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 305	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
CARDIOLOGY SPECIALISTS-PORT WARWICK
1031 LOFTIS BLVD STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
VASCULAR & TRANSPLANT SPEC-WILLIAMSBURG
400 SENTARA CIR STE 350	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
WILLIAMSBURG SURGERY
500 SENTARA CIR STE 202	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA NEUROLOGY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 320	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
ORTHOPEDIC TRAUMA-NORFOLK
600 GRESHAM DR SUITE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
MOBILE PET SCAN
5900-B LAKE WRIGHT DR	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
SENTARA PULMONARY & CC SPEC-WILLIAMSBURG
400 SENTARA CIR STE 320	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
SENTARA PODIATRY SPEC-KEMPSVILLE
844 KEMPSVILLE ROAD STE 100D	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
NEUROSURGERY NORFOLK HEART HOSPITAL
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
SENTARA PLASTIC SURGERY SPECIALISTS
600 GRESHAM DR STE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
SENTARA CYTOGENICS LAB
1701 WILL O WISP DR STE 1E	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
SENTARA RHEUMATOLOGY SPEC-CAREPLEX W
4001 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
SENTARA PODIATRY SPEC-1ST COLONIAL
1080 FIRST COLONIAL RD STE 400	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER.
PART I, LINE 7:	EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES.
PART I, LINE 7G:	$31,359 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 $ 121,802,076.
PART II, COMMUNITY BUILDING ACTIVITIES:	LEADERSHIP DEVELOPMENT - THE ORGANIZATION SUPPORTED ONE-ON-ONE COACHING SESSIONS WITH ANOTHER LOCAL TAX-EXEMPT ORGANIZATION TO HELP ENHANCE THE LEADERSHIP SKILLS OF ITS LEADERS.COALITION BUILDING THE ORGANIZATION COLLABORATES WITH VARIOUS COMMUNITY ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH CARE NEEDS WITHIN THE COMMUNITY. WORKFORCE DEVELOPMENT THE ORGANIZATION PROVIDES VARIOUS PROGRAMS WHERE HIGH SCHOOL AND COLLEGE STUDENTS WITH AN INTEREST IN HEALTH CARE CAREERS MAY PARTICIPATE IN JOB SHADOWING OR EXTERNSHIPS WITHIN ITS VARIOUS HOSPITALS. THE ORGANIZATION ALSO PARTICIPATES IN A YOUTH CAREER EXPO WHICH TARGETS COMMUNITY YOUTH WHO ARE INTERESTED IN LEARNING MORE ABOUT HEALTH CARE CAREERS. ADDITIONALLY, THE ORGANIZATION ENTERS INTO PHYSICIAN RECRUITING AGREEMENTS IN ORDER TO INCENT HIGHLY QUALIFIED PHYSICIANS INTO THE COMMUNITY TO FILL POSITIONS IN SERVICES AREAS WHERE THERE IS AN URGENT NEED.OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS MEALS ON WHEELS DELIVERIES; HEIGHT, WEIGHT AND VISION SCREENINGS AT LOCAL SCHOOLS; AND VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY.
PART III, LINE 2:	BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS, NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN-OFF. SEE ALSO THE FOOTNOTE ON PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DISCUSSES BAD DEBT.
PART III, LINE 3:	IN COMPUTING LINE 3, THE ORGANIZATION CONSERVATIVELY ESTIMATES THAT 30% OF BAD DEBT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY ASSISTANCE IF SUFFICIENT DATA WAS AVAILABLE. THIS ESTIMATE IS BASED ON CREDIT REPORTING DATA PURCHASED FROM EQUIFAX. THIS DATA PROVIDES CREDIT SCORE, INCOME PREDICTION DATA AND NUMEROUS LINES OF CREDIT AND ASSET DATA. FOR UNRESPONSIVE PATIENTS, THE ORGANIZATION USES THE ESTIMATED INCOME, MARITAL STATUS, ASSET INFORMATION AND CREDIT LINE DATA TO DETERMINE WHETHER THE PATIENT WOULD QUALIFY FOR CHARITY BASED ON A PROJECTED INCOME OF 200% OF THE FEDERAL POVERTY GUIDELINES WITH LITTLE TO NO ASSET DATA. THIS INFORMATION IS NOT ALL INCLUSIVE FOR ALL UNRESPONSIVE PATIENTS THAT COULD QUALIFY, AS DEPENDENT INFORMATION IS NOT READILY AVAILABLE.
PART III, LINE 4:	SEE 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:	UNDER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY, A HOSPITAL FACILITY MUST TAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN COLLECTION EFFORTS AGAINST A PATIENT. SUCH EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS WRITTEN OFF TO CHARITY.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS: - ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED FOR EDUCATION OF HOSPITAL LEADERSHIP AND IS INCORPORATED INTO THE ORGANIZATION'S STRATEGIC PLANS. - OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY. - REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED AND INCORPORATED INTO THE ORGANIZATION'S PLANS. - PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY AND ACCESS PARTNERSHIP: INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING. - INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS.
PART VI, LINE 3:	FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A TOLL-FREE NUMBER IS GIVEN TO PATIENTS TO REACH CUSTOMER SERVICE REPRESENTATIVES DURING THE BUSINESS DAY FOR QUESTIONS OR CONCERNS. FINANCIAL ASSISTANCE PROGRAMS ARE ALSO PUBLISHED ON THE ORGANIZATION'S WEBSITE AND INCLUDED ON THE STATEMENTS PROVIDED TO PATIENTS. THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE TO HELP PATIENTS COMPLETE APPLICATIONS FOR MEDICAID OR OTHER GOVERNMENT PAYMENT ASSISTANCE PROGRAMS, OR APPLY FOR CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF APPLICABLE. THE ORGANIZATION ALSO EMPLOYS AN EXTERNAL FIRM TO ASSIST IN THE ELIGIBILITY PROCESS.
PART VI, LINE 4:	SENTARA HOSPITALS SERVES RESIDENTS OF OVER 30 CITIES AND COUNTIES IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE AREA INCLUDES THE VIRGINIA BEACH-NORFOLK-NEWPORT NEWS, VA-NC METROPOLITAN STATISTICAL AREA, THE ELIZABETH CITY, NC MICROPOLITAN STATISTICAL AREA, AND SURROUNDING RURAL COMMUNITIES. THE AREA IS BORDERED TO THE EAST BY THE ATLANTIC OCEAN AND IS NOTED FOR ITS WATERWAYS, INCLUDING THE CHESAPEAKE BAY, CURRITUCK SOUND, AND YORK, JAMES AND ELIZABETH RIVERS.THE 2015 POPULATION OF THE ORGANIZATION'S SERVICE AREA IS 1,995,045 (SOURCE: NIELSEN) AND IS PROJECTED TO GROW BY 3.6% OVER THE NEXT FIVE YEARS, COMPARED TO A PROJECTED U.S. GROWTH RATE OF 3.5%. CURRENTLY APPROXIMATELY 13.9% OF THE POPULATION IS AGE 65+, COMPARED TO 14.7% FOR THE U.S. THIS AGE GROUP IS GROWING IN SIZE AND IS PROJECTED TO COMPRISE 16.0% OF THE ORGANIZATION'S SERVICE AREA POPULATION IN 2020.IN TERMS OF THE RACIAL COMPOSITION, 57.3% OF THE SERVICE AREA'S POPULATION IS WHITE NON-HISPANIC; THIS COMPARES TO 61.8% NATIONWIDE. 29.7% OF THE AREA'S POPULATION IS BLACK NON-HISPANIC; THE U.S. COMPARISON IS 12.3%. THE ASIANS AND PACIFIC ISLANDERS POPULATION REPRESENTS 3.5% OF THE TOTAL, COMPARED TO 5.3% NATIONWIDE. OTHER GROUPS ACCOUNT FOR 3.4% WITHIN THE SERVICE AREA AND 3.1% NATIONALLY. IN TERMS OF THE ETHNIC COMPOSITION, THE HISPANIC ETHNIC GROUP ACCOUNTS FOR 6.2% OF THE POPULATION OF THE SERVICE AREA, COMPARED TO 17.6% NATIONWIDE. OF THE ORGANIZATION'S SERVICE AREA ADULTS, 88.9% HAVE AT LEAST A HIGH SCHOOL LEVEL OF EDUCATION, COMPARED TO THE 86.1% NATIONALLY. THE AREA'S UNEMPLOYMENT RATE IS 5.5%, COMPARED TO 6.2% NATIONALLY. ABOUT 4.6% OF THE AREA'S WORKFORCE IS EMPLOYED IN THE ARMED FORCES.THE AVERAGE HOUSEHOLD INCOME IN THE ORGANIZATION'S SERVICE AREA IS $75,402 COMPARED TO THE U.S. HOUSEHOLD AVERAGE OF $74,165. 19.3% OF THE ORGANIZATION'S SERVICE AREA HOUSEHOLDS HAVE AN ANNUAL INCOME OF $25,000 OR LESS, COMPARED TO 23.5% OF U.S. HOUSEHOLDS. TWENTY CIVILIAN GENERAL ACUTE CARE HOSPITALS ARE LOCATED WITHIN THIS AREA; THIS INCLUDES THE SENTARA FACILITIES. THE AREA IS ALSO SERVED BY MILITARY AND GOVERNMENTAL HOSPITALS AND SPECIALTY FACILITIES (SUCH AS PSYCHIATRIC) LOCATED WITHIN THE AREA AS WELL AS OTHER HOSPITALS LOCATED IN SURROUNDING COMMUNITIES.
PART VI, LINE 5:	THE ORGANIZATION'S GOVERNING BODY IS ELECTED ANNUALLY BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, A 501(C) TAX-EXEMPT ORGANIZATION, WHOSE COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTHCARE, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS.
PART VI, LINE 6:	SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER, PROVIDES A NUMBER OF PROGRAMS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES, IN ADDITION TO THOSE IDENTIFIED FOR THE ORGANIZATION. SEE FORM 990 PART III SCHEDULE O DISCLOSURE FOR FURTHER INFORMATION ON THE SERVICES AND FACILITIES PROVIDED BY THE SENTARA HEALTHCARE SYSTEM.
PART VI-INFORMATION REGARDING THE ORGANIZATION'S ASC'S:	THE ORGANIZATION IS A MEMBER OF SEVERAL JOINT VENTURES WHICH OWN AND OPERATE AMBULATORY SURGERY CENTERS ("ASCS" ) LOCATED IN VIRGINIA (SEE PART V FOR OWNERSHIP INFORMATION). AS VIRGINIA REQUIRES ASCS TO GO THROUGH A CERTIFICATE OF PUBLIC NEED PROCESS AND RETAIN A HOSPITAL LICENSE, VIRGINIA ASCS MEET THE DEFINITION OF HOSPITAL FACILITIES FOR FORM 990 REPORTING PURPOSES.THE ORGANIZATION'S ASCS ARE ORGANIZED AND OPERATED IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES AS EXTENSIONS OF ITS OUTPATIENT FACILITIES, IN PARTNERSHIP WITH ITS PHYSICIANS, TO PROVIDE A MORE EFFECTIVE MEANS OF CARING FOR LESS SERIOUS NON-EMERGENCY MEDICAL CONDITIONS THAT DO NOT REQUIRE INPATIENT HOSPITAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE ASCS. UNINSURED INDIVIDUALS DESIRING TREATMENT MUST SPEAK WITH FACILITY PERSONNEL PRIOR TO BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS PAYMENT ARRANGEMENTS. THE ASCS WORK WITH UNINSURED INDIVIDUALS TO COME UP WITH PAYMENT OPTIONS, SUCH AS PAYMENT PLANS, OFFERING FREE CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S UNINSURED DISCOUNT PRACTICES. ON DECEMBER 29, 2014, THE IRS ISSUED FINAL REGULATIONS UNDER IRC SECTION 501(R). THE HOSPITAL ORGANIZATION IS TAKING ALL NECESSARY STEPS TO INSURE ITS ASCS ARE IN COMPLIANCE WITH THESE FINAL REGULATIONS ON OR BEFORE JANUARY 1, 2016.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
EASTERN VA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	237053208	501(C)(3)	$826,424	INDIGENT CARE
OLDE TOWNE MEDICAL CENTER
5249 OLDE TOWNE RD	WILLIAMSBURG	VA	23188	541663905	501(C)(3)	$100,000	COMMUNITY HEALTH SUPPORT
PENINSULA METROPOLITAN YMCA
41 OLD OYSTER POINT ROAD STE C	NEWPORT NEWS	VA	23602	540524905	501(C)(3)	$8,850	DONATION/SPONSORSHIP
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	501(C)(3)	$23,480,450	OVERHEAD ALLOCATIONS
EASTERN VA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	237053028	501(C)(3)	$125,000	MEDICAL EDUCATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE DALLAS TX 75231	DALLAS	TX	75231	135613797	501(C)(3)	$13,500	DONATION/SPONSORSHIP	75231
HOSPICE HOUSE
4445 POWHATAN PARKWAY	WILLIAMSBURG	VA	23188	521289657	501(C)(3)	$10,000	DONATION/SPONSORSHIP
LIFENET HEALTH
1864 CONCERT DRIVE	VIRGINIA BEACH	VA	23453	521273592	501(C)(3)	$10,100	DONATION/SPONSORSHIP
NC NEW SCHOOLS PROJECT
4600 MARRIOTT DRIVE STUITE 510	RALEIGH	NC	27612	204031703	501(C)(3)	$100,000	DONATION/SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	257	RecipientCnt
Cash Grant	$242,200	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID L BERND
DIRECTOR/CHAIRMAN	$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
ROBERT A BROERMANN
DIRECTOR/TREASURER	$0	$732,606	$0	$537,843	$0	$236,087	$0	$221,150	$0	$17,776	$0	$1,745,462	$0	$98,673
HOWARD P KERN
DIRECTOR/PRESIDENT	$0	$973,020	$0	$814,072	$0	$186,907	$0	$3,496,873	$0	$16,964	$0	$5,487,836	$0	$0
KENNETH M KRAKAUR
DIRECTOR	$0	$359,018	$0	$369,195	$0	$60,628	$0	$98,920	$0	$18,787	$0	$906,548	$0	$0
JEFFREY P KING
SECRETARY	$0	$440,214	$0	$186,368	$0	$43,019	$0	$83,230	$0	$22,700	$0	$775,531	$0	$10,062
MARY L BLUNT
KE (CORPORATE VP)	$524,306	$0	$311,468	$0	$114,128	$0	$218,429	$0	$14,901	$0	$1,183,232	$0	$0	$0
ELWOOD B BOONE III
KE (PRESIDENT, VBGH)	$294,187	$0	$96,792	$0	$19,210	$0	$60,050	$0	$20,642	$0	$490,881	$0	$0	$0
JENNIFER A BURROWS
KE (VP PATIENT CARE SERVICES SNGH)	$170,126	$0	$73,353	$0	$13,572	$0	$71,162	$0	$3,603	$0	$331,816	$0	$0	$0
TERESA L EDWARDS
KE (PRESIDENT SLH)	$333,612	$0	$145,354	$0	$53,856	$0	$93,094	$0	$16,061	$0	$641,977	$0	$17,850	$0
ROBERT C FIRESTONE
KE (VP OPERATIONS SNGH)	$192,567	$0	$59,107	$0	$10,332	$0	$50,804	$0	$22,594	$0	$335,404	$0	$0	$0
DEBRA A FLORES
KE (PRESIDENT, SCH)	$320,733	$0	$91,344	$0	$46,073	$0	$177,233	$0	$8,444	$0	$643,827	$0	$21,847	$0
MICHAEL V GENTRY
KE (CORPORATE VP)	$534,422	$0	$307,694	$0	$102,977	$0	$123,532	$0	$14,069	$0	$1,082,694	$0	$52,785	$0
KURT T HOFELICH
KE (PRESIDENT, SNGH)	$347,781	$0	$112,768	$0	$62,235	$0	$178,879	$0	$21,414	$0	$723,077	$0	$10,767	$0
GENEMARIE W MCGEE
KE (CNO)	$263,217	$0	$111,245	$0	$16,217	$0	$194,332	$0	$21,770	$0	$606,781	$0	$0	$0
BERTRAM S REESE
KE (SHC SVP & CIO)	$474,373	$0	$314,870	$0	$104,133	$0	$151,353	$0	$13,983	$0	$1,058,712	$0	$0	$0
ROBERT L GRAVES
KE (SHC VP/PRESIDENT SWRMC)	$35,448	$0	$211,644	$0	$7,575	$0	$30,027	$0	$1,523	$0	$286,217	$0	$0	$0
JOSEPH T BUTZ
DIV SVP CARDIAC	$424,717	$0	$94,773	$0	$18,146	$0	$49,891	$0	$20,902	$0	$608,429	$0	$0	$0
J STEPHEN JULIAN JR
PRESIDENT SOH	$299,107	$0	$107,237	$0	$18,930	$0	$77,762	$0	$21,273	$0	$524,309	$0	$0	$0
GENE H BURKE
VP /EXEC MED DIRECTOR CLINICAL EFFEC	$364,832	$0	$115,896	$0	$9,936	$0	$136,127	$0	$23,950	$0	$650,741	$0	$0	$0
PAUL D CHIDESTER
VP MEDICAL AFFAIRS	$323,112	$0	$105,242	$0	$18,921	$0	$54,139	$0	$24,847	$0	$526,261	$0	$0	$0
DAVID N MOHR
VP CLIN INFORMATICS/TRANSFORMATION	$304,399	$0	$96,792	$0	$16,410	$0	$66,589	$0	$669	$0	$484,859	$0	$0	$0
GRACE R HINES
FORMER OFFICER	$0	$305,682	$0	$179,205	$0	$81,419	$0	$150,497	$0	$20,406	$0	$737,209	$0	$0
STEPHEN D PORTER
FORMER OFFICER AND KEY EMPLOYEE	$0	$379,520	$0	$126,350	$0	$94,791	$0	$188,110	$0	$15,287	$0	$804,058	$0	$16,450
SYLVIA M RICHENDOLLAR
FORMER OFFICER AND KEY EMPLOYEE	$200,698	$0	$64,688	$0	$3,782	$0	$257,074	$0	$15,755	$0	$541,997	$0	$0	$0
THOMAS THAMES
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$315,480	$0	$98,998	$0	$13,298	$0	$89,086	$0	$23,449	$0	$540,311	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF 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, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, ROBERT GRAVES, KENNETH KRAKAUR, BERTRAM REESE, TERESA EDWARDS, DEBRA FLORES, GRACE HINES, KURT HOFELICH, STEPHEN PORTER, JEFFREY KING, ELWOOD BOONE, JOSEPH BUTZ, J. S. JULIAN, JR., M.D., GENEMARIE MCGEE, AND THOMAS THAMES 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); MARY BLUNT ($75,537); ROBERT BROERMANN ($210,317); TERESA EDWARDS ($32,605); DEBRA FLORES ($45,377); MICHAEL GENTRY ($88,045); ROBERT GRAVES ($4,557); GRACE HINES ($45,254); KURT HOFELICH ($23,046); HOWARD KERN ($146,902); KENNETH KRAKAUR ($25,200); GENEMARIE MCGEE ($15,308); STEPHEN PORTER ($36,026); BERTRAM REESE ($67,089); AND JEFFREY KING ($17,327). 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. PERFORMANCE PLUS - ELIGIBLE FULL-TIME AND PART-TIME EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN MAY EARN ADDITIONAL COMPENSATION IF THEIR BUSINESS UNIT MEETS FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE GOALS, AND THE SYSTEM NET OPERATING MARGIN GOAL HAS BEEN MET. INDIVIDUAL PAYOUT IS BASED ON JOB CLASSIFICATION, BUSINESS UNIT GOAL SUCCESS AND PERCENTAGE OF POOL AVAILABLE FOR DISTRIBUTION. GOALS AND THE PERCENTAGE OF POOL AVAILABLE FOR DISTRIBUTION ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DEAN J BRUMMET
FAMILY MEMBER OF JENNIFER A. BURROWS, KEY EMPLOYEE	$129,245	EMPLOYMENT	0
KATHERINE M HINES
FAMILY MEMBER OF GRACE R. HINES, FORMER OFFICER	$102,345	EMPLOYMENT	0
RICHARD E VINIKOFF
FAMILY MEMBER OF KEN KRAKAUR, DIRECTOR	$161,346	EMPLOYMENT	0
JULIE L PORTER
FAMILY MEMBER OF STEPHEN D. PORTER, FORMER OFFICER & KEY EMPLOYEE	$130,241	EMPLOYMENT	0
KAREN RICHENDOLLAR
FAMILY MEMBER OF SILVIA M. RICHENDOLLAR, FORMER OFFICER & KEY EMPLOYEE	$82,372	EMPLOYMENT	0
MARIA C FLORES
FAMILY MEMBER OF DEBRA FLORES, KEY EMPLOYEE	$10,936	EMPLOYMENT	0
MORRISON MANAGEMENT SPECIALISTS INC
SUBSTANTIAL CONTRIBUTOR	$6,915,995	FOOD SERVICES	0
PAPCO
SUBSTANTIAL CONTRIBUTOR	$506,395	FUEL OIL	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 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	PROGRAM SERVICE ACCOMPLISHMENTS: SENTARA HOSPITALS PROVIDES ACUTE AND TERTIARY INPATIENT AND OUTPATIENT MEDICAL SERVICES THROUGH THE OPERATION OF SEVEN HOSPITALS IN SOUTHEASTERN VIRGINIA AND NORTHEASTERN CAROLINA--SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AND SENTARA ALBEMARLE MEDICAL CENTER. THE SEVEN HOSPITALS COMBINED OFFERED 1,625 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 849,355 ADJUSTED PATIENT DAYS OF CARE DURING 2014. SERVICES INCLUDE DAILY ROUTINE NURSING, WELLNESS PROGRAMS, LEVEL I AND II TRAUMA SERVICES, NIGHTINGALE AIR AMBULANCE, CARDIAC CATHERIZATION, ANGIOGRAPHY, NEONATAL INTENSIVE CARE, COMMUNITY EDUCATION PROGRAMS FOR THE DISADVANTAGED, AND VARIOUS OTHER COMMUNITY ACTIVITIES. SENTARA HOSPITALS ALSO PROVIDES MEDICAL EDUCATION PROGRAMMING IN CONJUNCTION WITH THE EASTERN VIRGINIA MEDICAL AUTHORITY OFFERING SPECIALTY SERVICES SUCH AS CARDIOLOGY, IN-VITRO FERTILIZATION AND UROLOGY. THE HOSPITAL PROVIDES FREE COMMUNITY HEALTH SCREENINGS AND HEALTH EDUCATION THROUGHOUT HAMPTON ROADS. COSTS INCURRED FOR THESE ACTIVITIES ARE NOT SPECIFICALLY ACCUMULATED, BUT INCLUDE SALARIES AND OTHER OPERATING EXPENSES. THE FOLLOWING IS A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2014.
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 VI, SECTION A, LINE 2	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	THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTHCARE, A 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, SENTARA HEALTHCARE IS ENTITLED TO ONE VOTE ON ALL MATTERS AND HAS THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY; APPROVE ANY ALTERATION, AMENDMENT OR REPEAL OF ITS GOVERNING DOCUMENTS; APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET AND ALL FORMAL LONG-RANGE PLANS; APPROVE ANY SINGLE CAPITAL EXPENDITURE EXCEEDING $1 MILLION; APPROVE ALL BORROWING OR INDEBTEDNESS WHICH IN ANY ONE TRANSACTION OR RELATED SERIES OF TRANSACTIONS EXCEEDS $500,000; APPROVE ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION, OR REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; REVIEW THE BOOKS AND RECORDS, CONDUCT AUDITS, AND APPROVE THE SELECTION OF AUDITORS CHOSEN TO CONDUCT AUDITS OF THE ORGANIZATION; AND APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OF THE ORGANIZATION, OR THE CREATION OF ANY OTHER CORPORATION OF WHICH THE ORGANIZATION IS TO BE A MEMBER, AND TO APPROVE ANY DISSOLUTION OR OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY SENTARA HEALTHCARE.
FORM 990, PART VI, SECTION B, LINE 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 OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE COMMITTEE MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH.
FORM 990, PART VI, SECTION B, LINE 15	AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 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 CHAIRMAN, PRESIDENT, TREASURER AND CERTAIN KEY EMPLOYEES; WHO ALSO SERVE AS CEO, PRESIDENT AND COO, SENIOR VICE PRESIDENT AND CFO, AND SENIOR AND CORPORATE VICE PRESIDENTS 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 XI, LINE 9:	BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY: -154,146,736. PARTNERSHIP INCOME BOOK > TAX: 2,616. S CORP INCOME BOOK < TAX: -512,626. ACQUISITION OF ALBEMARLE HOSPITAL 59,278,148.
FORM 990, PART III, LINE 1	DESCRIPTION OF ORGANIZATION'S MISSION: AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH THE ESTABLISHMENT AND OPERATION OF ONE OR MORE NONPROFIT HOSPITALS AND RELATED HEALTH AND MEDICAL PROGRAMS FOR THE CARE OF THE SICK AND INJURED; THE OPERATION OF NONPROFIT SCHOOLS FOR THE EDUCATION AND TRAINING OF NURSES AND OTHER PERSONNEL NECESSARY OR DESIRABLE IN PROVIDING HEALTH CARE; THE PROMOTION OF HEALTH; THE CARRYING ON OF SCIENTIFIC MEDICAL RESEARCH IN THE PUBLIC INTEREST; AND THE CARRYING ON OF ANY OTHER ACTIVITIES WHICH FURTHER OR ADVANCE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITIES SERVED BY THE ORGANIZATION.
FORM 990, PART V, LINE 1A	NUMBER REPORTED IN BOX 3 OF FORM 1096: THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, SENTARA HEALTHCARE, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION.
FORM 990, PART VI, LINE 1B	BOARD MEMBER INDEPENDENCE: THE ORGANIZATION'S BOARD OF DIRECTORS IS ELECTED ANNUALLY BY SENTARA HEALTHCARE, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 18 VOTING MEMBERS, 16 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS.
FORM 990, PART VI, LINE 14	DOCUMENT RETENTION POLICY: THE ORGANIZATION HAD A WRITTEN POLICY FOR DOCUMENT RETENTION AND DESTRUCTION WHICH WAS APPROVED BY MANAGEMENT.
FORM 990, PART VI, LINE 16B	JOINT VENTURE POLICY: THE SENTARA HEALTHCARE SYSTEM HAD A WRITTEN POLICY REQUIRING EVALUATION OF ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW. THIS POLICY WAS APPROVED BY MANAGEMENT. THE ORGANIZATION ALSO TOOK STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WILLIAMSBURG MEDICAL MGT LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541760126	MOB RENTAL	VA	$247,326	$3,034,769	SENTARA HOSPITALS
HPVA LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	208256631	HOLDING COMPANY	VA	$0	$806,521	SENTARA HOSPITALS
SENTARA ALBEMARLE MEDICAL CENTER LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	463846081	HOSPITAL	VA	$88,240,000	$112,889,000	SENTARA HOSPITALS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CLARKSVILLE SENIOR CARE LLC
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)
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 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)
SENTARA RMH MEDICAL CENTER
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	540506331	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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	N/A
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA		SH	UNRELATED	$14,078	$145,908	0	Yes (1)	0.20000
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA		SH	RELATED	$143,668	$3,433,113	0	Yes (1)	0.61540
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA		SH	RELATED	$1,633,757	$2,701,697	0	Yes (1)	0.51560
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA		SH	RELATED	$840,546	$3,359,784	0	Yes (1)	0.50000
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		SH	RELATED	$688,295	$5,906,064	0	Yes (1)	0.50000
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
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA		SH	RELATED	$155,077	$1,177,986	0	Yes (1)	0.25000
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA		SH	RELATED	$808,917	$1,589,100	0	Yes (1)	0.53040
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	N/A
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA		SH	RELATED	$135,793	$15,671	0	Yes (1)	0.40000
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA		SH	RELATED	$2,077,872	$2,954,002	0	Yes (1)	0.50000
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	N/A
MNS SUPPLY CHAIN NETWORK LLC
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	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	N/A	C	Yes (1)
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	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (46 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
C	$32,364,709	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
L	$8,440,875	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
N	$14,445,651	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
O	$439,457	CORP BOOKS/REC
TIDEWATER HEALTH CARE INC
L	$27,149,361	CORP BOOKS/REC
TIDEWATER HEALTH CARE INC
N	$9,364,605	CORP BOOKS/REC
TIDEWATER HEALTH CARE INC
O	$404,197	CORP BOOKS/REC
TIDEWATER HEALTH CARE INC
Q	$40,278,109	CORP BOOKS/REC
TIDEWATER HEALTH CARE INC
S	$13,399,050	CORP BOOKS/REC
SMG INNOVATIONS INC
L	$86,921	CORP BOOKS/REC
SMG INNOVATIONS INC
Q	$197,219	CORP BOOKS/REC
SENTARA MEDICAL GROUP
A	$186,360	CORP BOOKS/REC
SENTARA MEDICAL GROUP
C	$42,241,997	CORP BOOKS/REC
SENTARA MEDICAL GROUP
L	$5,216,879	CORP BOOKS/REC
SENTARA MEDICAL GROUP
M	$47,976,464	CORP BOOKS/REC
SENTARA MEDICAL GROUP
N	$2,103,837	CORP BOOKS/REC
SENTARA MEDICAL GROUP
S	$552,516	CORP BOOKS/REC
SENTARA ENTERPRISES
B	$6,906,845	CORP BOOKS/REC
SENTARA ENTERPRISES
C	$2,474,590	CORP BOOKS/REC
SENTARA ENTERPRISES
L	$5,371,585	CORP BOOKS/REC
SENTARA ENTERPRISES
M	$3,361,836	CORP BOOKS/REC
SENTARA ENTERPRISES
N	$2,318,451	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
K	$631,503	CORP BOOKS/REC
MPB INC
C	$10,951,870	CORP BOOKS/REC
MPB INC
K	$6,732,022	CORP BOOKS/REC
MPB INC
P	$1,205,528	CORP BOOKS/REC
MPB INC
S	$753,341	CORP BOOKS/REC
SENTARA LIFE CARE CORP
B	$4,681,436	CORP BOOKS/REC
SENTARA LIFE CARE CORP
L	$3,063,206	CORP BOOKS/REC
SENTARA LIFE CARE CORP
M	$1,571,312	CORP BOOKS/REC
SENTARA LIFE CARE CORP
N	$2,298,443	CORP BOOKS/REC
SENTARA LIFE CARE CORP
O	$1,274,821	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
A	$23,521	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
L	$5,840,514	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
N	$1,018,109	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
Q	$6,871,957	CORP BOOKS/REC
OPTIMA HEALTH INSURANCE COMPANY
L	$22,068,847	CORP BOOKS/REC
OPTIMA HEALTH PLAN
L	$163,534,456	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
Q	$1,116,835	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
S	$1,321,875	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
A	$51,000	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
S	$123,077	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
L	$58,378	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
Q	$551,732	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
S	$475,200	CORP BOOKS/REC
SENTARA VENTURES INC
O	$570,437	CORP BOOKS/REC