SENTARA HOSPITALS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SENTARA HOSPITALS (EIN 54-1547408)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-11
IRS object ID: 201603169349302205
Schema version: 2015v2.1
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	2016-11-11T10:31:04-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	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	2016-11-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	HOWARD P KERN	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,198,430,694	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	13704	TotalEmployeeCnt
Total Volunteers	2383	TotalVolunteersCnt
Total Gross UBI	$26,071,682	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,650,785	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,397,483	PYContributionsGrantsAmt
CY Contributions Grants	$2,703,987	CYContributionsGrantsAmt
PY Program Service Revenue	$2,034,391,259	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,184,632,807	CYProgramServiceRevenueAmt
PY Investment Income	$2,777,733	PYInvestmentIncomeAmt
CY Investment Income	$1,683,318	CYInvestmentIncomeAmt
PY Other Revenue	$7,855,964	PYOtherRevenueAmt
CY Other Revenue	$8,169,378	CYOtherRevenueAmt
PY Total Revenue	$2,052,422,439	PYTotalRevenueAmt
CY Total Revenue	$2,197,189,490	CYTotalRevenueAmt
PY Grants And Similar Paid	$25,021,219	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$30,243,961	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$827,172,452	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$866,206,638	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,002,085,465	PYOtherExpensesAmt
CY Other Expenses	$1,073,938,531	CYOtherExpensesAmt
PY Total Expenses	$1,854,279,136	PYTotalExpensesAmt
CY Total Expenses	$1,970,389,130	CYTotalExpensesAmt
PY Revenues Less Expenses	$198,143,303	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$226,800,360	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,282,307,864	TotalAssetsBOYAmt
Total Assets EOY	$1,301,157,594	TotalAssetsEOYAmt
Total Liabilities BOY	$199,986,889	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$215,224,520	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,082,320,975	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,085,933,074	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	$1,694,487,646	ExpenseAmt
Grant	$30,243,961	GrantAmt
Revenue	$2,162,612,259	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,694,487,646	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	Yes (1)	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	2795	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	13704	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 (24 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	2.00	49.20	Yes (X)	Yes (X)	$0	$3,297,673	$78,898
ROBERT A BROERMANN
DIRECTOR/TREASURER	2.00	49.00	Yes (X)	Yes (X)	$0	$2,302,226	$30,888
HOWARD P KERN
DIRECTOR/PRESIDENT	2.00	48.20	Yes (X)	Yes (X)	$0	$3,162,206	$1,734,160
KENNETH M KRAKAUR
DIRECTOR	1.00	40.00	Yes (X)		$0	$538,319	$49,075
JEFFREY P KING
SECRETARY	1.00	46.00		Yes (X)	$0	$644,028	$86,140
MARY L BLUNT
KE (CORPORATE VP)	40.00	1.00			$956,958	$0	$57,500	Yes (X)
ELWOOD B BOONE III
KE (PRESIDENT, VBGH)	40.00	0.00			$403,634	$0	$63,479	Yes (X)
TERESA L EDWARDS
KE (PRESIDENT SLH)	40.00	0.00			$532,750	$0	$73,020	Yes (X)
ROBERT C FIRESTONE
KE (VP OPERATIONS SNGH)	40.00	0.00			$256,211	$0	$42,820	Yes (X)
DEBRA A FLORES
KE (PRESIDENT, SCH)	40.00	0.00			$453,921	$0	$28,948	Yes (X)
MICHAEL V GENTRY
KE (CORPORATE VP)	40.00	7.00			$916,949	$0	$108,495	Yes (X)
KURT T HOFELICH
KE (PRESIDENT, SNGH)	40.00	0.00			$552,267	$0	$53,071	Yes (X)
GENEMARIE W MCGEE
KE (CNO)	40.00	0.00			$374,903	$0	$55,803	Yes (X)
BERTRAM S REESE
KE (SHC SVP & CIO)	40.00	0.00			$950,428	$0	-$12,956	Yes (X)
GRACE MYERS
KE (CNE)	40.00	0.00			$278,596	$0	$38,510	Yes (X)
GENE H BURKE
VP /EXEC MED DIRECTOR CLINICAL EFFECTIVENESS	40.00	0.00			$491,099	$0	$16,380		Yes (X)
PAUL D CHIDESTER
VP MEDICAL AFFAIRS	40.00	0.00			$477,039	$0	$48,628		Yes (X)
J STEPHEN JULIAN JR
PRESIDENT SOH	40.00	0.00			$450,620	$0	$66,186		Yes (X)
SCOTT A MILLER
VP, MEDICAL AFFAIRS	40.00	0.00			$430,531	$0	$16,055		Yes (X)
DAVID N MOHR
VP CLIN INFORMATICS/TRANSFORMATION	40.00	0.00			$424,695	$0	$36,655		Yes (X)
GRACE R HINES
FORMER OFFICER	0.00	40.00			$0	$574,798	$29,808			Yes (X)
STEPHEN D PORTER
FORMER OFFICER AND KEY EMPLOYEE	0.00	41.00			$0	$795,066	$82,484			Yes (X)
SYLVIA M RICHENDOLLAR
FORMER OFFICER AND KEY EMPLOYEE	40.00	0.00			$271,952	$0	$38,882			Yes (X)
THOMAS THAMES
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	40.00			$0	$439,884	$75,733			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,222,553	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,754,200	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,898,662	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	674	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	$20,882,414
ARAMARK HEALTHCARE TECHNOLOGIES LLC
12483 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	MEDICAL TECHNOLOGIES & SERVICES	$10,536,985
ATLANTIC ANESTHESIA INC
134 BUSINESS PARK DRIVE	VIRGINIA BEACH	VA	23462	MEDICAL PROFESSIONAL SERVICES	$7,471,519
MORRISON MANAGEMENT SPECIALISTS INC
PO BOX 160266	MOBILE	AL	36625	FOOD & FACIL. MGMT	$5,445,987
LAB CORP OF AM HOLDINGS
PO BOX 12140	BURLINGTON	NC	27216	DIAGNOSITC TESTING SERVICES	$5,014,660

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	250	CntrctRcvdGreaterThan100KCnt
Government Grants	$885,825	GovernmentGrantsAmt
All Other Contributions	$1,818,162	AllOtherContributionsAmt
Total Contributions	$2,703,987	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$2,120,004,321	$2,119,629,075	$375,246
EQUITY IN AFFILIATES	900099	$27,072,048	$27,072,048
OUTSIDE LAB SERVICES	621500	$21,754,274		$21,754,274
OTHER PROGRAM SERVICE REVENUE	900099	$11,097,173	$11,097,173
PREMIUM & CAP REVENUE	900099	$3,541,153	$3,541,153

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,163,838	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,163,838	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,184,632,807	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,384,920	TotalRevenueColumnAmt
Exclusion	$2,384,920	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,025,054	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,025,054	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,025,054	TotalRevenueColumnAmt
Exclusion	$4,025,054	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$539,602	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,241,204	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$701,602	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$701,602	TotalRevenueColumnAmt
Exclusion	-$701,602	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MISC. SERVICES	900099	$3,290,684	$3,290,684
INCOME FROM S CORP	900099	$628,325	$628,325
INCOME FROM PSHIP/LLC	900099	$136,782	$23,153	$108,972	$4,657

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,533	TotalRevenueColumnAmt
Exclusion	$88,533	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,144,324	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,197,189,490	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,162,612,259	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,071,682	UnrelatedBusinessRevenueAmt
Exclusion	$5,801,562	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$29,971,976	TotalAmt
Program Services	$29,971,976	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$271,985	TotalAmt
Program Services	$271,985	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,185,307	TotalAmt
Program Services	$4,762,686	ProgramServicesAmt
Management And General	$1,422,621	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$111,014	TotalAmt
Program Services	$85,481	ProgramServicesAmt
Management And General	$25,533	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$683,142,705	TotalAmt
Program Services	$526,019,883	ProgramServicesAmt
Management And General	$157,122,822	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$53,620,726	TotalAmt
Program Services	$41,287,959	ProgramServicesAmt
Management And General	$12,332,767	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$72,964,280	TotalAmt
Program Services	$56,182,496	ProgramServicesAmt
Management And General	$16,781,784	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$50,182,606	TotalAmt
Program Services	$38,640,607	ProgramServicesAmt
Management And General	$11,541,999	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$18,882,249	TotalAmt
Program Services	$14,539,332	ProgramServicesAmt
Management And General	$4,342,917	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$790,834	TotalAmt
Program Services	$608,942	ProgramServicesAmt
Management And General	$181,892	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$36,717	TotalAmt
Program Services	$28,272	ProgramServicesAmt
Management And General	$8,445	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$28,558	TotalAmt
Program Services	$21,990	ProgramServicesAmt
Management And General	$6,568	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$183,451,615	TotalAmt
Program Services	$175,974,243	ProgramServicesAmt
Management And General	$7,477,372	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$563,930	TotalAmt
Program Services	$434,226	ProgramServicesAmt
Management And General	$129,704	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$103,819,370	TotalAmt
Program Services	$79,940,915	ProgramServicesAmt
Management And General	$23,878,455	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,615,474	TotalAmt
Program Services	$20,493,915	ProgramServicesAmt
Management And General	$6,121,559	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$45,578,251	TotalAmt
Program Services	$35,095,253	ProgramServicesAmt
Management And General	$10,482,998	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,408,176	TotalAmt
Program Services	$1,854,296	ProgramServicesAmt
Management And General	$553,880	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$772,742	TotalAmt
Program Services	$595,011	ProgramServicesAmt
Management And General	$177,731	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,489,307	TotalAmt
Program Services	$12,175,614	ProgramServicesAmt
Management And General	$313,693	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$109,664,364	TotalAmt
Program Services	$84,441,560	ProgramServicesAmt
Management And General	$25,222,804	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,568,617	TotalAmt
Program Services	$6,597,835	ProgramServicesAmt
Management And General	$1,970,782	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$406,797,150	$406,797,150
BAD DEBT EXPENSE	$148,403,279	$148,403,279
UNRELATED BUSINESS INCO	$20,907	$20,907
PURCHASED & CONTRACTED	$30,589,824	$23,554,164	$7,035,660

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$25,542,833	TotalAmt
Program Services	-$14,312,331	ProgramServicesAmt
Management And General	-$11,230,502	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,970,389,130	TotalAmt
Program Services	$1,694,487,646	ProgramServicesAmt
Management And General	$275,901,484	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,648,113	BOYAmt
EOY	$12,767,243	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$324,165	BOYAmt
EOY	$284,516	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$249,421,616	BOYAmt
EOY	$254,464,217	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$30,378	BOYAmt
EOY	$377,742	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$41,267,704	BOYAmt
EOY	$48,738,766	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,418,057	BOYAmt
EOY	$14,696,686	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,462,725,928	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,619,880,351	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$828,485,435	BOYAmt
EOY	$842,845,577	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,968,913	BOYAmt
EOY	$1,663,728	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,178,478	BOYAmt
EOY	$24,492,714	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$102,565,005	BOYAmt
EOY	$100,826,405	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,282,307,864	BOYAmt
EOY	$1,301,157,594	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,395,536	BOYAmt
EOY	$83,217,430	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,584,968	BOYAmt
EOY	$2,058,499	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,727,750	BOYAmt
EOY	$13,441,667	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,278,635	BOYAmt
EOY	$116,506,924	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$199,986,889	BOYAmt
EOY	$215,224,520	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,074,677,693	BOYAmt
EOY	$1,077,082,535	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,601,802	BOYAmt
EOY	$6,800,919	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,041,480	BOYAmt
EOY	$2,049,620	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,082,320,975	BOYAmt
EOY	$1,085,933,074	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,282,307,864	BOYAmt
EOY	$1,301,157,594	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$226,800,360	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$135,032	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$223,323,293	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	$7,643,282	BeginningYearBalanceAmt
Contributions	$3,660,769	ContributionsAmt
Investment Earnings Or Losses	$42,179	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$271,985	GrantsOrScholarshipsAmt
Other Expenditures	$2,223,707	OtherExpendituresAmt
End Year Balance	$8,850,538	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.23540	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.76460	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$647,794,608	OtherCostOrOtherBasisAmt
Depreciation	$303,000,990	DepreciationAmt
Book Value	$344,793,618	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,063,286	OtherCostOrOtherBasisAmt
Depreciation	$28,997,797	DepreciationAmt
Book Value	$6,065,489	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,610,884,832	OtherCostOrOtherBasisAmt
Depreciation	$1,264,449,089	DepreciationAmt
Book Value	$346,435,743	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$119,733,710	OtherCostOrOtherBasisAmt
Depreciation	$23,432,475	DepreciationAmt
Book Value	$96,301,235	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$842,845,577	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$11,562,012
INVESTMENT IN AFFILIATES	$89,264,393

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$100,826,405	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$9,066,532
OTHER CURRENT LIABILITIES	$14,969,024
OTHER LONG TERM LIABILITIES	$56,166,140
DUE TO 3RD PARTY PAYORS	$13,921,011
CAPITAL LEASE OBLIGATION	$22,384,217

Field	Value	IRS element (for citing)
Total Liability	$116,506,924	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	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,854,794	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113,854,794	NetCommunityBenefitExpnsAmt
Total Expense	0.05910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$186,489,776	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,155,106	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,334,670	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$300,344,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,155,106	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$133,189,464	NetCommunityBenefitExpnsAmt
Total Expense	0.06910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,714,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,714,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,006,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,338,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,667,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,562,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,618,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,944,292	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,359,747	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,359,747	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,643,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,957,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,686,631	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,988,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$197,112,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,876,095	NetCommunityBenefitExpnsAmt
Total Expense	0.09390	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,516	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,516	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,276	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,276	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,812	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,812	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$148,403,279	BadDebtExpenseAmt
Bad Debt Expense Attributable	$22,260,492	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$572,368,828	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$602,732,814	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,363,986	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	0.51520	0.48480
2 SENTARA OBICI AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.53630	0.46370
3 VA BEACH AMB SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
4 CANCER CENTERS OF VA LLC
EQUIPMENT LEASING	0.50000	0.50000
5 OBICI REAL EST HOLDINGS LLC
REAL ESTATE RENTAL	0.61540	0.38460
6 PET INSTITUTE OF HAMPTON ROADS LLC
MEDICAL SERVICES	0.13750	0.45000
7 CAREPLEX ORTHO AMBULATORY SURG CTR
OUTPATIENT SURGERY CENTER	0.50000	0.50000
8 ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
ORTHO MGT SVCS	0.40000	0.60000

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

Hospital Facilities HospitalFacilitiesGrp (14 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
SENTARA NORFOLK GENERAL HOSP
1	600 GRESHAM DRIVE	NORFOLK	VA	23507	WWW.SENTARA.COM	H 1896	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SENTARA LEIGH HOSPITAL
2	830 KEMPSVILLE ROAD	NORFOLK	VA	23502	WWW.SENTARA.COM	H 1895	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SENTARA VA BEACH GEN HOSP
3	1060 FIRST COLONIAL ROAD	VA BEACH	VA	23454	WWW.SENTARA.COM	H 1897	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SENTARA CAREPLEX HOSPITAL
4	3000 COLISEUM DRIVE	HAMPTON	VA	23666	WWW.SENTARA.COM	H 1894	Yes (X)	Yes (X)			Yes (X)	A
SENTARA OBICI HOSPITAL
5	2800 GODWIN BLVD	SUFFOLK	VA	23434	WWW.SENTARA.COM	H 1869	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
SENTARA WMSBG REG MED CTR
6	100 SENTARA CIRCLE	WILLIAMSBURG	VA	23188	WWW.SENTARA.COM	H 1898	Yes (X)	Yes (X)			Yes (X)	A
SENTARA ALBEMARLE MEDICAL CTR
7	1144 N ROAD STREET	ELIZABETH CITY	NC	27909	WWW.SENTARA.COM	H0054	Yes (X)	Yes (X)			Yes (X)
SENTARA LEIGH HOSP AMB SRG CTR
8	830 KEMPSVILLE ROAD	NORFOLK	VA	23502	WWW.SENTARA.COM	OH 669	Yes (X)					A	AMBULATORY SURGERY CENTER
SENTARA PORT WARWICK AMB SRG CTR
9	1031 LOFTIS BLVD	NEWPORT NEWS	VA	23606	WWW.SENTARA.COM	OH 704	Yes (X)				Yes (X)	A	AMBULATORY SURGERY CENTER
GEDDY OUTPATIENT CTR AT SWRMC
10	400 SENTARA CIRCLE	WILLIAMSBURG	VA	23188	WWW.SENTARA.COM	OH 670	Yes (X)					A	AMBULATORY SURGERY CENTER
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	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	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	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 (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)	SEE PART V SECTION C	Yes (X)	SEE PART V SECTION C	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)	SEE PART V SECTION C	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 (1)	Yes (1)	Yes (X)		Yes (X)	Yes (1)					Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)				0	0	Yes (X)				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)	0	Yes (1)	Yes (X)		Yes (X)	Yes (1)					Yes (X)	Yes (X)		Yes (X)	0	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 (38 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 WERE ALSO INCLUDED IN ALL PATIENT PRE-REGISTRATION PACKETS, WHICH WERE 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.
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.SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION.
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, LINE 17 - FACILITY REPORTING GROUP A	DURING THE TAX YEAR, THE FACILITY HAD A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP) THAT EXPLAINED ALL OF THE ACTIONS THAT MAY BE TAKEN UPON NON-PAYMENT, BUT IT DID NOT NAME THE OFFICE WITH FINAL RESPONSIBILITY FOR DETERMINING THAT FAP ELIGIBILITY REASONABLE EFFORTS WERE MADE PRIOR TO TAKING EXTRAORDINARY COLLECTION ACTIONS (ECAS.) THE FAP WAS REVISED EFFECTIVE JANUARY 1, 2016, TO INCLUDE THIS INFORMATION, IN ACCORDANCE WITH FINAL TREASURY REGULATIONS ISSUED UNDER IRC SECTION 501(R).
PART V, SECTION B LINES 16A, 16B & 16C	PRINCESS ANNE ASC'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT:HTTP://WWW.SENTARA.COM/HAMPTON-ROADS-VIRGINIA/HOSPITALSLOCATIONS/LOCATIONS/PRINCESS-ANNE-AMBULATORY-SURGERY-CENTER/ABOUT-US.ASPX
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SENTARA NORFOLK GENERAL HOSP, - FACILITY 3: SENTARA VA BEACH GEN HOSP, - FACILITY 2: SENTARA LEIGH HOSPITAL, - FACILITY 4: SENTARA CAREPLEX HOSPITAL, - FACILITY 6: SENTARA WMSBG REG MED CTR, - FACILITY 5: SENTARA OBICI HOSPITAL, - FACILITY 8: SENTARA LEIGH HOSP AMB SRG CTR, - FACILITY 9: SENTARA PORT WARWICK AMB SRG CTR, - FACILITY 10: GEDDY OUTPATIENT CTR AT SWRMC
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	1. IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), EACH HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS. EACH HOSPITAL FACILITY PARTICIPATED IN A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, 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 EXECUTION 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 INSERT AND CONTACT INFORMATION FOR RECEIVING ASSISTANCE. PATIENTS WHO PRESENTED AS SELF-INSURED WERE AUTOMATICALLY PROVIDED WITH THIS INFORMATION UPON REGISTRATION. POSTERS IN ENGLISH AND SPANISH ADVERTISING THE EXISTENCE OF FINANCIAL ASSISTANCE PROGRAMS AT THE FACILITIES WERE CONSPICUOUSLY DISPLAYED IN THE EMERGENCY ROOM AND PATIENT REGISTRATION AREAS. ALL LETTERS TO PATIENTS FOR PAYMENT INCLUDED A NOTIFICATION ON THE LETTER BACKER 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.

Field	Value	IRS element (for citing)
Facility	115	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (115 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ADVANCED IMAGING CENTER-LEIGH
890 KEMPSVILLE ROAD	NORFOLK	VA	23502	IMAGING CENTER
2 - ADVANCED IMAGING CENTER-1ST COLONIAL
1080 FIRST COLONIAL ROAD	VIRGINIA BEACH	VA	23454	IMAGING CENTER
3 - ADVANCED IMAGING CENTER-GREENBRIER
713 VOLVO PARKWAY STE 105	CHESAPEAKE	VA	23320	OTHER OUTPATIENT SITE
4 - SENTARA INDEPENDENCE
800 INDEPENDENCE BLVD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
5 - SENTARA BELLEHARBOUR
3920A BRIDGE ROAD STE 100	SUFFOLK	VA	23435	DIAGNOSTIC CENTER
6 - PORT WARWICK MEDICAL ARTS
11803 JEFFERSON AVE	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
7 - PORT WARWICK COMPREHENSIVE BREAST CTR
1051 LOFTIS BLVD STE 200	NEWPORT NEWS	VA	23606	DIAGNOSTIC CENTER
8 - SENTARA LEIGH COMP BREAST CT
880 KEMPSVILLE ROAD STE 1200	NORFOLK	VA	23502	BREAST DIAGNOSTIC CENTER
9 - SVBGH PAIN MANAGEMENT UNIT
1080 FIRST COLONIAL ROAD STE 201	VIRGINIA BEACH	VA	23454	PAIN MGT. CENTER
10 - SENTARA HILLTOP THERAPY CENTER
1725 LASKIN ROAD STE 535	VIRGINIA BEACH	VA	23454	REHABILITATION CENTER
11 - SENTARA RADIOLOGY SPECIALISTS-KEMPS
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
12 - SENTARA LEIGH THERAPY CENTER
6315 N CENTER DR BLDG 20 STE 101	NORFOLK	VA	23502	REHABILITATION CENTER
13 - GREENBRIER-BATTLEFIELD THERAPY CTR
713 VOLVO PARKWAY STE 101	CHESAPEAKE	VA	23320	REHABILITATION CENTER
14 - SWRMC OUTPATIENT REHABILITATION SERVICES
YMCA BUILDING 301 SENTARA CIR	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
15 - SWRMC OUTPATIENT PHYSICAL THERAPY
5301 LONGHILL ROAD	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
16 - SENTARA THERAPY CENTER GRANBY YMCA
2901 GRANBY ST STE 200	NORFOLK	VA	23504	REHABILITATION CENTER
17 - OUTPATIENT INFUSION CENTER III
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
18 - NORFOLK DIAGNOSTIC CENTER
850 KEMPSVILLE ROAD	NORFOLK	VA	23502	DIAGNOSTIC CENTER
19 - SENTARA OBICI MAMMOGRAPHYDIAGNOSTIC CTR
913 S CHURCH ST	SMITHFIELD	VA	23430	BREAST DIAGNOSTIC CENTER
20 - ADVANCED IMAGING CENTER-ST LUKE'S
20209 SENTARA WAY STE 108	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
21 - SENTARA HAND THERAPY CENTER
5712 CLEVELAND ST STE 150	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
22 - SENTARA HAND THERAPY CENTER
6160 KEMPSVILLE CIRCLE 102A	NORFOLK	VA	23052	OTHER OUTPATIENT SITE
23 - SENTARA THERAPY CENTER-BLOCKER YMCA
312 WEST BUTE ST	NORFOLK	VA	23510	REHABILITATION CENTER
24 - ADVANCED IMAG CTR-WAINWRIGHT
229 WEST BUTE ST STE 900 9TH FL	NORFOLK	VA	23510	IMAGING CENTER
25 - SENTARA PORT WAR PHYS THER & WOUND CARE
11803 JEFFERSON AVE STE 125	NEWPORT NEWS	VA	23606	REHABILITATION CENTER
26 - SENTARA NORFOLK GENERAL DAY REHAB CTR
890 KEMPSVILLE ROAD	NORFOLK	VA	23502	REHABILITATION CENTER
27 - SENTARA ST LUKE'S-SMITHFIELD THERAPY CTR
20209 SENTARA WAY STE 102	CARROLLTON	VA	23314	REHABILITATION CENTER
28 - CAREPLEX MEDICAL ARTS SLEEP LAB
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	SLEEP DISORDER CLINIC
29 - SENTARA INDEPENDENCE THERAPY CENTER
816 INDEPENDENCE BLVD STE 3F	VIRGINIA BEACH	VA	23455	REHABILITATION CENTER
30 - SENTARA GREAT BRIDGE THERAPY CENTER
633 BATTLEFIELD BLVD S	CHESAPEAKE	VA	23322	REHABILITATION CENTER
31 - CARDIOLOGY SPEC-KEMPSVILLE RD
844 KEMPSVILLE ROAD STE 204	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
32 - SENTARA THERAPY CENTER-SUFFOLK YMCA
ROUTE 10/GODWIN BLVD	SUFFOLK	VA	23434	REHABILITATION CENTER
33 - SENTARA THERAPY CENTER-COLISEUM
4001 COLISEUM DR STE 200	HAMPTON	VA	23666	REHABILITATION CENTER
34 - SENTARA INDIAN RIVER THERAPY CENTER
5660 INDIAN RIVER ROAD STE 121	VIRGINIA BEACH	VA	23464	REHABILITATION CENTER
35 - SENTARA THERAPY CENTER-CAREPLEX
4000 COLISEUM DR STE 120	HAMPTON	VA	23666	REHABILITATION CENTER
36 - SENTARA THERAPY CENTER-QUINTON
2500 NEW KENT HWY PO BOX 339	QUINTON	VA	23141	REHABILITATION CENTER
37 - AMBULATORY CARE CLINIC
130 COLLEY AVE	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
38 - SVBGH-SENTARA HEALTH AND WELLNESS CTR
1708 OLD DONATION PARKWAY	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
39 - SENTARA KITTY HAWK
5200 N CROATAN HWY	KITTY HAWK	NC	27949	SURGERY AND DIAGNOSTIC CENTER
40 - SENTARA THERAPY CENTER KINGS MILL
1915 POCAHONTAS TRAIL STE F10	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
41 - COMPREHENSIVE PAIN MANAGEMENT CENTER
400 GRESHAM DR STE 712	NORFOLK	VA	23501	PAIN MGT. CENTER
42 - SENTARA GRASSFIELD THERAPY CENTER
1001 SCENIC PARKWAY STE 101	CHESAPEAKE	VA	23323	REHABILITATION CENTER
43 - CARDIOLOGY SPEC-FORT NORFOLK
301 RIVERVIEW AVE STE 700	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
44 - SENTARA MOBILE MAMMOGRAPHY
880 KEMPSVILLE ROAD	NORFOLK	VA	23502	MOBILE MAMMOGRAPHY
45 - NEW TOWN INTERNAL MEDICINE
4374 NEW TOWN AVE STE 102	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
46 - SENTARA THERAPY CENTER-MATHEWS
75 MAIN STREET STE E	MATHEWS	VA	23109	REHABILITATION CENTER
47 - SENTARA PHYS THER CTR-WAKEFIELD
103 RAILROAD AVE	WAKEFIELD	VA	23888	REHABILITATION CENTER
48 - SENTARA ST LUKE'S LAB SERVICES
5659 PARKWAY DR STE 100	GLOUCESTER	VA	23061	LAB SERVICES
49 - SENTARA FAM MED PHYS-1ST COLONIAL
1024 FIRST COLONIAL ROAD STE 102	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
50 - SENTARA THERAPY CENTER-JAMES CITY
5301 LONGHILL ROAD	WILLIAMSBURG	VA	23188	REHABILITATION CENTER
51 - NEW TOWN DIAGNOSTIC CENTER
4374 NEW TOWN AVE STE 104	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
52 - NEW TOWN FAMILY PRACTICE
4374 NEW TOWN AVE STE 200	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
53 - SENTARA FAM & INT MED PHYS CLPX W
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
54 - NEW TOWN URGENT CARE
4374 NEW TOWN AVE STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
55 - GLOUCESTER IMAGING CENTER
5659 PARKWAY DR STE 130	GLOUCESTER	VA	23061	IMAGING CENTER
56 - SENTARA INTERNAL MEDICINE PHYS-KINGSMILL
477 MCCLAWS CIR STE 1	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
57 - VASCULAR & TRANSPLANT SPEC-VAB
397 LITTLE NECK ROAD STE 120	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
58 - SENTARA FAM MED & UC PHYS-VBTC INDEP
816 INDEPENDENCE BLVD STE 100	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
59 - FAMILY MED WILLIAMSBURG
400 SENTARA CIR STE 450	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
60 - VASCULAR & TRANSPLANT SPEC-PORT WARWICK
1051 LOFTIS BLVD STE 205	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
61 - SENTARA FAMILY MED PHYS-ST LUKE'S
20209 SENTARA WAY STE 200	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
62 - SENTARA FAM MED PHYS-OLD HAMPTON
200 EATON ST	HAMPTON	VA	23669	OTHER OUTPATIENT SITE
63 - SENTARA INT MED PHYS-PORT WARWICK 1
11803 JEFFERSON AVE STE 140	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
64 - SENTARA FORT NK COMP BREAST CTR
301 RIVERVIEW AVE STE 830	NORFOLK	VA	23510	BREAST DIAGNOSTIC CENTER
65 - FAMILY MED-THOROUGHGOOD
2017 PLEASURE HOUSE ROAD	VIRGINIA BEACH	VA	23455	OTHER OUTPATIENT SITE
66 - SENTARA PODIATRY SPECIALISTS
5253 PROVIDENCE ROAD STE 100	VIRGINIA BEACH	VA	23464	OTHER OUTPATIENT SITE
67 - OCEANFRONT FAMILY PRACTICE
303 35TH STREET STE 102	VIRGINIA BEACH	VA	23451	OTHER OUTPATIENT SITE
68 - FAMILY MED-1080 BLDG
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
69 - FAMILY MEDICAL PYSICIANS- KINGSMILL
1919 POCAHONTAS TRAIL STE F5	WILLIAMSBURG	VA	23185	OTHER OUTPATIENT SITE
70 - FIRST COLONIAL DIAGNOSTIC CENTER
1080 FIRST COLONIAL ROAD STE 100	VIRGINIA BEACH	VA	23454	DIAGNOSTIC CENTER
71 - SENTARA FAM MED& UC PHYS-LITTLE NECK
2859 VIRGINIA BEACH BLVD STE 100	VIRGINIA BEACH	VA	23452	OTHER OUTPATIENT SITE
72 - FORT NORFOLK MEDICAL CENTER
301 RIVERVIEW AVE	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
73 - SENTARA HAND SURGERY SPECIALISTS-VAB
5716 CLEVELAND ST STE 210	VIRGINIA BEACH	VA	23462	REHABILITATION CENTER
74 - SENTARA THER CTR AT HAMPTON YMCA
1 YMCA WAY	HAMPTON	VA	23669	REHABILITATION CENTER
75 - SENTARA FAM MED PHYS-PENINSULA TOWNE
2104 EXECUTIVE DR	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
76 - SENTARA INTERNAL MED PHYS-FORT NK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
77 - SENTARA CARDIOLOGY SPEC-WILLIAMSBURG
500 SENTARA CIR STE 100	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
78 - NORFOLK SURGICAL GROUP
880 KEMPSVILLE ROAD STE 1000	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
79 - VASCULAR & TRANSPLANT SPECIALISTS-NK
600 GRESHAM DR STE 8620	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
80 - SENTARA THERAPY CENTER AT YORK
100 ENTERPRISE DRIVE	YORKTOWN	VA	23692	REHABILITATION CENTER
81 - SENTARA URGENT CARE-ST LUKE'S
20209 SENTARA WAY STE 100	CARROLLTON	VA	23314	OTHER OUTPATIENT SITE
82 - SENTARA NEUROLOGY SPEC-CAREPLEX
4001 COLISEUM DR STE 300	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
83 - SENTARA PULMONARY & CC SPEC-CAREPLEX
4000 COLISEUM DR STE 350	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
84 - SENTARA URGENT CARE-J CLYDE
747 J CLYDE MORRIS BLVD	NEWPORT NEWS	VA	23601	OTHER OUTPATIENT SITE
85 - SENTARA URGENT CARE-LITTLE CREEK
1326 E LITTLE CREEK ROAD	NORFOLK	VA	23518	OTHER OUTPATIENT SITE
86 - SENTARA FAM MEDICINE PHYS-FORT NK
301 RIVERVIEW AVE STE 810	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
87 - SENTARA SURG SPEC-PORT WARWICK I
11803 JEFFERSON AVE STE 235	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
88 - SENTARA FAM MED PHYS-PORT WARWICK I
11803 JEFFERSON AVE STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
89 - ENDOCRINOLOGY SPECIALISTS-SCP
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
90 - VIRGINIA ORTHO & SPORTS MED-NEW TOWN
5335 DISCOVERY PARK BLVD STE B	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
91 - SENTARA PHY MED & PAIN MGMT SPC-CAREPLEX
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
92 - SENTARA SURGERY SPEC-CAREPLEX
4000 COLISEUM DR STE 320	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
93 - VASCULAR & TRANSPLANT SPEC-CAREPLEX
4000 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
94 - VASCULAR & TRANSPLANT SPEC-SUFFOLK
171 N MAIN ST	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
95 - SENTARA PULMONARY & CC SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
96 - CARDIOLOGY SPECIALISTS-PORT WARWICK
1031 LOFTIS BLVD STE 100	NEWPORT NEWS	VA	23606	OTHER OUTPATIENT SITE
97 - SENTARA SURGERY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 305	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
98 - SENTARA SURGERY SPEC-1080 BUILDING
1080 FIRST COLONIAL ROAD STE 200	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
99 - SENTARA NEUROLOGY SPEC-NK
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
100 - MOBILE PET SCAN
5900-B LAKE WRIGHT DR	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
101 - SENTARA PODIATRY SPEC-1ST COLONIAL
1080 FIRST COLONIAL RD STE 400	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
102 - SENTARA RHEUMATOLOGY SPEC-CAREPLEX W
4001 COLISEUM DR STE 310	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
103 - SENTARA PODIATRY SPEC-KEMPSVILLE
844 KEMPSVILLE ROAD STE 100D	NORFOLK	VA	23502	OTHER OUTPATIENT SITE
104 - VASCULAR & TRANSPLANT SPEC-WILLIAMSBURG
400 SENTARA CIR STE 350	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
105 - WILLIAMSBURG SURGERY
500 SENTARA CIR STE 202	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
106 - SENTARA NEUROLOGY SPECIALISTS-OBICI
2790 GODWIN BLVD STE 320	SUFFOLK	VA	23434	OTHER OUTPATIENT SITE
107 - ORTHOPEDIC TRAUMA-NORFOLK
600 GRESHAM DR SUITE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
108 - SENTARA PULMONARY & CC SPEC-WILLIAMSBURG
400 SENTARA CIR STE 320	WILLIAMSBURG	VA	23188	OTHER OUTPATIENT SITE
109 - SENTARA THERAPY CENTER MIDDLESEX
11487 GENERAL PULLER HIGHWAY	HEARTFIELD	VA	23071	REHABILITATION CENTER
110 - NEUROSURGERY NORFOLK HEART HOSPITAL
600 GRESHAM DR STE 8630	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
111 - INFECTIOUS DISEASE - FORT NORFOLK
301 RIVERVIEW AVE STE 710	NORFOLK	VA	23510	OTHER OUTPATIENT SITE
112 - INFECTIOUS DISEASE - CAREPLEX
4000 COLISEUM DR STE 345	HAMPTON	VA	23666	OTHER OUTPATIENT SITE
113 - SENTARA PLASTIC SURGERY SPECIALISTS
600 GRESHAM DR STE 204	NORFOLK	VA	23507	OTHER OUTPATIENT SITE
114 - SENTARA CYTOGENICS LAB
1701 WILL O WISP DR STE 1E	VIRGINIA BEACH	VA	23454	OTHER OUTPATIENT SITE
115 - SENTARA NEUROSURGERY SPEC 1080 BLDG
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:	$36,243 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $148,403,279
PART II, COMMUNITY BUILDING ACTIVITIES:	COALITION BUILDING THE ORGANIZATION COLLABORATES WITH VARIOUS COMMUNITY ORGANIZATIONS TO IDENTIFY AND ADDRESS HEALTH CARE NEEDS WITHIN THE COMMUNITY. WORKFORCE DEVELOPMENT THE ORGANIZATION PROVIDES VARIOUS PROGRAMS WHERE HIGH SCHOOL AND COLLEGE STUDENTS WITH AN INTEREST IN HEALTH CARE CAREERS MAY PARTICIPATE IN JOB SHADOWING OR EXTERNSHIPS WITHIN ITS VARIOUS HOSPITALS. 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 PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DISCUSSES BAD DEBT.
PART III, LINE 3:	IN COMPUTING LINE 3, THE ORGANIZATION CONSERVATIVELY ESTIMATES THAT 15% OF BAD DEBT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY ASSISTANCE IF SUFFICIENT DATA WAS AVAILABLE. THIS ESTIMATE IS BASED ON CREDIT REPORTING DATA PURCHASED FROM EQUIFAX. THIS DATA PROVIDES CREDIT SCORE, INCOME PREDICTION DATA AND NUMEROUS LINES OF CREDIT AND ASSET DATA. FOR UNRESPONSIVE PATIENTS, THE ORGANIZATION USES THE ESTIMATED INCOME, MARITAL STATUS, ASSET INFORMATION AND CREDIT LINE DATA TO DETERMINE WHETHER THE PATIENT WOULD QUALIFY FOR CHARITY BASED ON A PROJECTED INCOME OF 200% OF THE FEDERAL POVERTY GUIDELINES WITH LITTLE TO NO ASSET DATA. THIS INFORMATION IS NOT ALL INCLUSIVE FOR ALL UNRESPONSIVE PATIENTS THAT COULD QUALIFY, AS DEPENDENT INFORMATION IS NOT READILY AVAILABLE.
PART III, LINE 4:	SEE PAGE PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES BAD DEBT.
PART III, LINE 8:	WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6.
PART III, LINE 9B:	UNDER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY, A HOSPITAL FACILITY MUST TAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN COLLECTION EFFORTS AGAINST A PATIENT. SUCH EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 200% FEDERAL POVERTY GUIDELINES, THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS WRITTEN OFF TO CHARITY.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:- ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED 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: 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 STAYS. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE ASCS. INDIVIDUALS DESIRING TREATMENT SPEAK WITH FACILITY PERSONNEL PRIOR TO BEING SCHEDULED FOR SURGERY, IN ORDER TO DISCUSS INSURANCE COVERAGE AND PAYMENT ARRANGEMENTS. THE ASCS WORK WITH INDIVIDUALS TO COME UP WITH PAYMENT OPTIONS, OFFERING FREE CARE IN ACCORDANCE WITH EACH FACILITY'S FINANCIAL ASSISTANCE POLICY OR DISCOUNTED CARE IN ACCORDANCE WITH EACH FACILITY'S DISCOUNT PRACTICES.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
EASTERN VA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	237053208	501(C)(3)	$10,850,875	OPERATING FUND AND INDIGENT CARE
OLDE TOWNE MEDICAL CENTER
5249 OLDE TOWNE RD	WILLIAMSBURG	VA	23188	541663905	501(C)(3)	$100,000	COMMUNITY HEALTH SUPPORT
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	501(C)(3)	$17,411,523	OVERHEAD ALLOCATIONS
PENINSULA EMS COUNCIL
PO BOX 1297	GLOUCESTER	VA	23061	541064500	501(C)(3)	$11,500	DONATION/SPONSORSHIP
ISLE OF WHITE CHAMBER OF COMMERCE
PO BOX 38	SMITHFIELD	VA	23431	521277308	501(C)(6)	$5,100	DONATION/SPONSORSHIP
GREATER WILLIAMSBURG CHAMBER AND TOURISM ALLIANCE
421 NORTH BOUNDARY STREET	WILLIAMSBURG	VA	23185	540482313	501(C)(6)	$21,000	DONATION/SPONSORSHIP
TIDEWATER EMS COUNCIL INC
1104 MADISON PLAZA	CHESAPEAKE	VA	23320	540977032	501(C)(3)	$25,000	ANNUAL SUPPORT
VERSABILITY RESOURCES INC
2520 58TH STREET	HAMPTON	VA	23661	540802199	501(C)(3)	$32,000	DONATION/SPONSORSHIP
VIRGINIA PENINSULA FOODBANK
2401 ALUMINUM AVENUE	HAMPTON	VA	23661	541422298	501(C)(3)	$11,000	DONATION/SPONSORSHIP
THE HEALING PLACE OF HAMPTON ROADS
5365 ROBIN HOOD ROAD STE 700	NORFOLK	VA	23513	461193930	501(C)(3)	$100,000	CAPITAL FUNDING
JDRF INTERNATIONAL
26 BROADWAY 15TH FLOOR	NEW YORK	NY	10004	231907729	501(C)(3)	$20,000	DONATION/SPONSORSHIP
VIRGINIA DENTAL ASSOCIATION FOUNDATION
3460 MAYLAND COURT STE 110	RICHMOND	VA	23233	541821602	501(C)(3)	$50,000	DONATION/SPONSORSHIP
NORFOLK STATE UNIVERSITY FOUNDATION INC AND SUBSIDIARY
700 PARK AVENUE	NORFOLK	VA	23504	237235954	501(C)(3)	$300,000	CAPITAL FUNDING/SCHOLARSHIP
ALBEMARLE HOSPITAL FOUNDATION
PO BOX 1412	ELIZABETH CITY	NC	27906	432031990	501(C)(3)	$334,872	PROGRAM SUPPORT
COLLEGE OF THE ALBEMARLE FOUNDATION INC
PO BOX 2327	ELIZABETH CITY	NC	27906	581399254	501(C)(3)	$16,000	CLINICAL EDUCATION OPPORTUNITIES
ALBEMARLE REGIONAL HEALTH SERVICES
711 ROANOKE AVENUE	ELIZABETH CITY	NC	27909	566000798	PASQUOTANK COUNTY	$117,692	FUNDING FOR CLINICAL RESOURCES
PASQUOTANK COUNTY
PO BOX 586	ELIZABETH CITY	NC	27907	566000328	PASQUOTANK COUNTY	$450,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	15	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	294	RecipientCnt
Cash Grant	$271,985	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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	$1,391,722	$0	$1,508,038	$0	$397,913	$0	$57,405	$0	$21,493	$0	$3,376,571	$0	$0
ROBERT A BROERMANN
DIRECTOR/TREASURER	$0	$738,225	$0	$556,761	$0	$1,007,240	$0	$12,518	$0	$18,370	$0	$2,333,114	$0	$563,900
HOWARD P KERN
DIRECTOR/PRESIDENT	$0	$966,286	$0	$858,798	$0	$1,337,122	$0	$1,715,812	$0	$18,348	$0	$4,896,366	$0	$560,147
KENNETH M KRAKAUR
DIRECTOR	$0	$365,706	$0	$124,682	$0	$47,931	$0	$29,228	$0	$19,847	$0	$587,394	$0	$0
JEFFREY P KING
SECRETARY	$0	$434,964	$0	$144,257	$0	$64,807	$0	$61,948	$0	$24,192	$0	$730,168	$0	$25,115
MARY L BLUNT
KE (CORPORATE VP)	$520,587	$0	$313,992	$0	$122,379	$0	$42,097	$0	$15,403	$0	$1,014,458	$0	$0	$0
ELWOOD B BOONE III
KE (PRESIDENT, VBGH)	$290,115	$0	$93,809	$0	$19,710	$0	$41,344	$0	$22,135	$0	$467,113	$0	$0	$0
TERESA L EDWARDS
KE (PRESIDENT SLH)	$331,599	$0	$147,236	$0	$53,915	$0	$47,717	$0	$25,303	$0	$605,770	$0	$18,386	$0
ROBERT C FIRESTONE
KE (VP OPERATIONS SNGH)	$192,850	$0	$58,643	$0	$4,718	$0	$19,292	$0	$23,528	$0	$299,031	$0	$0	$0
DEBRA A FLORES
KE (PRESIDENT, SCH)	$301,139	$0	$97,922	$0	$54,860	$0	$21,444	$0	$7,504	$0	$482,869	$0	$13,342	$0
MICHAEL V GENTRY
KE (CORPORATE VP)	$531,073	$0	$314,662	$0	$71,214	$0	$94,139	$0	$14,356	$0	$1,025,444	$0	$53,841	$0
KURT T HOFELICH
KE (PRESIDENT, SNGH)	$351,010	$0	$147,588	$0	$53,669	$0	$30,876	$0	$22,195	$0	$605,338	$0	$11,736	$0
GENEMARIE W MCGEE
KE (CNO)	$268,115	$0	$89,563	$0	$17,225	$0	$34,717	$0	$21,086	$0	$430,706	$0	$0	$0
BERTRAM S REESE
KE (SHC SVP & CIO)	$470,917	$0	$329,384	$0	$150,127	$0	-$26,412	$0	$13,456	$0	$937,472	$0	$29,808	$0
GRACE MYERS
KE (CNE)	$211,238	$0	$67,041	$0	$317	$0	$29,063	$0	$9,447	$0	$317,106	$0	$0	$0
GENE H BURKE
VP /EXEC MED DIRECTOR CLINICAL EFFEC	$362,325	$0	$122,160	$0	$6,614	$0	-$7,386	$0	$23,766	$0	$507,479	$0	$0	$0
PAUL D CHIDESTER
VP MEDICAL AFFAIRS	$320,472	$0	$136,990	$0	$19,577	$0	$23,975	$0	$24,653	$0	$525,667	$0	$0	$0
J STEPHEN JULIAN JR
PRESIDENT SOH	$296,653	$0	$134,574	$0	$19,393	$0	$47,015	$0	$19,171	$0	$516,806	$0	$0	$0
SCOTT A MILLER
VP, MEDICAL AFFAIRS	$289,588	$0	$118,889	$0	$22,054	$0	-$7,441	$0	$23,496	$0	$446,586	$0	$0	$0
DAVID N MOHR
VP CLIN INFORMATICS/TRANSFORMATION	$298,250	$0	$104,406	$0	$22,039	$0	$35,971	$0	$684	$0	$461,350	$0	$0	$0
GRACE R HINES
FORMER OFFICER	$0	$301,770	$0	$182,294	$0	$90,734	$0	$7,950	$0	$21,858	$0	$604,606	$0	$0
STEPHEN D PORTER
FORMER OFFICER AND KEY EMPLOYEE	$0	$385,059	$0	$214,100	$0	$195,907	$0	$65,732	$0	$16,752	$0	$877,550	$0	$16,985
SYLVIA M RICHENDOLLAR
FORMER OFFICER AND KEY EMPLOYEE	$198,605	$0	$61,340	$0	$12,007	$0	$22,478	$0	$16,404	$0	$310,834	$0	$0	$0
THOMAS THAMES
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$312,076	$0	$125,654	$0	$2,154	$0	$51,085	$0	$24,648	$0	$515,617	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PROVIDED A GROSS-UP PAYMENT ON A SENIOR EXECUTIVE'S TAXABLE RETIREMENT GIFT. THE GROSS-UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION.
PART I, LINE 3	SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE.
PART I, LINE 4B	HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND PARTICIPATED IN THE SENTARA OPTION PLAN FOR EXECUTIVES. THIS PLAN IS UNRELATED TO "EQUITY" OF THE EMPLOYER. PARTICIPATION IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF SENTARA HEALTHCARE AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. DAVID BERND, HOWARD KERN, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, KENNETH KRAKAUR, BERTRAM REESE, TERESA EDWARDS, DEBRA FLORES, GRACE HINES, KURT HOFELICH, STEPHEN PORTER, JEFFREY KING, ELWOOD BOONE, J. S. JULIAN, JR., M.D., GENEMARIE MCGEE, 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 2015, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($269,148 ) MARY BLUNT ($77,803); ROBERT BROERMANN ($948,055); TERESA EDWARDS ($31,905) DEBRA FLORES ($23,818); MICHAEL GENTRY ($64,851); GRACE HINES ($46,385); KURT HOFELICH ($20,744); HOWARD KERN ($355,085); KENNETH KRAKAUR ($25,956);GENEMARIE MCGEE ($16,074); STEPHEN PORTER ($31,231); BERTRAM REESE ($95,669); AND JEFFREY KING ($43,559). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	DURING THE CURRENT YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KATHERINE M HINES
FAMILY MEMBER OF GRACE R. HINES, FORMER OFFICER	$73,951	EMPLOYMENT	0
RICHARD E VINIKOFF
FAMILY MEMBER OF KEN KRAKAUR, DIRECTOR	$111,014	EMPLOYMENT	0
JULIE L PORTER
FAMILY MEMBER OF STEPHEN D. PORTER, FORMER OFFICER & KEY EMPLOYEE	$138,796	EMPLOYMENT	0
KAREN RICHENDOLLAR
FAMILY MEMBER OF SILVIA M. RICHENDOLLAR, FORMER OFFICER & KEY EMPLOYEE	$68,168	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$5,445,987	FOOD SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$409,125	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$228,386	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$254,734	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$277,438	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$240,460	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$380,958	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	SENTARA HEALTHCARE I. SENTARA HEALTHCARE - YOUR NOT FOR PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE BASED IN NORFOLK, VA, CELEBRATES MORE THAN 127 YEARS IN RELENTLESS PURSUIT OF ITS MISSION TO IMPROVE HEALTH EVERY DAY THROUGH INNOVATION, COMPASSION AND COMMUNITY BENEFIT. SENTARA IS A FULLY-INTEGRATED NOT-FOR-PROFIT SYSTEM WITH NEARLY 300 SITES OF CARE OF WHICH THERE ARE 12 HOSPITALS IN VIRGINIA AND NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER WITH NIGHTINGALE REGIONAL AIR AMBULANCE AND THE NATIONALLY-RANKED SENTARA HEART HOSPITAL. THE SENTARA FAMILY INCLUDES FOUR MEDICAL GROUPS, AMBULATORY CAMPUSES, POST-ACUTE CARE SERVICES, THE PHYSICIAN-LED SENTARA QUALITY CARE NETWORK, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, OPTIMA HEALTH PLAN MEMBERS IN VIRGINIA, ALABAMA AND OHIO, AND A TEAM OF PROFESSIONALS NEARLY 30,000 STRONG. SENTARA PROUDLY INCLUDES ADVANCED IMAGING CENTERS, NURSING AND ASSISTED LIVING CENTERS, PHYSICAL THERAPY AND REHABILITATION SERVICES, HOME HEALTH AND HOSPICE, AND GROUND MEDICAL TRANSPORTATION. SENTARA IS STRATEGICALLY FOCUSED ON CONTINUOUS IMPROVEMENT IN QUALITY, SAFETY, CLINICAL OUTCOMES AND THE PATIENT EXPERIENCE AND PURSUES KEY CLINICAL GOALS THROUGH HIGH-PERFORMANCE TEAMS ACROSS THE ENTERPRISE. EFFORTS ARE CENTERED ON PROVIDING THE RIGHT CARE IN THE RIGHT SETTING AT THE RIGHT TIME AND ADDING VALUE TO THE COMMUNITIES WE SERVE. WE STRIVE TO SERVE ALL IN THE COMMUNITIES WE SERVE THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT OF OTHER NOT FOR PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. II. COMMITMENT TO THE COMMUNITY A. SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. IN 2015, SENTARA COMMUNITY BENEFIT REACHED $335,510,000. SENTARA PROVIDED $276,309,000 IN UNCOMPENSATED PATIENT CARE; $19,687,000 IN MEDICAL EDUCATION; AND $39,514,000 IN COMMUNITY PROGRAMS. B. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED MONEY TO SUPPORT THE CLINICAL NEEDS OF THE SYSTEM AND PROVIDED FUNDING THROUGH GRANTS AND DIRECT CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT HAVE SIMILAR INTERESTS IN COMMUNITY HEALTH NEEDS. SENTARA FOUNDATION-HAMPTON ROADS FUNDED 38 COMMUNITY GRANTS IN 2015 TOTALING $585,000; AND THE RMH FOUNDATION FUNDED SEVEN COMMUNITY HEALTH PROGRAMS WITH GRANTS TOTALING ALMOST $118,000. THE MARTHA JEFFERSON HOSPITAL FOUNDATION ESTABLISHED A NEW PALLIATIVE CARE OUTPATIENT CLINIC AND FUNDED TWO 3D MAMMOGRAPHY UNITS WITHIN THEIR COMMUNITY. ALL THREE FOUNDATIONS RALLIED AROUND SUPPORT FOR NURSING EXCELLENCE AND INNOVATION, FUNDING 235 SCHOLARSHIPS FOR REGISTERED NURSES WHO ARE PURSUING THEIR BACHELORS OF SCIENCE IN NURSING. SENTARA MADE A $100,000 CONTRIBUTION TO THE NORTHEAST ACADEMY OF AEROSPACE AND ADVANCED TECHNOLOGIES (NEAAT) IN ELIZABETH CITY, NORTH CAROLINA. THE MONEY IS THE FIRST GIFT TO THE NEW CHARTER SCHOOL AND WILL BE ALLOCATED OVER THREE YEARS. THE NORTH CAROLINA STATE BOARD OF EDUCATION APPROVED THE SCHOOL IN DECEMBER 2014, AND IT WAS SLATED TO OPEN IN AUGUST 2015 WITH A GOAL OF WORKFORCE DEVELOPMENT FOR NORTHEAST NORTH CAROLINA AND AN AID TO PHYSICIAN RECRUITMENT. SEVERAL YEARS AGO, SENTARA ESTABLISHED THE HOPE (HELPING OVERCOME PERSONAL EMERGENCY) FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE HOPE FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2015, THE HOPE FUND AWARDED $143,000 TO SENTARA EMPLOYEES IN CRISES ACROSS THE SYSTEM. MTI TRANSPORT, LLC, DONATED A RETIRED GROUND TRANSPORT AMBULANCE TO THE ONE ELEUTHERA FOUNDATION IN THE BAHAMAS TO RAISE AWARENESS OF BREAST CANCER IN A COUNTRY WITH A HIGH RATE OF BREAST CANCER. PAINTED PINK AND NAMED AFTER A SENTARA EMPLOYEE WITH BREAST CANCER, "MISS VICKI", THE AMBULANCE MADE HER WAY TO THE BAHAMAS IN 2015 TO SUPPORT THE NEEDS OF THIS COMMUNITY. C. COMMUNITY HEALTH INITIATIVES SENTARA AND OPTIMA HEALTH HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTHCARE COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2015: - HEALTH IMPROVEMENT EVENTS WERE OFFERED TO CHURCHES, EMPLOYER GROUPS INCLUDING SENTARA HEALTHCARE AND HAMPTON ROADS SANITATION DISTRICT, COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY LOCATIONS INCLUDING THE POCKET EKG PROGRAM AND THE SENTARA LIVING PROGRAM. - CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAICHI AND YOGA. - THE FLU PATROL ADMINISTERED AT TOTAL OF 7,785 IMMUNIZATIONS. 7,010 WERE GIVEN TO OPTIMA HEALTH INSURED GROUPS THROUGHOUT VIRGINIA. THE REMAINDER WAS DELIVERED TO CHURCHES AND OTHER COMMUNITY GROUPS. - BIRTHDAY CARD REMINDERS FOR PREVENTIVE HEALTH SCREENINGS WERE DELIVERED TO ADULT MEMBERS OF OPTIMA HEALTH, OHIOHEALTH PLAN MEMBERS AND CHILDREN. - THE TOBACCO CESSATION PROGRAM DISTRIBUTED OVER 385 QUIT KITS TO PROMOTE THE GREAT AMERICAN SMOKEOUT. PATIENTS DISCHARGED FROM SENTARA VIRGINIA BEACH GENERAL HOSPITAL AND SENTARA HEART HOSPITAL WERE CONTACTED FOUR WEEKS AFTER THEIR HOSPITAL DISCHARGE FOR TOBACCO CESSATION FOLLOW-UP. - AS PART OF THE SENTARA BENEFIT ENROLLMENT PROCESS, 18,462 EMPLOYEES COMPLETED A HEALTH RISK ASSESSMENT IN CONJUNCTION WITH THE MISSION: HEALTH PROGRAM. - FINALLY, WEBMD BECAME THE NEW HEALTH COACHING AND HEALTH EDUCATION PORTAL PARTNER IN JANUARY 2015. 14,788 MEMBERS HAVE REGISTERED ON WEBMD'S PORTAL AND OF THOSE, 11,680 MEMBERS ARE ACTIVELY ENGAGED. SENTARA HOSTS A NUMBER OF COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THE FOCUS ON COLON CANCER: DON'T SIT ON COLON CANCER. THROUGH THE SENTARA CANCER NETWORK, WE HOSTED A 5K AT SENTARA PRINCESS ANNE HOSPITAL IN VIRGINIA BEACH. THROUGH SENTARA HEART , WE PROMOTED THE "28 DAYS OF HEART" IN FEBRUARY, 2015 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, SCREENINGS AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. III. GROWTH IN SENTARA HEALTHCARE SINCE THE BEGINNING, SENTARA HAS REACHED OUT TO OTHER INDUSTRY LEADERS AND JOINED FORCES TO EXTEND QUALITY HEALTHCARE AND SERVICES TO MORE PEOPLE. IN RECENT YEARS, WE HAVE GROWN IN VIRGINIA AND IN OTHER STATES, NORTH CAROLINA, ALABAMA AND OHIO, BY SEEKING PARTNERSHIPS WITH SUCCESSFUL HOSPITALS AND HEALTH SYSTEMS THAT SHARE OUR DEDICATION TO EXCELLENCE, VALUE, QUALITY AND CUSTOMER FOCUS. OUR GROWTH IN 2015 INCLUDED THE FOLLOWING: A. SENTARA ADVANTEDGE: OPTIMA HEALTH, THE INSURANCE ARM OF SENTARA HEALTHCARE, FORMED SENTARA ADVANTEDGE, A PROGRAM THAT ESTABLISHES STRATEGIC HEALTH PLAN PARTNERSHIPS - ALABAMA AND OHIO BEING THE FIRST TWO STATES REPRESENTING GROWTH OUTSIDE OF VIRGINIA. B. SENTARA PRATT MEDICAL GROUP: SENTARA PARTNERED WITH PRATT MEDICAL CENTER TO FORM SENTARA PRATT MEDICAL GROUP. WITH 32 PROVIDERS AND 7 LOCATIONS IN THE AREAS OF FREDERICKSBURG, STAFFORD, KING GEORGE, AND DAHLGREN, SENTARA NOW HAS A PRESENCE IN THE GREATER FREDERICKSBURG MARKET. SENTARA PRATT ALSO BRINGS AN ADDITIONAL IMAGING CENTER INTO THE SENTARA HEALTHCARE NETWORK. C. SENTARA QUALITY CARE NETWORK (SQCN): THE SENTARA QUALITY CARE NETWORK EXPANDED ITS NETWORK TO COVER THE HARRISONBURG, VIRGINIA AREA IN 2015 WITH THE CREATION OF THE SHENANDOAH REGIONAL SERVICE ORGANIZATION. SQCN NOW INCLUDES 2,754 PROVIDERS AND 30,647 PATIENTS ACROSS VIRGINIA. IV. NEW INITIATIVES A. CLINICAL PERFORMANCE IMPROVEMENT: IN 2015, SENTARA DESIGNED AND IMPLEMENTED A CLINICAL PERFORMANCE IMPROVEMENT (CLINICAL PI) INITIATIVE TO EXECUTE ON THE "ALWAYS IMPROVING" INITIATIVE WITHIN SENTARA. THESE EFFORTS PROVIDED A STRUCTURE TO DRIVE CHANGE AND CREATED A PROCESS FOR RAPID CYCLE IMPLEMENTATION. THE SYSTEM-WIDE INITIATIVE PRODUCED SIGNIFICANT PROGRESS IN 5 AREAS OF CLINICAL FOCUS. B. ICD-10: SENTARA SUCCESSFULLY TRANSITIONED FROM THE ICD-9 CODING SYSTEM TO THE ICD-10 CODING SYSTEM ON OCTOBER 1, 2015. THIS WAS AN ADOPTION THAT TOOK PLACE THROUGHOUT THE U.S. HEALTHCARE INDUSTRY. SENTARA BEGAN ITS ICD-10 JOURNEY IN 2011 WITH SIGNIFICANT INVESTMENTS IN TECHNOLOGY, TOOLS AND TRAINING FOR STAFF AND PROVIDERS ACROSS THE COMPANY. V. OFFERING NEW PROCEDURES AND TECHNOLOGIES CLINICAL BREAKTHROUGHS: SENTARA INTRODUCED MANY NEW CLINICAL BREAKTHROUGHS THAT BENEFITED THE PATIENT IN MANY AREAS OF CARE, INCLUDING ORTHOPEDICS, NEUROSCIENCES AND CARDIAC.
FORM 990, PART III, LINE 4A	A. ORTHOPEDICS: SENTARA NORTHERN VIRGINIA MEDICAL CENTER WAS HOME TO THE FIRST STEMLESS TOTAL SHOULDER REPLACEMENT PROCEDURE IN THE DC/METRO AREA. ORTHOPAEDICS HOSPITAL AT SENTARA CAREPLEX WAS THE FIRST IN HAMPTON ROADS WHERE ORTHOPEDIC SURGEONS USE NAVIO - A ROBOTIC ASSISTED TECHNOLOGY FOR KNEE REPLACEMENTS NOT REQUIRING A CT SCAN. A NEUROSURGEON AT SENTARA PRINCESS ANNE HOSPITAL WAS THE FIRST IN SOUTHERN VIRGINIA BEACH TO USE THE MAZOR ROBOTICS RENAISSANCE GUIDANCE SYSTEM THAT ALLOWS FOR ROBOTIC ASSISTED SPINE SURGERY FOR SPINE FUSIONS AND REDUCES THE USE OF RADIATION BY REDUCING CONTINUOUS FLUOROSCOPY DURING SURGERY. B. NEUROSCIENCES: SENTARA CAREPLEX HOSPITAL AND SENTARA PRINCESS ANNE HOSPITAL OFFERED A NEW PROCEDURE IN HAMPTON ROADS USING SPENOCATH - A DEVICE USED IN AN INTERVENTIONAL RADIOLOGY PROCEDURE FOR MIGRAINE TREATMENT THROUGH THE NOSE. C. CARDIAC: SENTARA HEART HOSPITAL WAS THE FIRST IN HAMPTON ROADS TO OFFER A PROCEDURE USING THE WATCHMAN DEVICE-AN ALTERNATIVE TO LONG-TERM BLOOD THINNING MEDICATION THERAPY FOR STROKE RISK REDUCTION IN PATIENTS WITH NON-VALVULAR ATRIAL FIBRILLATIONS. VI. EXPANDING PARTNERSHIPS A. IN OCTOBER, 2015, SENTARA BECAME AN INVESTMENT PARTNER OF MEDSTREAMING, A COMPANY WHOSE DATA AGGREGATION TOOL HAS LONG BEEN USED IN SENTARA VASCULAR SERVICES. MEDSTREAMING'S TECHNOLOGY ENABLES PROVIDERS TO AGGREGATE DATA FROM MULTIPLE DATA SOURCES AND ASSIMILATE THAT DATA TO PROVIDE DIAGNOSIS AND TREATMENT RECOMMENDATIONS FASTER AND MORE ACCURATELY. B. IN 2015, SENTARA BEGAN WORKING WITH WELLPEPPER INC. WELLPEPPER IS DEVELOPING GROUNDBREAKING DIGITAL TOOLS, THROUGH THEIR PROPRIETARY INTELLECTUAL PROPERTY, SUCH AS A DIGITAL "APP" THAT CAN HELP MONITOR MIGRAINES. WELLPEPPER IS WORKING WITH SENTARA TO DEPLOY THE MIGRAINE APP, AND OTHER APPS FOR OTHER CONDITIONS ARE ON THE HORIZON. C. SENTARA CONTINUES ITS EFFORTS TO GROW AND INTEGRATE MDLIVE INTO THE COMMUNITIES WE SERVE; THROUGH OUR EMPLOYEES; AND THROUGH MEMBERS INSURED THROUGH OPTIMA. MDLIVE DELIVERS 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 PHYSICIAN OR PARTNER PHYSICIAN WHO CAN DIAGNOSE LOW-ACUITY ILLNESSES, PROVIDE CARE AND PRESCRIBE MEDICATIONS AS APPROPRIATE. VII. EXPANDING EDUCATIONAL OPPORTUNITIES SENTARA IS COMMITTED TO ALWAYS IMPROVING-INCLUDING ENCOURAGING REGISTERED NURSES (RNS) TO CONTINUE PURSUING EDUCATIONAL OPPORTUNITIES. CONTINUOUS LEARNING WILL ADVANCE THE CARE SENTARA NURSES DELIVER TO OUR PATIENTS AND ALLOW THEM TO ADVANCE IN THEIR CAREERS. IN 2015, SENTARA MARKED FURTHER PROGRESS TOWARD ACHIEVING OUR GOAL OF 80% OF SENTARA NURSES HAVING A BSN BY 2020. IN 2015 SENTARA HAS 54.2% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE. SENTARA IS MOVING THE NEEDLE ON THIS MEASURE AND THE SENTARA FOUNDATIONS ARE AN ENORMOUS SUPPORT. ALL SENTARA FOUNDATIONS RALLIED AROUND ADVANCING NURSING EDUCATION BY FUNDING 235 SCHOLARSHIPS IN 2015 FOR RNS WHO ARE PURSUING THEIR BSN. VIII. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. HERE ARE A FEW EXAMPLES OF OUR WORK WITHIN THE RESEARCH REALM: A. 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. SENTARA EXPANDED THE USE OF THE COPPER-INFUSED LINENS AND SURFACES BEYOND SENTARA LEIGH HOSPITAL AND A SMALL AREA OF SENTARA NORFOLK GENERAL HOSPITAL. MATERIALS ARE NOW AT 5 SENTARA HOSPITAL LOCATIONS PLUS ONE SENTARA NURSING CENTER. THIS WILL ALLOW US TO EXPAND THE REACH OF THE CURRENT RESEARCH STUDY THAT IS TESTING THE EFFECTIVENESS OF THESE MATERIALS IN A CLINICAL SETTING. EARLY RESULTS OF THE RESEARCH ARE EXPECTED IN 2016, WHICH WILL ENABLE SENTARA TO CHART A COURSE FOR FURTHER USE THROUGHOUT SENTARA. B. CARDIAC: THROUGH THE SENTARA CARDIOVASCULAR RESEARCH INSTITUTE, CARDIOLOGISTS AND UNIQUELY TRAINED REGISTERED NURSE RESEARCH COORDINATORS MAKE SIGNIFICANT STRIDES IN ADVANCING THE UNDERSTANDING AND TREATMENT OF THE NO. 1 KILLER IN AMERICA: CARDIOVASCULAR DISEASE. AS THE PREEMINENT CARDIAC RESEARCH INSTITUTE IN THE MID-ATLANTIC REGION, SENTARA HEART WORKS COLLABORATIVELY WITH LOCAL INSTITUTIONS, GOVERNMENT AGENCIES AND BIOMEDICAL COMPANIES ON NATIONALLY AND INTERNATIONALLY RECOGNIZED CLINICAL RESEARCH TRIALS. WE FOCUS OUR EFFORTS ON DISCOVERING MORE EFFECTIVE CARDIOVASCULAR TREATMENTS AND PROTOCOLS WHILE ELIMINATING THOSE THAT ARE POTENTIALLY HARMFUL OR NOT AS BENEFICIAL. OUR ULTIMATE GOAL IS TO PROVIDE ENHANCED CLINICAL CARE THAT ADVANCES PATIENT OUTCOMES AND IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. OUR RESEARCH TOUCHES ON EVERY ASPECT OF HEART CARE, INCLUDING MEDICAL DEVICES, HEART FAILURE, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CARDIAC INTERVENTIONAL PROCEDURES, STRUCTURAL HEART DISEASE, AND THE MEDICAL MANAGEMENT OF CORONARY ARTERY DISEASE RISK FACTORS SUCH AS DIABETES AND HIGH CHOLESTEROL. COLLECTIVELY, OUR RESEARCH NURSES COORDINATE MORE THAN 80 CLINICAL TRIALS AT ANY GIVEN TIME, SHEPHERDING PARTICIPANTS THROUGH THE ENTIRE TRIAL PROCESS, PROVIDING CARE DURING PERIODS OF NEED, AND TIRELESSLY ADVOCATING FOR THEIR PATIENTS' WELL-BEING. C. CANCER: WITHIN THE SENTARA CANCER NETWORK, CLINICIANS AND ACADEMIC RESEARCHERS WORK TOGETHER TO ELEVATE CARE FOR PATIENTS. THIS COLLABORATIVE PHILOSOPHY FOSTERS INNOVATION IN THE NETWORK AND DRIVES ACCESS TO CLINICAL TRIAL OPTIONS FOR OUR PATIENTS. MEDICAL ONCOLOGISTS IN THE SENTARA CANCER NETWORK COMMUNITIES ARE ESPECIALLY INSTRUMENTAL IN CONNECTING PATIENTS WITH CLINICAL TRIALS - HELPING TO ACHIEVE THE COMMISSION ON CANCER'S PRINCIPLE TO DELIVER QUALITY CARE CLOSE TO HOME. THERE ARE PROMISING CLINICAL TRIALS BEING CONDUCTED ALL OVER THE COUNTRY FOR PATIENTS WITH CANCER, AND MANY OF THESE ARE ACCESSIBLE TO PATIENTS IN THE SENTARA CANCER NETWORK. OPPORTUNITIES TO PARTICIPATE IN CLINICAL TRIALS HAVE OPENED UP PATIENT CARE OPTIONS, INCLUDING ACCESS TO CUTTING-EDGE MEDICINE. OUR PARTICIPATION IN CLINICAL TRIALS ALSO CONTRIBUTES TO CANCER LAB RESEARCH VIA TISSUE DONATION, RETROSPECTIVE CHART STUDIES ON CONTROL GROUPS AND PARTICIPATION. OUR CLINICAL TRIALS INCLUDE EFFICACY AND SAFETY TRIALS FOR INVESTIGATIONAL BIOLOGICS; COMBINATION TRIALS FOR ONCOLOGY DRUGS; SURGICAL AND RADIATION THERAPY RESEARCH TRIALS; ADJUVANT AND MAINTENANCE DRUG TRIALS, POSTOPERATIVE ONCOLOGY OPTIONS; AND RETROSPECTIVE CHART REVIEWS. IX. BUILDING FOR THE FUTURE: A. SENTARA NORTHERN VIRGINIA MEDICAL CENTER, LOCATED IN WOODBRIDGE, VIRGINIA, COMPLETED CONSTRUCTION ON ITS NEW SURGERY CENTER, TOOK POSSESSION IN DECEMBER 2015 AND BEGAN PERFORMING SURGERIES IN JANUARY 2016. SENTARA NORTHERN VIRGINIA MEDICAL CENTER ALSO LAUNCHED A CARDIAC ELECTROPHYSIOLOGY PROGRAM AND THE CONSTRUCTION OF A DEDICATED ELECTROPHYSIOLOGY LAB IS UNDERWAY WITH A JULY 2016 COMPLETION TARGET DATE. THE WEIGHT LOSS SURGERY SERVICE AT SENTARA NORTHERN VIRGINIA MEDICAL CENTER ACHIEVED THE DESIGNATION AS A BLUE DISTINCTION CENTER+ FOR BARIATRIC SURGERY BY ANTHEM, INC. THIS, ALONG WITH RECEIVING THE AETNA INSTITUTE OF QUALITY (IOQ) BARIATRIC PROGRAM AND CIGNA 3 STAR BARIATRIC CENTER, DEMONSTRATES A PROVEN TRACK RECORD FOR DELIVERING FEWER COMPLICATIONS AND READMISSIONS THAN FACILITIES WITHOUT THESE DESIGNATIONS. B. SENTARA RMH MEDICAL CENTER, LOCATED IN HARRISONBURG, VIRGINIA, BROKE GROUND ON THE NEW SENTARA TIMBER WAY HEALTH CENTER. THIS NEW CENTER WILL BE A COMBINATION OF THE CURRENT TIMBERVILLE HEALTH CARE LOCATION AND SPRINGBROOK FAMILY MEDICINE IN BROADWAY. THE CENTER WILL ALSO OFFER X-RAY, LABORATORY AND REHABILITATION SERVICES. THIS NEW, LARGER, MORE COMPREHENSIVE CENTER WILL TRULY MEET THE NEEDS OF THE COMMUNITY IN A SINGLE LOCATION. SENTARA RMH MEDICAL CENTER COMPLETED CONSTRUCTION OF THE SENTARA RMH ORTHOPEDIC CENTER AND OPENED TO PATIENTS. THE SENTARA RMH SCHOOL OF HISTOTECHNOLOGY HELD ITS FIRST GRADUATION CEREMONY ON JUNE 3, 2015. THE FIRST CLASS CONSISTED OF EIGHT STUDENTS, FOUR OF THEM GOING ON TO WORK AT SENTARA HOSPITALS. SENTARA RMH MEDICAL CENTER IS THE ONLY HOSPITAL IN THE SENTARA SYSTEM THAT HAS A SCHOOL OF HISTOTECHNOLOGY, AND THERE IS ONLY ONE OTHER HOSPITAL-BASED HTL SCHOOL IN THE UNITED STATES. SIX STUDENTS HAVE ENROLLED IN THE SECOND CLASS WITH GRADUATION SCHEDULED FOR JUNE, 2016.
FORM 990, PART III, LINE 4A	C. SENTARA MARTHA JEFFERSON HOSPITAL, LOCATED IN CHARLOTTESVILLE, VIRGINIA, PARTNERED WITH THE REGION 10 COMMUNITY SERVICES BOARD TO OPEN THE PETERSON HEALTH CENTER. REGION 10 COMMUNITY SERVICES BOARD IS PART OF A STATEWIDE NETWORK OF 40 COMMUNITY SERVICES BOARDS WORKING TO PROVIDE MENTAL HEALTH, INTELLECTUAL DISABILITY AND SUBSTANCE USE SERVICES IN CENTRAL VIRGINIA. THE PETERSON HEALTH CENTER OPENED IN DOWNTOWN CHARLOTTESVILLE TO PROVIDE PREVENTATIVE CARE, INCLUDING VACCINES AND PHYSICALS, TREATMENT OF ACUTE ILLNESSES, DIABETES AND HIGH BLOOD PRESSURE MANAGEMENT, WOMEN'S HEALTH SERVICES AND GERIATRIC MEDICINE. FIRST TO SENTARA, SENTARA MARTHA JEFFERSON HOSPITAL INTRODUCED A NEW ONLINE TOOL WHERE PATIENTS CAN "CHECK-IN" TO THE EMERGENCY ROOM BY "APPOINTMENT", THUS PROVIDING A FAR IMPROVED CUSTOMER EXPERIENCE. THIS NEW ONLINE TECHNOLOGY IS BEING USED FOR THE EMERGENCY ROOM AT THE SENTARA MARTHA JEFFERSON HOSPITAL AND AT THE EMERGENCY ROOM ON THE OUTPATIENT CAMPUS, SENTARA MARTHA JEFFERSON OUTPATIENT CARE CENTER. SENTARA MARTHA JEFFERSON HOSPITAL INTRODUCED 3D-MAMMOGRAPHY IN 2015, WHICH MAKES IT POSSIBLE FOR RADIOLOGISTS TO SEE INSIDE THE BREAST IN GREATER DETAIL AND DETECT CANCERS THAT MAY HAVE OTHERWISE BEEN OBSCURED. D. HAMPTON ROADS (SOUTHEASTERN VIRGINIA): I. SENTARA BROKE GROUND ON A MEDICAL OFFICE BUILDING LOCATED IN CHESAPEAKE, VIRGINIA, CALLED SENTARA EDINBURGH. SLATED TO OPEN IN LATE 2016, SERVICES INCLUDE URGENT CARE, PRIMARY CARE, IMAGING, PHYSICAL THERAPY AND A YMCA. II. SENTARA LEIGH HOSPITAL, LOCATED IN NORFOLK, VIRGINIA, OPENED ITS 5-STORY WEST TOWER IN 2015 AND BEGAN CONSTRUCTION ON THE FINAL PHASE OF ITS EIGHT YEAR ON-SITE RENOVATION, A TWO-STORY ATRIUM FEATURING PATIENT CHECK-IN AND MEETING SPACE. III. GROWING AS A MEDICAL DESTINATION CENTER, SENTARA NORFOLK GENERAL HOSPITAL, LOCATED IN NORFOLK, VIRGINIA, CONTINUED TO INTRODUCE AND/OR EXPAND ITS QUATERNARY SERVICES, TOTALING 17 PROGRAMS. IN 2015 ALONE, SENTARA NORFOLK GENERAL HOSPITAL CARED FOR 30 MORE OUT OF AREA PATIENTS THAN IN 2014 FROM AREAS OUTSIDE OF HAMPTON ROADS. SENTARA NORFOLK GENERAL HOSPITAL RECEIVED APPROVAL FROM SENTARA LEADERSHIP TO EMBARK ON A FIVE-YEAR, $199.4 MILLION EXPANSION AND MODERNIZATION PROJECT. THE PLAN WILL ADD FLOORS, WINGS, EXPAND AND MODERNIZE 23 OPERATING ROOMS, CONSOLIDATE ICU BEDS ON TWO NEW FLOORS, EXPAND THE EMERGENCY ROOM, CREATE A STATE-OF-THE-ART NEONATAL INTENSIVE CARE UNIT AND ADD A ROOFTOP HELIPAD FOR NIGHTINGALE, SENTARA'S AIR AMBULANCE, AND OTHER MEDICAL HELICOPTERS. ADDITIONALLY, SENTARA NORFOLK GENERAL CELEBRATED ITS 30TH ANNIVERSARY AS A LEVEL I TRAUMA CENTER. IV. SENTARA VIRGINIA BEACH GENERAL HOSPITAL, LOCATED IN VIRGINIA BEACH, VIRGINIA, LAUNCHED SENTARA TO HOME, A STOREFRONT AND PATIENT SERVICES ENABLING PATIENTS TO GO HOME WITH THEIR MEDICATIONS AND OTHER POST-DISCHARGE NEEDS FULFILLED PRIOR TO LEAVING THE HOSPITAL. A TRANSITION SPECIALIST ENSURES THAT EACH PATIENT HAS DISCHARGE FOLLOW UP NEEDS ADDRESSED. SENTARA VIRGINIA BEACH GENERAL LAUNCHED A BACK AND NECK PROGRAM FOR SPINE SURGERY CASES. THIS SPECIALIZED PROGRAM BRINGS TOGETHER A TEAM INCLUDING EXPERT SURGEONS WITH CARING AND SPECIALLY TRAINED NURSES, THERAPISTS AND OTHER HEALTH PROFESSIONALS. THE GOAL IS TO PROVIDE SEAMLESS, COORDINATED CARE THAT REDUCES PAIN AND GETS PATIENTS BACK TO THEIR ACTIVITIES AS SOON AS POSSIBLE. ADDITIONALLY, SENTARA VIRGINIA BEACH GENERAL HOSPITAL CELEBRATED ITS 50TH ANNIVERSARY OF PROVIDING QUALITY CARE TO THE COMMUNITY. V. SENTARA CAREPLEX HOSPITAL, LOCATED IN HAMPTON, VIRGINIA, FILED A CERTIFICATE OF PUBLIC NEED APPLICATION TO THE COMMONWEALTH OF VIRGINIA TO REESTABLISH OBSTETRIC SERVICES. VI. SENTARA OBICI HOSPITAL, LOCATED IN SUFFOLK, VIRGINIA, FILED A CERTIFICATE OF PUBLIC NEEDS APPLICATION FOR TEN ADDITIONAL INPATIENT PSYCHIATRIC BEDS AND RECEIVED APPROVAL IN FEBRUARY 2016. A REAL BREAKTHROUGH FOR IDENTIFYING AND VIEWING TUMORS NEAR MOVING ORGANS, A 4D CT IS NOW AVAILABLE AT SENTARA OBICI HOSPITAL. VII. SENTARA PRINCESS ANNE HOSPITAL, LOCATED IN VIRGINIA BEACH, VIRGINIA, DESIGNATED A PEDIATRIC TRACK IN THE EMERGENCY DEPARTMENT WITH A SEPARATE WAITING AREA, KID-FRIENDLY COLORS AND GRAPHICS IN PATIENT ROOMS, AND SPECIALLY-TRAINED STAFF. PROGRAM DEVELOPMENT WAS COMPLETED AND IMPLEMENTATION IS UNDERWAY FOR THE DEAN ORNISH INTENSIVE CARDIAC REHABILITATION PROGRAM AIMED AT REVERSING HEART DISEASE. VIII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, LOCATED IN WILLIAMSBURG, VIRGINIA, OFFERS A NEW PEDIATRIC OBSERVATION UNIT IN THE EMERGENCY ROOM. ADDITIONALLY, THEY OPENED AN OUTPATIENT REHABILITATION SITE AT THE YMCA IN GLOUCESTER, VIRGINIA. IX. SENTARA KITTY HAWK, AN OUTPATIENT CAMPUS LOCATED IN KITTY HAWK, NORTH CAROLINA, OBTAINED A NEW LARGE-BORE MRI; INTRODUCED PRIMARY CARE IN EDENTON, NORTH CAROLINA; LAUNCHED A SINGLE/LOCAL PRIMARY CARE CALL CENTER TO THE REGION; AND PREPARED FOR THE OPENING OF A NEW SENTARA URGENT CARE THAT OFFICIALLY OPENED ON JANUARY 4, 2016. E. SOUTH BOSTON/HALIFAX: FEBRUARY 2, 2015 MARKED THE INTRODUCTION OF THE SENTARA BRAND INTO THE HALIFAX SERVICE AREA. SENTARA HALIFAX REGIONAL HOSPITAL, LOCATED IN SOUTH BOSTON, VIRGINIA, NEARED COMPLETION OF A MAJOR EXPANSION OF TWO NURSING CARE CENTERS, SENTARA MEADOWVIEW TERRACE AND SENTARA WOODVIEW, WITH OCCUPANCY TAKING PLACE IN MAY 2016. ADDITIONALLY, CAPITAL FUNDING WAS APPROVED TO INTRODUCE EPIC, THE ELECTRONIC MEDICAL RECORD USED THROUGHOUT SENTARA, PLANNED FOR 2017. PRIMARY CARE GROWTH AND SERVICE DELIVERY ENHANCEMENTS WERE A TOP PRIORITY FOR SENTARA'S MEDICAL GROUP IN THE HALIFAX SERVICE AREA. THE SENTARA CLARKSVILLE FAMILY MEDICINE CLINIC EXPANDED ITS PHYSICAL LOCATION AND OTHER PRIMARY CARE OFFICES BEGAN OFFERING EXPANDED OFFICE HOURS TO ALLOW FOR GREATER PATIENT ACCESS. SPECIALTY CARE SERVICES, INCLUDING CARDIAC AND GENERAL SURGERY SERVICES, WERE ADDED TO THE SENTARA PRIMARY CARE CLINICS; AS IT WAS RECOGNIZED THAT ALL PATIENTS CANNOT MAKE THEIR WAY TO SENTARA HALIFAX REGIONAL HOSPITAL OR SPECIALIST OFFICES IN SOUTH BOSTON FOR THESE SPECIALIZED SERVICES. F. SENTARA ENTERPRISES: SENTARA ENTERPRISES CONTINUES TO FOCUS ON IMPROVING QUALITY, AND THIS WAS DEMONSTRATED IN 2015 WITH SENTARA ENTERPRISES HAVING AN ACCREDITATION SURVEY WITH ZERO DEFICIENCIES. G. SENTARA LIFE CARE: SENTARA LIFE CARE IS COMPRISED OF ASSISTED LIVING CENTERS, NURSING HOMES, MOBILE MEALS AND THE PROGRAM FOR THE ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). IN 2015, SENTARA LIFE CARE ADOPTED THE USE OF COPPER INFUSED LINENS AT ONE OF THE NURSING CENTERS. JUST AS HAS BEEN IMPLEMENTED AT FIVE SENTARA HOSPITALS, THIS MATERIAL IMPLEMENTATION WILL ENABLE SENTARA TO MEASURE THE EFFECTIVENESS IN PREVENTING HOSPITAL-ACQUIRED INFECTIONS. OUR NURSING HOME IN BARCO, NORTH CAROLINA TRANSFORMED A RESIDENT WING TO SERVE AS A MORE DEFINED INPATIENT REHABILITATION UNIT WITH A LARGER, MORE MODERN GYMNASIUM. THE CONSOLIDATED UNIT WITH 23 BEDS WILL ENHANCE THE APPEAL OF SENTARA LIFE CARE - CURRITUCK FOR REHABILITATION TO RESIDENTS IN NORTHEASTERN NORTH CAROLINA. SENTARA LIFE CARE BROKE GROUND ON A NEW "HOUSEHOLD" MODEL OF CARE - SENTARA NURSING AND REHABILITATION CENTER- IN CHESAPEAKE, VIRGINIA. THIS NEW CENTER IS EXPECTED TO OPEN IN FALL 2016. THE DESIGN OF THE 120-BED CENTER CALLS FOR "HOUSEHOLDS" OF 20 RESIDENTS EACH, WITH A KITCHEN SERVING EACH ONE, AN OUTDOOR GARDEN SETTING AND COMMON AREAS FOR VISITING AND ACTIVITIES. THERE WILL ALSO BE A 40-BED SHORT STAY PAVILION FOR POST-ACUTE REHABILITATION PATIENTS FEATURING A BISTRO WHERE PATIENTS AND FAMILIES CAN SHARE MEALS. LASTLY, SENTARA LIFE CARE RELOCATED PACE (PROGRAM FOR THE ALL-INCLUSIVE CARE FOR THE ELDERLY) FROM VIRGINIA BEACH TO NORFOLK, ALLOWING US TO SERVE MORE PARTICIPANTS IN A SPACIOUS, MODERN CLINIC WITH GREATER PRIVACY AND ROOM TO GROW. PACE PROVIDES TRANSPORTATION, MEALS, MEDICAL CARE AND SOCIALIZATION FOR SENIORS LIVING WITH THEIR FAMILIES, WHO QUALIFY FOR NURSING FACILITY LEVEL OF CARE. PACE SITES IN NORFOLK AND PORTSMOUTH TRANSITIONED TO THE ELECTRONIC MEDICAL RECORD USED THROUGHOUT SENTARA, EPIC, CREATING A MORE SEAMLESS CONNECTION FOR MEDICAL SERVICES PARTICIPANTS MAY REQUIRE. H. SENTARA MEDICAL GROUP (900+ PROVIDERS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA) I. EASE OF PATIENT ACCESS AND GROWING OUR SERVICES ARE MAJOR AREAS OF FOCUS FOR SENTARA MEDICAL GROUP. ALL OF THE SENTARA URGENT CARE LOCATIONS OFFER AN ONLINE OPTION TO "RESERVE YOUR SPOT" WHEREBY CONSUMERS CAN GO ONLINE, IDENTIFY THE URGENT CARE MOST CONVENIENT TO THEM, RESERVE "THEIR SPOT AND SHOW UP AT THE APPOINTED TIME TO BE SEEN. THUS, CONSUMERS CAN AVOID THE WAIT AND IT SETS EXPECTATIONS OF WHEN THEY WILL BE SEEN.
FORM 990, PART III, LINE 4A	II. SENTARA PARTNERED WITH PRATT MEDICAL CENTER TO FORM SENTARA PRATT MEDICAL GROUP. WITH 32 PROVIDERS AND 7 LOCATIONS IN THE AREAS OF FREDERICKSBURG, STAFFORD, KING GEORGE AND DAHLGREN, SENTARA NOW HAS A PRESENCE IN THE GREATER FREDERICKSBURG, VIRGINIA MARKET. SENTARA PRATT MEDICAL CENTER ALSO BRINGS AN ADDITIONAL IMAGING CENTER INTO THE SENTARA HEALTHCARE NETWORK. III. SENTARA MEDICAL GROUP HAS A MAJOR FOCUS ON CUSTOMER SERVICE. IN 2015, SENTARA MEDICAL GROUP DEPLOYED A SHORTER, ONLINE AND AUTOMATED PHONE CALL SURVEY THAT PATIENTS WOULD RECEIVE ON THE HEELS OF THEIR VISIT TO A SENTARA MEDICAL GROUP PROVIDER. THE CHANGE MORE THAN TRIPLED THE AMOUNT OF SURVEY RESPONSES, AND THE DATA WAS MORE REAL-TIME FOR US TO TAKE ACTION AS NECESSARY. X. QUALITY AND PATIENT SAFETY DISTINCTIONS A. AWARD-WINNING CARE- AS ALWAYS, SENTARA IS PROUD AND HUMBLED BY THE VARIOUS AWARDS AND RECOGNITIONS THE SYSTEM RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY. TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION - DRIVEN WORK. HERE ARE A FEW OF THE 2015 AWARDS AND RECOGNITIONS: I. FOR THE 15TH CONSECUTIVE YEAR, THE CARDIOLOGY AND HEART SURGERY PROGRAM AT SENTARA NORFOLK GENERAL HOSPITAL (SENTARA HEART HOSPITAL) WAS LISTED AMONG THE TOP 50 HEART PROGRAMS IN THE U.S. NEWS & WORLD REPORT 'BEST HOSPITALS' EDITION AND IMPROVED ITS RANKING FROM 41ST IN 2014 TO 31ST IN 2015. THE EAR, NOSE & THROAT PROGRAM AT SNGH ALSO MADE THE TOP 50 RANKING FOR THE SECOND CONSECUTIVE YEAR. II. SENTARA CANCER NETWORK, INCLUDING SEVEN SENTARA HOSPITALS IN THE SOUTHEASTERN VIRGINIA REGION, WAS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION OF CANCER. THE SENTARA CANCER NETWORK REMAINS THE ONLY NETWORK-ACCREDITED CANCER PROGRAM IN VIRGINIA. III. ALL SENTARA HOSPITALS IN HAMPTON ROADS (SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, SENTARA CAREPLEX HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, AND SENTARA PRINCESS ANNE HOSPITAL) AND SENTARA MARTHA JEFFERSON HOSPITAL AND SENTARA RMH MEDICAL CENTER RECEIVE LEAPFROG'S HIGHEST "A" RATING FOR DELIVERING SAFE PATIENT CARE FOR 2015. IV. SENTARA COMPLETED THE TRANSITION TO DNV HEALTHCARE FOR ACCREDITATION AT ALL SENTARA HOSPITALS WITH SUCCESSFUL SURVEYS AT SENTARA HALIFAX REGIONAL HOSPITAL AND SENTARA ALBEMARLE MEDICAL CENTER. V. SENTARA LEIGH HOSPITAL FAMILY MATERNITY CENTER RECEIVED THE ADVANCE FOR NURSES 2015 BEST NURSING TEAM RUNNER UP STATUS. THIS WAS ONE OF SIX TEAMS REPRESENTED ACROSS THE NATION. VI. SENTARA MARTHA JEFFERSON HOSPITAL MEDICAL GROUP PRACTICES RECEIVED THE NCQA CERTIFICATION TO BECOME PATIENT CENTERED MEDICAL HOMES. MEDICAL HOMES PROVIDE PATIENT-CENTERED CARE THAT EMPHASIZES CARE COORDINATION AND COMMUNICATION AND WORKS TO GIVE PATIENTS THE HEALTHCARE EXPERIENCE THEY EXPECT. MEDICAL HOMES CAN ALSO LEAD TO IMPROVED QUALITY AND DECREASED COSTS. VII. TEN SENTARA HOSPITALS WERE RECOGNIZED WITH THE PLATINUM AWARD BY THE AMERICAN COLLEGE OF CARDIOLOGY FOR CONSISTENT HIGH PERFORMANCE IN TREATING HEART ATTACK PATIENTS. VIII. THE INTENSIVE CARE UNIT AT SENTARA MARTHA JEFFERSON HOSPITAL RECEIVED THE SILVER BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. B. SENTARA LEIGH HOSPITAL BECAME THE LATEST HOSPITAL WITHIN THE SENTARA FAMILY TO EARN THE NURSING MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET SPEAKS TO A SUPPORTIVE WORKING ENVIRONMENT FOR NURSES AND SUPERIOR CLINICAL CARE BASED ON STRICT CRITERIA THAT MAGNET HOSPITALS MUST MEET. C. SENTARA IMPROVED VITAL CLINICAL COMMUNICATION WITH ALL PATIENTS BY DEPLOYING THE LANGUAGE ACCESS NETWORK ACROSS THE ENTERPRISE TO ADDRESS COMMUNICATION NEEDS FOR PATIENTS WHO ARE DEAF OR HARD OF HEARING, BLIND OR VISION-IMPAIRED, WITH LIMITED ENGLISH PROFICIENCY OR WHO CANNOT READ. THIS NEW TECHNOLOGY IMPROVES THE PATIENT AND FAMILY EXPERIENCE WHILE ENSURING THAT ALL SENTARA SITES OF CARE REMAIN COMPLIANT WITH THE AMERICANS WITH DISABILITIES ACT AND OTHER FEDERAL CIVIL RIGHT REGULATIONS. XI. OPTIMA HEALTH A. GROWTH OPTIMA HEALTH ESTABLISHED SENTARA ADVANTEDGE, A PROGRAM THAT ESTABLISHED STRATEGIC HEALTH PLAN PARTNERSHIPS - ALABAMA AND OHIO BEING THE FIRST TWO STATES REPRESENTING OPTIMA GROWTH OUTSIDE OF VIRGINIA. AS OF JANUARY 1, 2015, SENTARA ADVANTEDGE BEGAN SERVICE AS THE THIRD PARTY ADMINISTRATOR (TPA) FOR ABOUT 30,500 OHIOHEALTH EMPLOYEES. IN ALABAMA, SENTARA ADVANTEDGE BEGAN CONTRACTING WITH PROVIDERS FOR THE FIRST REGIONAL CARE ORGANIZATION (RCO) IN ALABAMA, WITH INITIAL PLANS TO COVER MORE THAN 180,000 MEDICAID ENROLLEES ACROSS 23 COUNTIES IN 2016. IN ADDITION, OPTIMA DESIGNED A NEW PRODUCT CALLED, OPTIMA HEALTH SELECT, FOR INDIVIDUAL MEMBERS. OPTIMA HEALTH SELECT OFFERS AN EXCLUSIVELY SENTARA QUALITY CARE NETWORK (SQCN) NETWORK TO MEMBERS LIVING IN VIRGINIA BEACH, NORFOLK, PORTSMOUTH AND CHESAPEAKE AND LAUNCHED IN JANUARY 2016. B. POPULATION HEALTH ANALYTICS TO MEET THE NEEDS OF UNDERSTANDING THE POPULATIONS WE SERVE, OPTIMA HEALTH IMPLEMENTED ENHANCED POPULATION HEALTH ANALYTICS CAPABILITIES TO SUPPORT OPTIMA'S STRATEGIC PARTNERSHIPS AND VALUE BASED REIMBURSEMENT MODELS AND TO PROVIDE MEANINGFUL PROVIDER REPORTING. C. QUALITY THERE ARE MANY EXAMPLES OF HOW OPTIMA HEALTH IS FOCUSED ON ENHANCING THE QUALITY OF CARE IT PROVIDES FOR MEMBERS. ONE SHINING EXAMPLE IS THE PRODUCT CALLED LIVONGO TM. DIABETES PATIENTS WHO ARE OPTIMA HEALTH MEMBERS NOW HAVE A NEW HAND-HELD WIRELESS DEVICE THAT MONITORS THEIR BLOOD SUGAR AND OTHER VITALS. THIS DATA IS STORED SECURELY IN THE CLOUD AND CAN BE ACCESSED REAL TIME BY PROVIDERS AND CERTIFIED DIABETES EDUCATORS TO COACH AND GUIDE THE MEMBER AS NEEDED. ADDITIONALLY, OPTIMA HEALTH AIMS TO IMPROVE ITS COMMUNICATION AND CONNECTIVITY WITH MEMBERS TO ENHANCE THE QUALITY OF CARE WE PROVIDE AND TO PROVIDE BETTER CUSTOMER SERVICE. IN 2014 AND CARRIED ON IN 2015, OPTIMA FAMILY CARE (MEDICAID MANAGED CARE) PARTNERED WITH TRACFONE AND VOXIVA TO TAKE ADVANTAGE OF A FEDERAL PROGRAM TO PROVIDE MORE THAN 10,000 OPTIMA FAMILY CARE MEMBERS WITH CELL PHONES. THESE PHONES HELP MEMBERS STAY IN TOUCH WITH THEIR PROVIDERS AND RECEIVE TEXT REMINDERS FOR WELL-BABY EXAMS AND OTHER SERVICES. MEMBERS ARE LIMITED TO 250 MINUTES PER MONTH AND CALLS TO MEMBER SERVICES DO NOT COUNT AGAINST THEIR MINUTES. THIS HAS BEEN A CREATIVE WAY FOR OPTIMA HEALTH TO HELP ENSURE BETTER OUTCOMES FOR MEDICAID FAMILIES AND LOWER COSTS OF CARE. XII. CONCLUSION: SENTARA HEALTHCARE IS COMMITTED TO IMPROVING HEALTH EVERY DAY. WE DO SO BY PROVIDING QUALITY CARE THROUGH EXPERT PROVIDERS, USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE - ALL WITH A CONSTANT FOCUS ON INNOVATION. WE LOOK FORWARD TO ANOTHER YEAR OF GROWTH AND INNOVATION IN 2016.
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 1,632 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 872,601 ADJUSTED PATIENT DAYS OF CARE DURING 2015. 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 2015.
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 31 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 THE CURRENT TAX YEAR FOR ALL POSITIONS LISTED.
FORM 990, PART VI, SECTION C, LINE 19	THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY: -221,829,459. PARTNERSHIP INCOME BOOK < TAX: -281,269. S CORP INCOME BOOK < TAX: -628,325. CMS MEANINGFUL USE TRUE UP -577,472. PLEDGE RECEIVABLE ALLOWANCE -11,000. MISCELLANEOUS ADJUSTMENT 4,232.
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, 17 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 SENIOR LEADERS OF THE SENTARA HEALTHCARE SYSTEM.
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 WITH COMMUNITY-BASED PHYSICIANS 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 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	$83,787	$2,890,869	SENTARA HOSPITALS
HPVA LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	208256631	HOLDING COMPANY	VA	$0	$806,521	SENTARA HOSPITALS
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	463846081	HOSPITAL	VA	$103,929,124	$93,254,045	SENTARA HOSPITALS
SARMC ANESTHESIA SPECIALISTS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	371791448	ANESTHESIA BILLING	VA	$0	$0	SENTARA ALBEMARLE REGIONAL MEDICAL CENTER

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 PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	273208969	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HOSPITALS	Yes (1)
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	LN7_NORMALGOVTSUPPOR		0	N/A
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 (21 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	$19,313	$167,114	0	Yes (1)	0.20000
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA		SH	RELATED	$174,541	$3,362,698	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	$1,559,404	$3,068,292	0	Yes (1)	0.51520
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA		SH	RELATED	$783,837	$3,135,696	0	Yes (1)	0.50000
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA		SH	RELATED	$458,100	$6,781,923	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	$124,166	$1,342,770	0	Yes (1)	0.25000
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA		SH	RELATED	$997,905	$1,717,337	0	Yes (1)	0.53630
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	N/A
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA		SH	RELATED	$152,851	$6,986	0	Yes (1)	0.40000
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA		SH	RELATED	$2,813,628	$3,005,593	0	Yes (1)	0.50000
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	N/A
MNS SUPPLY CHAIN NETWORK LLC
11525 N COMMUNITY HOURS ROAD STE 45	CHARLOTTE	NC	28277	454235238	GPO	DE	N/A
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204	WOODBRIDGE	VA	22192	455347932	HEALTH CARE	VA	N/A
ALETA HEALTH LLC
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	465661314	MSO	DE	N/A
OPACC I LLC
18000 W SARAH LANE SUITE 250	BROOKFIELD	WI	53045	392021431	RE RENTAL	WI	N/A
PORT WARWICK II LLC
18000 W SARAH LANE SUITE 250	BROOKFIELD	WI	53045	202739075	RE RENTAL	WI	N/A

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	ROCKINGHAM	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	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (62 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
C	$17,385,571	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
L	$12,911,608	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
N	$13,654,222	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
O	$144,509	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
Q	$93,960	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
F	$21,468,300	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
L	$24,856,680	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
N	$9,771,530	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
O	$452,342	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
P	$86,617	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
Q	$43,622,383	CORP BOOKS/REC
SMG INNOVATIONS INC
M	$192,049	CORP BOOKS/REC
SMG INNOVATIONS INC
Q	$221,920	CORP BOOKS/REC
SENTARA MEDICAL GROUP
A	$164,484	CORP BOOKS/REC
SENTARA MEDICAL GROUP
C	$47,476,113	CORP BOOKS/REC
SENTARA MEDICAL GROUP
L	$8,018,077	CORP BOOKS/REC
SENTARA MEDICAL GROUP
M	$54,202,241	CORP BOOKS/REC
SENTARA MEDICAL GROUP
N	$2,067,399	CORP BOOKS/REC
SENTARA MEDICAL GROUP
S	$527,954	CORP BOOKS/REC
SENTARA ENTERPRISES
B	$7,153,321	CORP BOOKS/REC
SENTARA ENTERPRISES
C	$2,105,189	CORP BOOKS/REC
SENTARA ENTERPRISES
L	$6,333,221	CORP BOOKS/REC
SENTARA ENTERPRISES
M	$3,268,204	CORP BOOKS/REC
SENTARA ENTERPRISES
N	$1,979,544	CORP BOOKS/REC
SENTARA ENTERPRISES
P	$61,519	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
K	$883,769	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
P	$93,934	CORP BOOKS/REC
MPB INC
C	$8,961,630	CORP BOOKS/REC
MPB INC
K	$7,468,603	CORP BOOKS/REC
MPB INC
P	$472,717	CORP BOOKS/REC
MPB INC
R	$225,460	CORP BOOKS/REC
SENTARA LIFE CARE CORP
B	$4,771,268	CORP BOOKS/REC
SENTARA LIFE CARE CORP
L	$3,009,550	CORP BOOKS/REC
SENTARA LIFE CARE CORP
M	$1,086,324	CORP BOOKS/REC
SENTARA LIFE CARE CORP
N	$1,957,174	CORP BOOKS/REC
SENTARA LIFE CARE CORP
O	$1,471,709	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
L	$955,570	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
N	$1,216,511	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
Q	$6,583,438	CORP BOOKS/REC
OPTIMA HEALTH INSURANCE COMPANY
L	$15,651,345	CORP BOOKS/REC
OPTIMA HEALTH PLAN
L	$147,329,162	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
Q	$969,678	CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURGERY MGT LLC
S	$1,339,642	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
A	$51,000	CORP BOOKS/REC
OBICI REAL ESTATE HOLDINGS LLC
S	$145,231	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
L	$57,776	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
Q	$488,441	CORP BOOKS/REC
SENTARA OBICI AMBULATORY SURGERY LLC
S	$824,000	CORP BOOKS/REC
SENTARA VENTURES INC
O	$743,449	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
B	$7,325,366	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
L	$788,073	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
N	$7,698,363	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
O	$104,654	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
P	$50,479	CORP BOOKS/REC
MARTHA JEFFERSON HOSPITAL
Q	$84,768	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
B	$12,786,314	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
L	$1,026,527	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
M	$57,832	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
N	$16,264,951	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
O	$175,483	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
P	$51,067	CORP BOOKS/REC
SENTARA RMH MEDICAL CENTER
Q	$109,968	CORP BOOKS/REC