2016-11-11T10:31:04-06:00 2015-12-31 990 2015-01-01 541547408 SENTARA HOSPITALS SENT 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 ROBERT A BROERMANN TREASURER 7574557020 2016-11-11 2015 2017-02-10 21:41:12Z HOWARD P KERN 6015 POPLAR HALL DRIVE NORFOLK VA 23502 2198430694 0 X WWW.SENTARA.COM X 1990 VA AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 4 0 13704 2383 26071682 1650785 7397483 2703987 2034391259 2184632807 2777733 1683318 7855964 8169378 2052422439 2197189490 25021219 30243961 0 0 827172452 866206638 0 0 0 1002085465 1073938531 1854279136 1970389130 198143303 226800360 1282307864 1301157594 199986889 215224520 1082320975 1085933074 X SEE SCHEDULE O 0 0 1694487646 30243961 2162612259 SEE SCHEDULE O 1694487646 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 1 0 1 2795 0 1 13704 1 1 1 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 1 0 VA X CORPORATE OFFICERS 7574557020 6015 POPLAR HALL DR NORFOLK VA 23502 DAVID L BERND DIRECTOR/CHAIRMAN 2.00 49.20 X X 0 3297673 78898 ROBERT A BROERMANN DIRECTOR/TREASURER 2.00 49.00 X X 0 2302226 30888 HOWARD P KERN DIRECTOR/PRESIDENT 2.00 48.20 X X 0 3162206 1734160 KENNETH M KRAKAUR DIRECTOR 1.00 40.00 X 0 538319 49075 JEFFREY P KING SECRETARY 1.00 46.00 X 0 644028 86140 MARY L BLUNT KE (CORPORATE VP) 40.00 1.00 X 956958 0 57500 ELWOOD B BOONE III KE (PRESIDENT, VBGH) 40.00 0.00 X 403634 0 63479 TERESA L EDWARDS KE (PRESIDENT SLH) 40.00 0.00 X 532750 0 73020 ROBERT C FIRESTONE KE (VP OPERATIONS SNGH) 40.00 0.00 X 256211 0 42820 DEBRA A FLORES KE (PRESIDENT, SCH) 40.00 0.00 X 453921 0 28948 MICHAEL V GENTRY KE (CORPORATE VP) 40.00 7.00 X 916949 0 108495 KURT T HOFELICH KE (PRESIDENT, SNGH) 40.00 0.00 X 552267 0 53071 GENEMARIE W MCGEE KE (CNO) 40.00 0.00 X 374903 0 55803 BERTRAM S REESE KE (SHC SVP & CIO) 40.00 0.00 X 950428 0 -12956 GRACE MYERS KE (CNE) 40.00 0.00 X 278596 0 38510 GENE H BURKE VP /EXEC MED DIRECTOR CLINICAL EFFECTIVENESS 40.00 0.00 X 491099 0 16380 PAUL D CHIDESTER VP MEDICAL AFFAIRS 40.00 0.00 X 477039 0 48628 J STEPHEN JULIAN JR PRESIDENT SOH 40.00 0.00 X 450620 0 66186 SCOTT A MILLER VP, MEDICAL AFFAIRS 40.00 0.00 X 430531 0 16055 DAVID N MOHR VP CLIN INFORMATICS/TRANSFORMATION 40.00 0.00 X 424695 0 36655 GRACE R HINES FORMER OFFICER 0.00 40.00 X 0 574798 29808 STEPHEN D PORTER FORMER OFFICER AND KEY EMPLOYEE 0.00 41.00 X 0 795066 82484 SYLVIA M RICHENDOLLAR FORMER OFFICER AND KEY EMPLOYEE 40.00 0.00 X 271952 0 38882 THOMAS THAMES FORMER HIGHEST COMPENSATED EMPLOYEE 0.00 40.00 X 0 439884 75733 8222553 11754200 2898662 674 1 1 0 EASTERN VIRGINIA MEDICAL SCHOOL PO BOX 1980 NORFOLK VA 23501 MEDICAL PROFESSIONAL SERVICES 20882414 ARAMARK HEALTHCARE TECHNOLOGIES LLC 12483 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MEDICAL TECHNOLOGIES & SERVICES 10536985 ATLANTIC ANESTHESIA INC 134 BUSINESS PARK DRIVE VIRGINIA BEACH VA 23462 MEDICAL PROFESSIONAL SERVICES 7471519 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 160266 MOBILE AL 36625 FOOD & FACIL. 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X X 1 13 0 1 0 1 X 200.000000000000 X 1 1 X X X 1 X HTTP://WWW.VBASC.COM/PATIENT INFORMATION/FINANCIAL INFORMATION X HTTP://WWW.VBASC.COM/PATIENT INFORMATION/FINANCIAL INFORMATION X X X X 1 X 0 X X X X 0 X X X 0 0 SENTARA OBICI AMB SURG CTR 14 0 0 1 X X X X X X X X X 13 1 1 0 1 X REFER TO PART V, SECTION C LINE 5D. X X 1 13 0 1 0 1 X 200.000000000000 X 1 1 X X X 1 X X X X X 1 X 0 X X X X 0 X X X 0 0 PRINCESS ANNE AMB SURG CTR 11 0 0 1 X X X X X X X X X 13 1 1 0 1 X REFER TO PART V, SECTION C LINE 5D. X X 1 13 0 1 0 1 X 200.000000000000 X 1 1 X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X X 1 X 0 X X X 0 X X X 0 0 CAREPLEX ORTHO AMBULATORY SURG CTR 12 0 0 1 X X X X X X X X X 13 1 1 0 1 X REFER TO PART V, SECTION C LINE 5D. X X 1 13 0 1 0 1 X 200.000000000000 X 1 1 X X X 1 X HTTP://CAREPLEXORTHO.COM/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 0 X X X 0 0 FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 13 1 1 0 1 X REFER TO PART V, SECTION C LINE 5D. X X 1 13 0 1 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X 1 X X X X X X 0 X 0 X X X X 1 X 0 0 SENTARA ALBEMARLE REGIONAL MEDICAL CENTE 7 0 1 0 0 1 X 200.000000000000 600.000000000000 X X X 0 1 X X 1 X X X 0 X 0 X X X X 1 X 0 0 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. 115 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 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. 1 EASTERN VA MEDICAL SCHOOL PO BOX 1980 NORFOLK VA 23501 237053208 501(C)(3) 10850875 OPERATING FUND AND INDIGENT CARE OLDE TOWNE MEDICAL CENTER 5249 OLDE TOWNE RD WILLIAMSBURG VA 23188 541663905 501(C)(3) 100000 COMMUNITY HEALTH SUPPORT SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK VA 23502 521271901 501(C)(3) 17411523 OVERHEAD ALLOCATIONS PENINSULA EMS COUNCIL PO BOX 1297 GLOUCESTER VA 23061 541064500 501(C)(3) 11500 DONATION/SPONSORSHIP ISLE OF WHITE CHAMBER OF COMMERCE PO BOX 38 SMITHFIELD VA 23431 521277308 501(C)(6) 5100 DONATION/SPONSORSHIP GREATER WILLIAMSBURG CHAMBER AND TOURISM ALLIANCE 421 NORTH BOUNDARY STREET WILLIAMSBURG VA 23185 540482313 501(C)(6) 21000 DONATION/SPONSORSHIP TIDEWATER EMS COUNCIL INC 1104 MADISON PLAZA CHESAPEAKE VA 23320 540977032 501(C)(3) 25000 ANNUAL SUPPORT VERSABILITY RESOURCES INC 2520 58TH STREET HAMPTON VA 23661 540802199 501(C)(3) 32000 DONATION/SPONSORSHIP VIRGINIA PENINSULA FOODBANK 2401 ALUMINUM AVENUE HAMPTON VA 23661 541422298 501(C)(3) 11000 DONATION/SPONSORSHIP THE HEALING PLACE OF HAMPTON ROADS 5365 ROBIN HOOD ROAD STE 700 NORFOLK VA 23513 461193930 501(C)(3) 100000 CAPITAL FUNDING JDRF INTERNATIONAL 26 BROADWAY 15TH FLOOR NEW YORK NY 10004 231907729 501(C)(3) 20000 DONATION/SPONSORSHIP VIRGINIA DENTAL ASSOCIATION FOUNDATION 3460 MAYLAND COURT STE 110 RICHMOND VA 23233 541821602 501(C)(3) 50000 DONATION/SPONSORSHIP NORFOLK STATE UNIVERSITY FOUNDATION INC AND SUBSIDIARY 700 PARK AVENUE NORFOLK VA 23504 237235954 501(C)(3) 300000 CAPITAL FUNDING/SCHOLARSHIP ALBEMARLE HOSPITAL FOUNDATION PO BOX 1412 ELIZABETH CITY NC 27906 432031990 501(C)(3) 334872 PROGRAM SUPPORT COLLEGE OF THE ALBEMARLE FOUNDATION INC PO BOX 2327 ELIZABETH CITY NC 27906 581399254 501(C)(3) 16000 CLINICAL EDUCATION OPPORTUNITIES ALBEMARLE REGIONAL HEALTH SERVICES 711 ROANOKE AVENUE ELIZABETH CITY NC 27909 566000798 PASQUOTANK COUNTY 117692 FUNDING FOR CLINICAL RESOURCES PASQUOTANK COUNTY PO BOX 586 ELIZABETH CITY NC 27907 566000328 PASQUOTANK COUNTY 450000 PROGRAM SUPPORT 15 2 SCHOLARSHIPS 294 271985 PART I, LINE 2: 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. X 1 1 0 1 0 0 0 0 0 1 0 DAVID L BERND DIRECTOR/CHAIRMAN 0 1391722 0 1508038 0 397913 0 57405 0 21493 0 3376571 0 0 ROBERT A BROERMANN DIRECTOR/TREASURER 0 738225 0 556761 0 1007240 0 12518 0 18370 0 2333114 0 563900 HOWARD P KERN DIRECTOR/PRESIDENT 0 966286 0 858798 0 1337122 0 1715812 0 18348 0 4896366 0 560147 KENNETH M KRAKAUR DIRECTOR 0 365706 0 124682 0 47931 0 29228 0 19847 0 587394 0 0 JEFFREY P KING SECRETARY 0 434964 0 144257 0 64807 0 61948 0 24192 0 730168 0 25115 MARY L BLUNT KE (CORPORATE VP) 520587 0 313992 0 122379 0 42097 0 15403 0 1014458 0 0 0 ELWOOD B BOONE III KE (PRESIDENT, VBGH) 290115 0 93809 0 19710 0 41344 0 22135 0 467113 0 0 0 TERESA L EDWARDS KE (PRESIDENT SLH) 331599 0 147236 0 53915 0 47717 0 25303 0 605770 0 18386 0 ROBERT C FIRESTONE KE (VP OPERATIONS SNGH) 192850 0 58643 0 4718 0 19292 0 23528 0 299031 0 0 0 DEBRA A FLORES KE (PRESIDENT, SCH) 301139 0 97922 0 54860 0 21444 0 7504 0 482869 0 13342 0 MICHAEL V GENTRY KE (CORPORATE VP) 531073 0 314662 0 71214 0 94139 0 14356 0 1025444 0 53841 0 KURT T HOFELICH KE (PRESIDENT, SNGH) 351010 0 147588 0 53669 0 30876 0 22195 0 605338 0 11736 0 GENEMARIE W MCGEE KE (CNO) 268115 0 89563 0 17225 0 34717 0 21086 0 430706 0 0 0 BERTRAM S REESE KE (SHC SVP & CIO) 470917 0 329384 0 150127 0 -26412 0 13456 0 937472 0 29808 0 GRACE MYERS KE (CNE) 211238 0 67041 0 317 0 29063 0 9447 0 317106 0 0 0 GENE H BURKE VP /EXEC MED DIRECTOR CLINICAL EFFEC 362325 0 122160 0 6614 0 -7386 0 23766 0 507479 0 0 0 PAUL D CHIDESTER VP MEDICAL AFFAIRS 320472 0 136990 0 19577 0 23975 0 24653 0 525667 0 0 0 J STEPHEN JULIAN JR PRESIDENT SOH 296653 0 134574 0 19393 0 47015 0 19171 0 516806 0 0 0 SCOTT A MILLER VP, MEDICAL AFFAIRS 289588 0 118889 0 22054 0 -7441 0 23496 0 446586 0 0 0 DAVID N MOHR VP CLIN INFORMATICS/TRANSFORMATION 298250 0 104406 0 22039 0 35971 0 684 0 461350 0 0 0 GRACE R HINES FORMER OFFICER 0 301770 0 182294 0 90734 0 7950 0 21858 0 604606 0 0 STEPHEN D PORTER FORMER OFFICER AND KEY EMPLOYEE 0 385059 0 214100 0 195907 0 65732 0 16752 0 877550 0 16985 SYLVIA M RICHENDOLLAR FORMER OFFICER AND KEY EMPLOYEE 198605 0 61340 0 12007 0 22478 0 16404 0 310834 0 0 0 THOMAS THAMES FORMER HIGHEST COMPENSATED EMPLOYEE 0 312076 0 125654 0 2154 0 51085 0 24648 0 515617 0 0 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. KATHERINE M HINES FAMILY MEMBER OF GRACE R. HINES, FORMER OFFICER 73951 EMPLOYMENT 0 RICHARD E VINIKOFF FAMILY MEMBER OF KEN KRAKAUR, DIRECTOR 111014 EMPLOYMENT 0 JULIE L PORTER FAMILY MEMBER OF STEPHEN D. PORTER, FORMER OFFICER & KEY EMPLOYEE 138796 EMPLOYMENT 0 KAREN RICHENDOLLAR FAMILY MEMBER OF SILVIA M. RICHENDOLLAR, FORMER OFFICER & KEY EMPLOYEE 68168 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5445987 FOOD SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 409125 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 228386 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 254734 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 277438 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 240460 EMPLOYMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 380958 EMPLOYMENT 0 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. 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