MARTHA JEFFERSON HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MARTHA JEFFERSON HOSPITAL (EIN 54-0261840)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201523179349301787
Schema version: 2014v5.0
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T08:46:39-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540261840	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MART	BusinessNameControlTxt
Phone	4346548198	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1Txt
City	CHARLOTTESVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22911	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	J MICHAEL BURRIS	PersonNm
Person Title	VICE PRESIDENT & CFO	PersonTitleTxt
Phone	4346547000	PhoneNum
Signature	2015-11-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JONATHAN DAVIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1Txt
City	CHARLOTTESVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22911	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$253,999,366	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SENTARA.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1929	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED DELIVERY SYSTEM, WE IMPROVE HEALTH EVERY DAY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1934	TotalEmployeeCnt
Total Volunteers	775	TotalVolunteersCnt
Total Gross UBI	$120,220	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$66,041	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,733,514	PYContributionsGrantsAmt
CY Contributions Grants	$7,423,182	CYContributionsGrantsAmt
PY Program Service Revenue	$244,816,257	PYProgramServiceRevenueAmt
CY Program Service Revenue	$242,532,667	CYProgramServiceRevenueAmt
PY Investment Income	$17,275	PYInvestmentIncomeAmt
CY Investment Income	$336,748	CYInvestmentIncomeAmt
PY Other Revenue	$3,580,716	PYOtherRevenueAmt
CY Other Revenue	$3,056,469	CYOtherRevenueAmt
PY Total Revenue	$252,147,762	PYTotalRevenueAmt
CY Total Revenue	$253,349,066	CYTotalRevenueAmt
PY Grants And Similar Paid	$174,950	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$189,400	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$123,528,438	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$125,375,291	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$118,897,179	PYOtherExpensesAmt
CY Other Expenses	$117,452,310	CYOtherExpensesAmt
PY Total Expenses	$242,600,567	PYTotalExpensesAmt
CY Total Expenses	$243,017,001	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,547,195	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,332,065	CYRevenuesLessExpensesAmt
Total Assets BOY	$330,382,073	TotalAssetsBOYAmt
Total Assets EOY	$263,612,901	TotalAssetsEOYAmt
Total Liabilities BOY	$323,381,593	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$47,310,128	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,000,480	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$216,302,773	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY AND ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF OUR COMMUNITY. WE HAVE A VISION TO SET THE STANDARD FOR CLINICAL QUALITY AND PERSONALIZED HEALTHCARE SERVICES AND TO PROVIDE THE BEST CLINICAL QUALITY POSSIBLE WHILE MAINTAINING EXTRAORDINARY CUSTOMER SERVICE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$215,495,532	ExpenseAmt
Grant	$189,400	GrantAmt
Revenue	$242,485,052	RevenueAmt
Desc	AT THE HEART OF MARTHA JEFFERSON'S MISSION AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL IS OUR ROLE AND RESPONSIBILITY TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. MARTHA JEFFERSON IS ENTRUSTED WITH RESOURCES AND SKILLS THAT CAN HELP THE PEOPLE OF OUR COMMUNITY ACHIEVE AND MAINTAIN THEIR BEST POSSIBLE HEALTH. THE HOSPITAL'S BOARD OF DIRECTORS IN 2014 REAFFIRMED THE FOLLOWING COMMITMENTS THAT ARE FUNDAMENTAL TO OUR ABILITY TO MEET THESE CHALLENGES. AS AN INTEGRAL PART OF THE STRATEGIC PLANNING PROCESS, THE MISSION OF MARTHA JEFFERSON HOSPITAL WILL BE REVIEWED ALONG WITH SPECIFIC INITIATIVES, GOALS AND OBJECTIVES TO CONSIDER INCORPORATING SPECIFIC STATEMENTS AIMED AT HELPING TO RESOLVE COMMUNITY PROBLEMS ADVERSELY AFFECTING THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. MARTHA JEFFERSON WILL CONDUCT, OR GAIN ACCESS TO, COMMUNITY-NEEDS ASSESSMENTS (CHNA) TO IDENTIFY PROBLEMS ADVERSELY AFFECTING OUR COMMUNITIES' HEALTH STATUS. MARTHA JEFFERSON WILL REGULARLY INVENTORY HOSPITAL-SPONSORED AND COMMUNITY PROGRAMS WORKING TO MEET THE IDENTIFIED NEEDS OF MEDICALLY UNDERSERVED OR DISADVANTAGED POPULATIONS. AS APPROPRIATE, THESE PROGRAMS WILL BE TRACKED AND EVALUATED FOR THEIR IMPACT ON IDENTIFIED HEALTH STATUS ISSUES. THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS FORMALLY ACCEPTED AND ADOPTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP2HEALTH) DISTRICT-WIDE COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN IN JANUARY 2013.MARTHA JEFFERSON WILL REGULARLY ASSESS ITS ABILITY TO COMMIT RESOURCES, FINANCIAL AND HUMAN, TOWARD HELPING MEET IDENTIFIED NEEDS.ACCESS TO HEALTHCARE: MARTHA JEFFERSON ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR HEALTHCARE SERVICES. THE HOSPITAL ASSISTS PATIENTS WITH FINANCIAL NEEDS THROUGH THE MARTHA JEFFERSON HEALTHTRUST, A PROGRAM THAT PROVIDES A SLIDING FEE SCALE FOR HOSPITAL PATIENTS WHO QUALIFY BASED ON FAMILY INCOME UP TO 300 PERCENT OF POVERTY LEVEL. FINANCIAL ASSISTANCE IS BASED ON A REVIEW OF THE PATIENT'S FINANCIAL CIRCUMSTANCES UPON ADMISSION OR THE SERVICE DATE. BECAUSE MARTHA JEFFERSON DOES NOT PURSUE COLLECTION OF THE AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF PATIENT SERVICE REVENUES. MARTHA JEFFERSON DEFINES CHARITY CARE AS CARE FOR WHICH COLLECTION IS NOT ATTEMPTED (I.E. INDIGENT CARE) AND OPERATING COSTS FOR SERVICES RENDERED FOR MEDICAID PATIENTS THAT ARE IN EXCESS OF REIMBURSEMENT FROM STATE AGENCIES. CHARITY CARE INFORMATION IS PROVIDED ON SCHEDULE H. IN ADDITION TO PROVIDING UNCOMPENSATED CARE, MARTHA JEFFERSON HAS ESTABLISHED SPECIAL ACCOUNTS TO PROVIDE FREE DIAGNOSTIC SERVICES FOR PATIENTS REFERRED BY THE CHARLOTTESVILLE FREE CLINIC AND THE FREE CLINIC OF GREENE COUNTY. THROUGHOUT THE YEAR, COMMUNITY HEALTH SCREENINGS AND REDUCED-FEE SERVICES PROVIDED OTHER MEANS OF ACCESS TO HEALTHCARE FOR PEOPLE ACROSS CENTRAL VIRGINIA. PHYSICIANS EMPLOYED BY MARTHA JEFFERSON HOSPITAL HAVE OFFICES THROUGHOUT CHARLOTTESVILLE AND IN SEVEN SURROUNDING COUNTIES INCLUDING ALBEMARLE, BUCKINGHAM, LOUISA, MADISON, GREENE, FLUVANNA AND NELSON, WHICH PROVIDE ACCESS TO HEALTHCARE IN MANY RURAL AREAS WITHOUT REGARD TO ONE'S ABILITY TO PAY. DURING 2014, THE MEDICAL STAFF CONSISTED OF JUST OVER 400 PHYSICIANS REPRESENTING 35 MEDICAL SPECIALTIES. MARTHA JEFFERSON HOSPITAL ALSO OPERATES A MAIN EMERGENCY DEPARTMENT, AS WELL AS A FREE-STANDING EMERGENCY DEPARTMENT, BOTH OF WHICH ARE STAFFED 24-HOURS A DAY/7 DAYS A WEEK BY BOARD-CERTIFIED PHYSICIANS AND SPECIALLY TRAINED NURSES AND SUPPORT STAFF.IN FISCAL YEAR 2014, MARTHA JEFFERSON HOSPITAL SERVED THE COMMUNITY BY WAY OF 9,436 INPATIENT ADMISSIONS; 217,170 OUTPATIENT ACCOUNTS; 52,092 EMERGENCY DEPARTMENT VISITS; 7,362 OPERATING ROOM VISITS; AND 189,037 PHYSICIAN OFFICE VISITS. IN ADDITION, MARTHA JEFFERSON OFFERED OR SUPPORTED MANY PROGRAMS AND SERVICES IN OUR COMMUNITY, WHICH ARE DETAILED BELOW.EDUCATIONAL PROGRAMS: AN IMPORTANT PART OF OUR COMMUNITY OUTREACH IS CENTERED ON EDUCATIONAL PROGRAMS AND TRAINING. WHEN A FAMILY IS PREPARING TO DELIVER A BABY AT MARTHA JEFFERSON, SIBLING TOURS, BREASTFEEDING CLASSES AND PEDIATRIC CPR ARE OFFERED AS WELL AS CLASSES CENTERED ON PREPARING FOR CHILDBIRTH AND BECOMING A PARENT. ONCE THE BABY HAS BEEN DELIVERED HOWEVER, THE EDUCATION DOESN'T STOP. A BRUNCH IS HELD DAILY FOR NEW FAMILIES BEFORE THEY ARE DISCHARGED. DURING THIS TIME FAMILIES LEARN HOW TO CALM THEIR CRYING BABY, THE DANGERS OF SUDDEN INFANT DEATH SYNDROME AND HOW TO GET A BIG BROTHER OR SISTER WARMED UP TO THE IDEA OF SHARING MOM AND DAD. THE STARR HILL HEALTH CENTER OFFERS A BABY BASICS MOMS CLUB. THE MOMS CLUB IS A FREE CLUB FOR PREGNANT WOMEN TARGETING WOMEN WHO MIGHT NOT NORMALLY ATTEND A CHILDBIRTH EDUCATION CLASS. THE MOMS CLUB ADDRESS ALL THE PRIORITY AREAS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT. IN 2014 MORE THAN 30 PEOPLE ATTENDED THE MOMS CLUB MEETINGS.OTHER EDUCATIONAL CLASS OFFERINGS AT MARTHA JEFFERSON INCLUDE; PREPARING FOR A HYSTERECTOMY, POST-HYSTERECTOMY REHAB, ADVANCED MEDICAL PLANNING, STRESS MANAGEMENT, JOINT PAIN: WHEN IS ENOUGH, ENOUGH?, UNDERSTANDING VASCULAR DISEASE, CARDIAC REHABILITATION AND PULMONARY REHABILITATION.SCHOOL PROGRAMS: MARTHA JEFFERSON HOSPITAL UNDERSTANDS MANY OF THE HEALTH DECISIONS WE MAKE AS ADULTS ARE A RESULT OF THE SITUATIONS WE EXPERIENCE AS CHILDREN. THROUGH OUR SCHOOL PROGRAMS WE ARE ABLE TO TEACH CHILDREN AND LEAVE AN IMPRESSION THAT WILL HOPEFULLY STAY WITH THEM AS THEY GROW UP. THE HOSPITAL ENGAGES CHILDREN OF ALL AGES IN FREE HEALTH AND NUTRITION-RELATED CLASSES AND CAMPS.IN OUR ELEMENTARY SCHOOL OUTREACH, AN EMPLOYEE OF MARTHA JEFFERSON ENGAGES STUDENTS IN THEIR CLASSROOM IN LESSONS ON HEALTH AND WELLNESS THAT DIRECTLY RELATE TO THE VIRGINIA STANDARDS OF LEARNING. ADDITIONALLY VOLUNTEER PROGRAMS ARE OFFERED EACH SUMMER TO HIGH SCHOOL STUDENTS IN THE COMMUNITY INTERESTED IN THE MEDICAL FIELD. THEY ARE REQUIRED TO COMPLETE 50 HOURS OF VOLUNTEER SERVICE, AND ARE GIVEN THE CHANCE TO WORK WITH HOSPITAL STAFF AND BUILD THEIR SKILLS AND INTEREST LEVEL IN THEIR AREA OF INTEREST. PROFESSIONAL EDUCATION SUPPORT: AS A WAY TO PROVIDE CONTINUED PROFESSIONAL EDUCATION, MARTHA JEFFERSON SUPPORTS AND PROVIDES CLINICAL PLACEMENTS FOR NURSING STUDENTS OF UNIVERSITY OF VIRGINIA, JAMES MADISON UNIVERSITY, LIBERTY UNIVERSITY, LYNCHBURG COLLEGE, SOUTH UNIVERSITY, PIEDMONT VIRGINIA COMMUNITY COLLEGE, BLUE RIDGE COMMUNITY COLLEGE, VIRGINIA COMMONWEALTH UNIVERSITY, LONGWOOD UNIVERSITY AND THE UNIVERSITY OF DELAWARE.HOSPITAL SERVICES: MARTHA JEFFERSON HOSPITAL OFFERS MANY PROGRAMS THAT HELP PATIENTS BOTH GET ACCLIMATED WITH OUR SYSTEM, AND ALSO NAVIGATE THE HOSPITAL AS NEEDS ARISE.HEALTH CONNECTION, OUR PHYSICIAN REFERRAL, PATIENT EDUCATION AND INFORMATION SERVICE TAKES 100+ CALLS ON A DAILY BASIS. THEY'RE ABLE TO HELP NEW MEMBERS OF THE COMMUNITY FIND A PHYSICIAN, ENROLL PEOPLE IN THE VARIOUS CLASSES THE HOSPITAL OFFERS AND PROVIDE SUPPORT FOR SPECIFIC MEDICAL NEEDS.FOR PEOPLE UNDERGOING CANCER TREATMENTS AT MARTHA JEFFERSON HOSPITAL, WE PROVIDE A CANCER CARE CENTER. THE CENTER SERVES AS A RESOURCE FOR PATIENTS FROM THE MOMENT THEY ARE DIAGNOSED THROUGH THEIR ENTIRE LINE OF INTERACTIONS AT THE HOSPITAL, AND IN MANY CASES EVEN CONTINUES AFTER THEY ARE ARE NO LONGER COMING FOR VISITS. STAFF MEMBERS ARE DEDICATED TO HELPING PATIENTS DEAL WITH THE EMOTIONS THAT GO ALONG WITH BEING DIAGNOSED WITH CANCER, FITTING THEM WITH COMPLIMENTARY WIGS AND SCARVES TO USE DURING TREATMENT AND JUST BEING FRIENDS THROUGHOUT THE PROCESS.MARTHA JEFFERSON HOSPITAL ALSO OFFERS A PALLIATIVE CARE PROGRAM. WHEN A PERSON IS FACING A SERIOUS OR ADVANCING ILLNESS, THE ACCOMPANYING PHYSICAL, EMOTIONAL AND SPIRITUAL ISSUES CAN DRAMATICALLY AFFECT THE EXPERIENCE AND OFTEN QUALITY OF LIFE FOR PATIENTS AND LOVED ONES. OVER THE PAST FIVE YEARS MORE THAN 1,000 LOCAL FAMILIES HAVE BENEFITTED FROM CONSULTATIONS BY A MULTIDISCIPLINARY TEAM PROVIDING PALLIATIVE CARE AT MARTHA JEFFERSON HOSPITAL. THE CAREGIVERS FOCUS ON DELIVERING A UNIQUE COMBINATION OF SPECIAL EXPERTISE IN PAIN AND SYMPTOM MANAGEMENT AND COORDINATE CARE AMONG A MULTIPLICITY OF PHYSICIANS INVOLVED WHEN AN INDIVIDUAL IS SERIOUSLY ILL AND DEDICATE THE TIME NEEDED FOR PATIENT-FAMILY COMMUNICATION ABOUT GOALS OF CARE AND THE EMOTIONAL AND SPIRITUAL STRUGGLES THAT OFTEN ACCOMPANY A LIFE-CHANGING ILLNESS. IN ADDITION TO THE ABOVE MENTIONED PROGRAMS, MARTHA JEFFERSON HOSPITAL ALSO OFFERS THE FOLLOWING: CHAPLAINCY PROGRAM, PATIENT ADVOCATE PROGRAM AND WEBSITE WITH INTEGRATED HEALTH INFORMATION (WWW.MARTHAJEFFERSON.ORG). MARTHA JEFFERSON HOSPITAL HELD 'UNWANTED MEDICATION TAKE BACK DAY' WHICH WAS A DRIVE-THROUGH EVENT ALLOWING ANY AND ALL IN OUR COMMUNITY TO DROP OFF UNWANTED MEDICATIONS AND MEDICAL SHARPS FOR PROPER DISPOSAL.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$215,495,532	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	Yes (1)	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	145	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1934	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	J MICHAEL BURRIS CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4346547304	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1Txt
City	CHARLOTTESVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22911	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
WILLIAM L ACHENBACH
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
LILLIAN R BEVIER
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
PETER BROOKS
CHAIR	3.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
DR GREGORY DOULL
BOARD MEMBER	2.00		Yes (X)	$0	$0	$0
RICHARD GILLIAM
BOARD MEMBER	2.00		Yes (X)	$0	$0	$0
DRTERRY M GILLILAND
BOARD MEMBER	2.00	44.20	Yes (X)	$0	$1,117,730	$144,273
DR JOHN LIGUSH
BOARD MEMBER	2.00		Yes (X)	$0	$0	$0
E RAY MURPHY
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
DAVID G SUTTON
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
DAVID L BERND
BOARD MEMBER	2.00	52.20	Yes (X)	$0	$4,230,690	$87,267
HOWARD P KERN
VICE CHAIR	2.00	50.20	Yes (X)	$0	$1,973,999	$3,195,033	Yes (X)
CAROL B HURT THRU 114
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
JAMES E HADEN
PRESIDENT (NON-VOTING)	50.00	15.00		$2,983,076	$0	$294,345	Yes (X)
ELLIOT H KUIDA
SECRETARY (NON-VOTING)	63.00	3.00		$390,624	$0	$98,449	Yes (X)
J MICHAEL BURRIS
TREASURER (NON-VOTING)	32.00	38.20		$380,934	$0	$309,513	Yes (X)
AMELIA S BLACK
VP, CHIEF NURSE EXECUTIVE	65.00			$284,561	$0	$73,065		Yes (X)
MARIJO LECKER
VP, CLINICAL SUPPORT SVS/I	65.00			$291,821	$0	$83,203		Yes (X)
RONALD J COTTRELL
VP, PLANNING, MKTG, CORP D	65.00			$279,856	$0	$246,342		Yes (X)
FINLAY M ASHBY
VP, MEDICAL AFFAIRS	65.00			$293,356	$0	$64,185		Yes (X)
RAY R MISHLER
VP, DEVELOPMENT	25.00	50.00		$234,358	$0	$245,332		Yes (X)
DEBORAH L THEXTON
FINANCE DIRECTOR	60.00	5.00		$182,011	$0	$30,127		Yes (X)
JACOB N YOUNG
PHYSICIAN	40.00			$743,531	$0	$48,192			Yes (X)
SANDEEP TEJA
PHYSICIAN	40.00			$632,670	$0	$31,332			Yes (X)
JOHN Z EDWARDS
PHYSICIAN	40.00			$592,938	$0	$44,140			Yes (X)
STEPHEN B GUNTHER
PHYSICIAN	40.00			$570,463	$0	$45,591			Yes (X)
ERIKA J STRUBLE
PHYSICIAN	40.00			$484,952	$0	$29,939			Yes (X)
SUSAN CABELL MAINS
FORMER KE	0.00	40.00		$0	$250,999	$288,501				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,345,151	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,573,418	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,358,829	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	181	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	LAB SERVICES	$1,116,038
HANDCRAFT LINEN SERVICES
1501 ROSENEATH ROAD	RICHMOND	VA	232304431	LAUNDRY SERVICES	$897,906
ALBEMARLE ANESTHESIA PLC
311 10TH STREET NE	CHARLOTTESVILLE	VA	22902	PHYSICIAN SERVICES	$713,101
THE KING AGENCY
3 NORTH LOMBARDY STREET	RICHMOND	VA	23220	MARKETING SERVICES	$584,655
STERICYCLE COMM SOLUTIONS
25661 NETWORK PLACE	CHICAGO	IL	606731264	ANSWERING SERVICE	$523,698

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Fundraising	$550,663	FundraisingAmt
Related Organizations	$101,000	RelatedOrganizationsAmt
Government Grants	$2,317,929	GovernmentGrantsAmt
All Other Contributions	$4,453,590	AllOtherContributionsAmt
Noncash Contributions	$128,088	NoncashContributionsAmt
Total Contributions	$7,423,182	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621500	$241,583,051	$241,478,382	$104,669
PREMIUM CAPITATION	621500	$949,616	$949,616

Field	Value	IRS element (for citing)
Total Program Service Revenue	$242,532,667	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,115	TotalRevenueColumnAmt
Unrelated Business Revenue	$15,551	UnrelatedBusinessRevenueAmt
Exclusion	$376,564	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$418,626	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$193,970	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$224,656	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,656	TotalRevenueColumnAmt
Exclusion	$224,656	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$171,286	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$226,653	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$55,367	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$55,367	TotalRevenueColumnAmt
Exclusion	-$55,367	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$284,242	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$550,663	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$229,677	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,565	TotalRevenueColumnAmt
Exclusion	$54,565	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & GIFT SHOP	722210	$2,659,514	$2,659,514
OTHER REVENUE	900099	$62,396	$60,680	$1,716
PHYSICIAN TELEPHONE SERV	541900	$55,338		$55,338

Field	Value	IRS element (for citing)
Other Revenue Total	$2,777,248	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$253,349,066	TotalRevenueColumnAmt
Related Or Exempt Func Income	$242,485,052	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$120,220	UnrelatedBusinessRevenueAmt
Exclusion	$3,320,612	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$189,400	TotalAmt
Program Services	$189,400	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,765,158	TotalAmt
Management And General	$6,765,158	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$101,326	TotalAmt
Management And General	$101,326	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$89,502,099	TotalAmt
Program Services	$86,293,452	ProgramServicesAmt
Management And General	$3,208,647	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,219,367	TotalAmt
Program Services	$3,913,559	ProgramServicesAmt
Management And General	$305,808	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,964,455	TotalAmt
Program Services	$16,358,704	ProgramServicesAmt
Management And General	$1,605,751	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,822,886	TotalAmt
Program Services	$6,374,663	ProgramServicesAmt
Management And General	$448,223	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$404,934	TotalAmt
Program Services	$59	ProgramServicesAmt
Management And General	$404,875	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$170,411	TotalAmt
Program Services	$20,195	ProgramServicesAmt
Management And General	$150,216	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,640,433	TotalAmt
Program Services	$14,564,406	ProgramServicesAmt
Management And General	$3,076,027	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$681,255	TotalAmt
Program Services	$667,521	ProgramServicesAmt
Management And General	$13,734	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,037,215	TotalAmt
Program Services	$4,509,150	ProgramServicesAmt
Management And General	$528,065	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,449,002	TotalAmt
Program Services	$4,968,074	ProgramServicesAmt
Management And General	$1,480,928	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,550,733	TotalAmt
Program Services	$5,430,581	ProgramServicesAmt
Management And General	$120,152	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$315,495	TotalAmt
Program Services	$250,808	ProgramServicesAmt
Management And General	$64,687	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$167,079	TotalAmt
Program Services	$134,501	ProgramServicesAmt
Management And General	$32,578	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,048,033	TotalAmt
Management And General	$5,048,033	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,272,110	TotalAmt
Program Services	$12,201,314	ProgramServicesAmt
Management And General	$1,070,796	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,428,883	TotalAmt
Program Services	$975,173	ProgramServicesAmt
Management And General	$1,453,710	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$42,392,811	$42,391,883	$928
PROV FOR BAD DEBT	$7,840,099	$7,840,099
EQUIPMENT MAINTENANCE	$6,030,509	$5,730,076	$300,433
UNRELATED BUSINESS INCO	$55,000	$55,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,968,308	TotalAmt
Program Services	$2,626,914	ProgramServicesAmt
Management And General	$1,341,394	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$243,017,001	TotalAmt
Program Services	$215,495,532	ProgramServicesAmt
Management And General	$27,521,469	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$83,540,340	BOYAmt
EOY	$31,424,124	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$1,173,928	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,951,238	BOYAmt
EOY	$18,317,826	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,511,765	BOYAmt
EOY	$2,989,954	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,951,675	BOYAmt
EOY	$3,153,731	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,308,507	BOYAmt
EOY	$1,619,633	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$222,377,536	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,318,594	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$185,390,427	BOYAmt
EOY	$181,058,942	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,437,793	BOYAmt
EOY	$7,580,586	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,290,328	BOYAmt
EOY	$16,294,177	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$330,382,073	BOYAmt
EOY	$263,612,901	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,487,175	BOYAmt
EOY	$31,113,801	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$282,894,418	BOYAmt
EOY	$16,196,327	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$323,381,593	BOYAmt
EOY	$47,310,128	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,472,899	BOYAmt
EOY	$206,662,232	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,364,584	BOYAmt
EOY	$8,448,516	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,162,997	BOYAmt
EOY	$1,192,025	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,000,480	BOYAmt
EOY	$216,302,773	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$330,382,073	BOYAmt
EOY	$263,612,901	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,332,065	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$198,970,228	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,874,654	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,649,570	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,950,633	OtherExpendituresAmt
End Year Balance	$28,573,591	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,907,762	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,328,076	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,361,184	OtherExpendituresAmt
End Year Balance	$28,874,654	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,368,803	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,784,380	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,245,421	OtherExpendituresAmt
End Year Balance	$28,907,762	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,368,803	BeginningYearBalanceAmt
End Year Balance	$29,368,803	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$29,368,803	ContributionsAmt
End Year Balance	$29,368,803	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$398,829	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$31,170,700	OtherCostOrOtherBasisAmt
Book Value	$31,569,529	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,148,261	OtherCostOrOtherBasisAmt
Depreciation	$7,966,309	DepreciationAmt
Book Value	$107,181,952	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,336,626	OtherCostOrOtherBasisAmt
Depreciation	$584,584	DepreciationAmt
Book Value	$752,042	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,849,737	OtherCostOrOtherBasisAmt
Depreciation	$31,979,767	DepreciationAmt
Book Value	$39,869,970	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,473,383	OtherCostOrOtherBasisAmt
Depreciation	$787,934	DepreciationAmt
Book Value	$1,685,449	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$181,058,942	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
MISCELLANEOUS ACCOUNTS RECEIVABLE	$3,695,441
DEPOSITS	$1,617,822
OTHER ASSETS	$5,340,773
ASSETS HELD FOR SALE	$3,999,000
DUE FROM AFFILIATE	$1,641,141

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,294,177	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
CLAIMS ACCRUAL	$500,000
CAPITAL LEASE OBLIGATIONS	$228,232
LONG TERM LIABILITIES	$8,346,991
IBNR LIABILITY	$2,959,626
DUE TO AFFILIATES	$2,592,185
DUE TO 3RD PARTY PAYORS	$1,569,293

Field	Value	IRS element (for citing)
Total Liability	$16,196,327	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	ENDOWMENT FUNDS ARE USED TO SUPPORT THE HEALTH CARE NEEDS OF THE COMMUNITY.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	MARTHA'S MARKET	Event1Nm
Gross Receipts Event1	$587,992	GrossReceiptsEvent1Amt
Charitable Contri Event1	$332,342	CharitableContriEvent1Amt
Gross Revenue Event1	$255,650	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$44,572	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$135,520	OtherDirectExpensesEvent1Amt
Event2	IN THE PINK	Event2Nm
Gross Receipts Event2	$33,584	GrossReceiptsEvent2Amt
Charitable Contri Event2	$24,484	CharitableContriEvent2Amt
Gross Revenue Event2	$9,100	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$492	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$213,328	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$193,836	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$19,492	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$49,093	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$834,904	GrossReceiptsTotalAmt
Charitable Contributions Tot	$550,662	CharitableContributionsTotAmt
Gross Revenue Total Events	$284,242	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$44,572	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$185,105	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$229,677	DirectExpenseSummaryEventsAmt
Net Income Summary	$54,565	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,616,018	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,616,018	NetCommunityBenefitExpnsAmt
Total Expense	0.03670	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,684,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,032,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,651,911	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,300,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,032,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,267,929	NetCommunityBenefitExpnsAmt
Total Expense	0.05220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,150,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,150,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$771,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$390,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$381,523	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,803,048	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,882,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,920,885	NetCommunityBenefitExpnsAmt
Total Expense	0.03800	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$172,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,897,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,272,437	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,625,487	NetCommunityBenefitExpnsAmt
Total Expense	0.04520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,198,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,305,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,893,416	NetCommunityBenefitExpnsAmt
Total Expense	0.09740	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,362	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,362	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,362	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,362	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,840,099	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,742,070	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$63,884,722	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$80,877,113	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,992,391	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
SENTARA MARTHA JEFFERSON HOSPITAL
1	500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	WWW.SENTARA.COM	H1872	Yes (X)	Yes (X)	Yes (X)
SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER
2	595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	WWW.SENTARA.COM	OH662	Yes (X)			OUTPATIENT SURGERY CENTER

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Average Negotiated RatesAverageNegotiatedRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd	Other ReasonOtherReasonInd
SENTARA MARTHA JEFFERSON HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SECTION C BELOW	Yes (X)	Yes (X)	Yes (1)	13	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
SENTARA MARTHA JEFFERSON OUTPATIENT SURG
2	Yes (1)	0	0																							0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0					0	Yes (X)	0	0	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SENTARA MARTHA JEFFERSON HOSPITAL	PART V, SECTION B, LINE 5: SENTARA MARTHA JEFFERSON HOSPITAL (SMJH) PARTICIPATED WITH THE THOMAS JEFFERSON HEALTH DEPARTMENT IN A COLLABORATIVE EFFORT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE SIX LOCALITIES (CHARLOTTESVILLE/ALBEMARLE, FLUVANNA, GREENE, LOUISA, NELSON) IN THE HEALTH DISTRICT. THESE LOCALITIES ARE CONSIDERED SMJH'S SERVICE AREA, ACCOUNTING FOR APPROXIMATELY 84% OF SMJH'S INPATIENTS. OTHER PARTICIPANTS IN THIS PROCESS INCLUDED THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM, THE UNIVERSITY OF VIRGINIA SCHOOL OF PUBLIC HEALTH, THE AREA AGENCY ON AGING, THE UNITED WAY, THE AREA FREE CLINIC, THE PLANNING DISTRICT COMMISSION, THE COOPERATIVE EXTENSION SERVICE, ETC. REGIONAL COUNTY INTERAGENCY COUNCILS WITH SMJH REPRESENTATION WERE USED TO COLLECT EXISTING HEALTH DATA, COMMUNITY MEMBER SURVEYS, AND KEY STAKEHOLDER FOCUS GROUPS TO CREATE THE ASSESSMENT AND PLAN. THE PROCESS TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.
SENTARA MARTHA JEFFERSON HOSPITAL	PART V, SECTION B, LINE 6A: THE CHNA OF SENTARA MARTHA JEFFERSON HOSPITAL WAS CONDUCTED WITH UNIVERSITY OF VIRGINIA HEALTH SYSTEM/MEDICAL CENTER.
SENTARA MARTHA JEFFERSON HOSPITAL	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/MARTHA-JEFFERSON-HEALTH-ASSESSMENT-WEB.PDF
SENTARA MARTHA JEFFERSON HOSPITAL	PART V, SECTION B, LINE 11: TO SELECT COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES, THE HANLON MODEL WAS USED TO RATE THE MAGNITUDE AND SERIOUSNESS OF THE HEALTH ISSUES AND THE FEASIBILITY OF ADDRESSING THEM AT THE LOCAL LEVEL. HOSPITAL AND OTHER PARTICIPANTS RECOGNIZED THAT RESOURCES NEEDED TO BE DIRECTED TO THE HIGHEST PRIORITY HEALTH PROBLEMS.
SENTARA MARTHA JEFFERSON OUTPATIENT SURGERY CENTER	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.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
MARTHA JEFFERSON OUTPATIENT CARE CENTER
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	DIAGNOSTIC CENTER
MARTHA JEFFERSON HEALTH SERVICES
3263 PROFFIT ROAD	CHARLOTTESVILLE	VA	22902	DIAGNOSTIC CENTER
MJ SURGICAL ASSOCIATES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MJ ORTHOPAEDICS
590 PETER JEFFERSON PARKWAY SUITE	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC	100
FOREST LAKES FAMILY MEDICINE
3263 PROFFIT ROAD SUITE 101	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MARTHA JEFFERSON SLEEP CENTER
1793 RICHMOND ROAD	CHARLOTTESVILLE	VA	22911	DIAGNOSTIC CENTER
GREENE FAMILY MEDICINE
140 STONERIDGE DRIVE S SUITE 100	RUCKERSVILLE	VA	229683096	PHYSICIAN CLINIC
CROZET FAMILY MEDICINE
1646 PARK RIDGE DRIVE	CROZET	VA	229323155	PHYSICIAN CLINIC
PALMYRA MEDICAL ASSOCIATES
17 CENTRE COURT	PALMYRA	VA	229632330	PHYSICIAN CLINIC
BLUE RIDGE INTERNAL MEDICINE
310 OLD IVY WAY SUITE 201	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC
MJ AESTHETIC & RECONSTRUCTIVE SURGERY
600 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	229118837	PHYSICIAN CLINIC
MJ INTERNAL MEDICINE
590 PETER JEFFERSON PARKWAY SUITE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC	100
AFTON FAMILY MEDICINE
10950 ROCKFISH VALLEY HWY	AFTON	VA	229203203	PHYSICIAN CLINIC
MARTHA JEFFERSON NEUROSCIENCES
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
BUCKINGHAM FAMILY MEDICINE
65 BRICKYARD ROAD	DILLWYN	VA	229360030	PHYSICIAN CLINIC
MJ MEDICAL ONCOLOGY ASSOCIATES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MADISON FAMILY MEDICINE
2503 SOUTH SEMINOLE TRAIL	MADISON	VA	227272690	PHYSICIAN CLINIC
MJ SPRING CREEK
29 JEFFERSON COURT	GORDONSVILLE	VA	22942	PHYSICIAN CLINIC
WOUND CARE AT MARTHA JEFFERSON
1490 PANTOPS MOUNTAIN PLACE	CHARLOTTESVILLE	VA	22911	WOUND CENTER
MJ ORTHOPAEDICS NORTH
414 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	PHYSICIAN CLINIC
THE SOMETHING SPECIAL SHOP
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	DME

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER.
PART I, LINE 7:	A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN LINES 7A. FOR LINES 7B AND 7G, THE ORGANIZATION USED ITS INTERNAL COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF MEDICAID AND SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7G:	INCLUDES PRIMARY CARE PRACTICES COSTS OF $8,920,885.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE SUBTRACTED FROM THE DENOMINATOR WHEN CALCULATING COLUMN F PERCENTAGES IS $7,840,099.
PART II, COMMUNITY BUILDING ACTIVITIES:	WE OFFER A VARIETY OF COMMUNITY BUILDING ACTIVITIES INCLUDING THOSE DESIGNED TO HELP MEET THE BASIC NEEDS OF OUR COMMUNITY SUCH AS FOOD DRIVES AND OUR SHOES FOR THE HOMELESS ANNUAL CAMPAIGN. WE OFFER AN ANNUAL CELEBRATION OF LIFE EVENT FOR CANCER SURVIVORS TO GIVE THEM THE OPPORTUNITY TO INTERACT WITH THE PHYSICIANS AND STAFF WHO WERE RESPONSIBLE FOR THEIR CARE. OVER THE PAST SEVERAL YEARS, WE HAVE HAD ANNUAL UNWANTED MEDICATION AND SHARPS DROP-OFF EVENTS. WE HAVE STEADILY INCREASED THE AMOUNT OF MEDICATIONS AND SHARPS WE ARE TAKING OUT OF HOMES IN OUR COMMUNITY AT EACH EVENT.
PART III, LINE 2:	BAD DEBT EXPENSE IS REPORTED AT ESTABLISHED RATES IN ACCORDANCE WITH THE ORGANIZATION'S BOOKS AND RECORDS. BAD DEBT EXPENSE IS REPORTED NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN OFF (I.E.: BAD DEBT WRITE-OFFS MINUS DISCOUNTS MINUS PAYMENTS RECEIVED.)
PART III, LINE 3:	IN COMPUTING LINE 3, THE ORGANIZATION REVIEWED ALL ACCOUNTS WRITTEN-OFF TO BAD DEBT FOR EMPLOYMENT HISTORY, PREVIOUS ELIGIBILITY FOR MEDICAID, INSURANCE PAYMENTS, REGISTRATION WITH INSURANCE, BANRUPTCY AND COMPLIANCE TO INTERNAL CHARITY POLICIES.
PART III, LINE 4:	SEE PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES BAD DEBT.
PART III, LINE 8:	THE MEDICARE COST REPORT WAS USED TO DETERMINE THE MEDICARE COSTS REPORTED ON LINE 6. MEDICARE MARGINS HAVE BEEN DECLINING AT THE SAME TIME THAT HOSPITALS HAVE BEEN ENGAGED IN CONCERTED EFFORTS TO IMPROVE EFFICIENCY, WHICH POINTS TO THE FACT THAT THE LOSSES ARE MOST LIKELY THE RESULT OF INADEQUATE REIMBURSEMENT BY THE FEDERAL GOVERNMENT, THUS, SHOULD BE INCLUDED IN COMMUNITY BENEFIT.
PART III, LINE 9B:	COLLECTION PRACTICES ARE GEARED TOWARDS PATIENTS THAT HAVE A HIGH PROBABILITY OF BEING ABLE TO PAY FOR SERVICES BASED ON INCOME LEVEL AND INELIGIBILITY FOR CHARITY PROGRAMS. IT IS THE POLICY OF SENTARA MARTHA JEFFERSON HOSPITAL TO REVIEW ACCOUNTS TO ENSURE ALL POSSIBLE METHODS OF PAYMENT HAVE BEEN EXHAUSTED, I.E. MEDICAL ASSISTANCE, FINANCIAL ASSISTANCE, PAYMENT PLANS AND SELF-PAY DISCOUNTS, PRIOR TO AN ACCOUNT BEING DEEMED AS "BAD DEBT". THE ORGANIZATION PERFORMS INTERNAL BAD DEBT COLLECTION FUNCTIONS AND USES OUTSIDE COLLECTION AGENCIES ON A SECOND PLACEMENT BASIS. THE ORGANIZATION DETERMINES WHICH PATIENTS ARE SENT TO OUTSIDE AGENCIES AND GUIDES THE AGENCIES IN PERFORMING REASONABLE COLLECTION EFFORTS.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:- ANALYSIS OF AREA SOCIODEMOGRAPHIC AND HEALTH STATUS 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 BOARD MEMBERS AND SENIOR HOSPITAL AND MEDICAL STAFF LEADERS 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 AND HEALTH STATUS DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES SURVEYS OF KEY COMMUNITY STAKEHOLDERS, INPUT FROM THE LOCAL PUBLIC HEALTH COMMUNITY, AND OTHER INFORMATION - ANLAYSIS OF HEALTH CARE UTILIZATION PATTERNS AND TRENDS, FOR EXAMPLE. - 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.- DEVELOPMENT OF COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS: INCORPORATING THE INFORMATION DESCRIBED ABOVE, THE HOSPITAL UNDERTAKES A REVIEW AND PRIORITIZATION PROCESS TO IDENTIFY KEY HEALTH PROBLEMS AND TO DEVELOP IMPLEMENTATION STRATEGIES.- 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 ORGRANIZATIONS SUCH AS UNITED WAY AND ACCESS PARTNERSHIP: INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING.- INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVDIERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS.
PART VI, LINE 3:	THE HOSPITAL PROVIDES PAMPHLETS AT REGISTRATION AREAS, PAYMENT AREAS AND WAITING ROOMS DESCRIBING THE HOSPITAL'S BILLING PROCESS AND FINANCIAL ASSISTANCE. IN ADDITION, INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE DISCUSSING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE FULL FINANCIAL ASSISTANCE POLICY, AS WELL AS INFORMATION ON THE APPLICATION PROCESS. FINANCIAL COUNSELORS AT THE HOSPITAL MAY REACH OUT TO PATIENTS TO DETERMINE IF THEY WOULD LIKE TO APPLY FOR ASSISTANCE, WHICH APPLICATION MAY BE MADE PRIOR TO, DURING OR SUBSEQUENT TO RECEIVING SERVICES.
PART VI, LINE 4:	SENTARA MARTHA JEFFERSON HOSPITAL SERVES THE THOMAS JEFFERSON AREA PLANNING DISTRICT (PD10), INCLUDING THE CITY OF CHARLOTTESVILLE, AND THE COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON, ALL OF WHICH ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THIS DISTRICT INCLUDES URBAN, RURAL AND SUBURBAN GEOGRAPHIC AREAS. PD10 CONSISTS OF APPROXIMATELY 230,000 PEOPLE (U.S. CENSUS BUREAU 2009), WITH ALBEMARLE COUNTY BY FAR THE MOST HIGHLY POPULATED AREA, DISTANTLY FOLLOWED BY THE CITY OF CHARLOTTESVILLE AND THE OTHER COUNTIES. IN GENERAL, THE PLANNING DISTRICT IS GROWING IN POPULATION, WITH AN INCREASE OF OVER 30,000 PEOPLE FROM 2000-2009 (U.S. CENSUS BUREAU 2009). APPROXIMATELY 75 PERCENT OF CITY RESIDENTS AND 90 PERCENT OF ALBEMARLE COUNTY RESIDENTS LIVE ABOVE THE FEDERAL POVERTY LEVEL, WITH CHILDREN BEING THE MOST AFFECTED GROUP BY AGE OF PERSONS LIVING IN POVERTY. WHILE ABOUT 10 PERCENT OF CITY HOUSEHOLDS RECEIVE ASSISTANCE THROUGH FOOD STAMPS, OVER 50 PERCENT OF CITY SCHOOL CHILDREN QUALIFY FOR FREE OR REDUCED-COST LUNCH PROGRAMS (2008 CITY OF CHARLOTTESVILLE/ALBEMARLE COUNTY COMMUNITY HEALTH STATUS ASSESSMENT). MEDICAID AND SELF PAY PATIENTS COMPRISE APPROXIMATELY 10% OF THE HOSPITAL'S PATIENTS. THE COMMUNITY IS SERVED BY TWO HOSPITALS.
PART VI, LINE 5:	SENTARA MARTHA JEFFERSON FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH WORKPLACE HEALTHY INITIATIVES, AN OPEN MEDICAL STAFF, BOARDS OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS, CHARITY CARE POLICIES AND OUTREACH, AND USE OF SURPLUS FUND DISPERSAL. WORKFORCE DEVELOPMENT PROGRAMS CONTINUE AS DOES OUR SUPPORT OF ORGANIZATIONS CHAMPIONING CHILD DENTAL, INDIGENT PRESCRIPTION DRUG, COMMUNITY MENTAL HEALTH SERVICES AND FREE CLINIC ACCESS EFFORTS.SENTARA MARTHA JEFFERSON HOSPITAL STAFF SERVE ON COMMITTEES AND BOARDS RELATED TO COMMUNITY HEALTH INCLUDING THE CHARLOTTESVILLE FREE CLINIC, JEFFERSON AREA BOARD FOR AGING, THE SENIOR CENTER, THE CHARLOTTESVILLE OBESITY TASK FORCE, HOSPICE OF THE PIEDMONT, AND THE WOMEN'S INITIATIVE. PARTNERSHIPS ARE IMPORTANT TO US. WE PARTNER WITH ORGANIZATIONS THAT HAVE A TRACK RECORD OF IMPROVING HEALTH IN OUR COMMUNITY INCLUDING BUT NOT LIMITED TO THE CHARLOTTESVILLE FREE CLINIC, GREENE FREE CLINIC, CHARLOTTESVILLE/ALBEMARLE RESCUE SQUAD, THE UNITED WAY, AND THE WOMEN'S INITIATIVE (MENTAL HEALTH SERVICES). WE MAXIMIZE OUR REACH THROUGH FINANCIAL AND IN-KIND DONATIONS TO ORGANIZATIONS SUCH AS THE CHARLOTTESVILLE CITY SCHOOLS, HOSPICE OF THE PIEDMONT, JEFFERSON AREA BOARD FOR AGING AND HEAD START PROGRAMS IN SEVERAL SURROUNDING COUNTIES. OUR PARTNERSHIPS HELP BUILD AND STRENGTHEN EXISTING PROGRAMS, AS WELL AS LEADING TO THE DEVELOPMENT OF NEW PROGRAMS. OUR PARTNERSHIPS WITH OTHER NON-PROFITS IN THE COMMUNITY ALSO HELP US STAY ABREAST OF COMMUNITY NEEDS.MARTHA JEFFERSON HOSPITAL WELCOMES AND ENCOURAGES SIGNIFICANT COMMUNITY INVOLVEMENT THROUGH THE ESTABLISHMENT OF NUMEROUS GOVERNING COMMITTEES AND A COMMUNITY LEADERSHIP COUNCIL. THERE ARE 100 COMMUNITY MEMBERS ANNUALLY INVOLVED DIRECTLY WITH THESE COMMITTEES.SENTARA MARTHA JEFFERSON HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF TO ALL WHO SEEK PRIVILEGES HERE. THERE ARE OVER 450 PHYSICIANS AND ALLIED STAFF ON THE MARTHA JEFFERSON HOSPITAL MEDICAL STAFF.SENTARA MARTHA JEFFERSON HOSPITAL UTILIZES SURPLUS FUNDS TO PURCHASE MEDICAL EQUIPMENT AND FACILITIES DESIGNED TO MEET THE NEEDS OF THE COMMUNITY IT SERVES.
PART VI, LINE 6:	THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA, A NOT-FOR-PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 12 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGION, ONE IN SOUTH CENTRAL VIRGINIA AND ONE IN NORTHEAST NORTH CAROLINA, ADVANCED IMAGING CENTERS, NURSING AND ASSISTED LIVING CENTERS, OUTPATIENT CAMPUSES, TWO HOME HEALTH AND HOSPICE AGENCIES, A 3,800-PROVIDER MEDICAL STAFF, AND FIVE MEDICAL GROUPS WITH OVER 600 PROVIDERS.THE ORGANIZATION'S AFFILIATION WITH SENTARA ENHANCES ITS ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS, AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S BLUE RIDGE REGION COMMUNITY. COMBINED, THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HEALTH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NATIONAL MS SOCIETY
1020 CARRINGTON PLACE	CHARLOTTESVILLE	VA	22901	135661935	501(C)(3)	$7,500	COMMUNITY HEALTH
PIEDMONT VIRGINIA COMMUNITY COLLEGE
501 COLLEGE DRIVE	CHARLOTTESVILLE	VA	22902	541268264	501(C)(3)	$75,000	COMMUNITY HEALTH
THE WOMEN'S INITIATIVE
1101 EAST HIGH STREET STE A	CHARLOTTESVILLE	VA	22902	205913090	501(C)(3)	$40,000	MENTAL HEALTH SERVICES
UNITED WAY
806 EAST HIGH STREET	CHARLOTTESVILLE	VA	22902	540505882	501(C)(3)	$10,000	RX RELIEF PROGRAM
AMERICAN HEART ASSOCIATION
4217 PARK PLACE COURT	GLEN ALLEN	VA	23060	135613797	501(C)(3)	$7,000	COMMUNITY HEALTH
CCHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DRIVE 200	CHARLOTTESVILLE	VA	22903	541610405	501(C)(3)	$30,000	COMMUNITY HEALTH

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MARTHA JEFFERSON HOSPITAL DONATES FUNDS IN FURTHERANCE OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY MAINTAINING, ENHANCING AND RESTORING PERSONAL HEALTH AND WELL BEING. ASSISTANCE IS GIVEN BASED ON DIRECTION FROM THE BOARD OF DIRECTORS AND COMMUNITY NEED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DRTERRY M GILLILAND
BOARD MEMBER	$0	$716,219	$0	$387,919	$0	$13,592	$0	$129,664	$0	$14,609	$0	$1,262,003	$0	$0
DAVID L BERND
BOARD MEMBER	$0	$1,419,131	$0	$1,431,286	$0	$1,380,273	$0	$65,011	$0	$22,256	$0	$4,317,957	$0	$777,268
HOWARD P KERN
VICE CHAIR	$0	$990,520	$0	$814,072	$0	$169,407	$0	$3,178,069	$0	$16,964	$0	$5,169,032	$0	$0
JAMES E HADEN
PRESIDENT (NON-VOTING)	$507,988	$0	$433,593	$0	$2,041,495	$0	$258,565	$0	$35,780	$0	$3,277,421	$0	$0	$0
ELLIOT H KUIDA
SECRETARY (NON-VOTING)	$292,544	$0	$97,134	$0	$946	$0	$86,548	$0	$11,901	$0	$489,073	$0	$0	$0
J MICHAEL BURRIS
TREASURER (NON-VOTING)	$292,225	$0	$88,709	$0	$0	$0	$284,617	$0	$24,896	$0	$690,447	$0	$0	$0
AMELIA S BLACK
VP, CHIEF NURSE EXECUTIVE	$221,332	$0	$59,635	$0	$3,594	$0	$49,451	$0	$23,614	$0	$357,626	$0	$0	$0
MARIJO LECKER
VP, CLINICAL SUPPORT SVS/I	$224,652	$0	$59,603	$0	$7,566	$0	$64,664	$0	$18,539	$0	$375,024	$0	$0	$0
RONALD J COTTRELL
VP, PLANNING, MKTG, CORP D	$219,696	$0	$56,254	$0	$3,906	$0	$220,856	$0	$25,486	$0	$526,198	$0	$0	$0
FINLAY M ASHBY
VP, MEDICAL AFFAIRS	$241,314	$0	$52,042	$0	$0	$0	$45,544	$0	$18,641	$0	$357,541	$0	$0	$0
RAY R MISHLER
VP, DEVELOPMENT	$180,093	$0	$53,887	$0	$378	$0	$233,468	$0	$11,864	$0	$479,690	$0	$0	$0
DEBORAH L THEXTON
FINANCE DIRECTOR	$160,705	$0	$21,306	$0	$0	$0	$29,224	$0	$903	$0	$212,138	$0	$0	$0
JACOB N YOUNG
PHYSICIAN	$678,531	$0	$65,000	$0	$0	$0	$27,947	$0	$20,245	$0	$791,723	$0	$0	$0
SANDEEP TEJA
PHYSICIAN	$592,776	$0	$39,894	$0	$0	$0	$24,233	$0	$7,099	$0	$664,002	$0	$0	$0
JOHN Z EDWARDS
PHYSICIAN	$545,687	$0	$47,251	$0	$0	$0	$21,750	$0	$22,390	$0	$637,078	$0	$0	$0
STEPHEN B GUNTHER
PHYSICIAN	$520,463	$0	$50,000	$0	$0	$0	$26,843	$0	$18,748	$0	$616,054	$0	$0	$0
ERIKA J STRUBLE
PHYSICIAN	$442,451	$0	$42,501	$0	$0	$0	$28,074	$0	$1,865	$0	$514,891	$0	$0	$0
SUSAN CABELL MAINS
FORMER KE	$0	$181,090	$0	$53,161	$0	$16,748	$0	$268,740	$0	$19,761	$0	$539,500	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE INDICATED BENEFITS ARE PROVIDED TO CERTAIN SENIOR EXECUTIVES OF THE ORGANIZATION AS PART OF OVERALL COMPENSATION PACKAGES AND ARE CONSIDERED IN EVALUATING THE REASONABLENESS OF COMPENSATION (SEE FORM 990, PART VI, LINE 15, FOR A DESCRIPTION OF THE PROCESS USED TO DETERMINE EXECUTIVE COMPENSATION). COUNTRY CLUB MEMBERSHIP FEES AND DUES: SOCIAL CLUB DUES PAID ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE ALLOCATED BETWEEN BUSINESS AND PERSONAL USE, THE PERSONAL USE OF WHICH IS TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PERSONAL SERVICES: FINANCIAL PLANNING - THE CEO RECEIVES ANNUAL PAYMENTS UP TO $4,000, VICE PRESIDENTS RECEIVE UP TO $2,500 EVERY FOUR YEARS AT THE DISCRETION OF THE PRESIDENT/CEO. FINANCIAL PLANNING (I.E. PERSONAL SERVICES) EXPENSES PAID BY OR ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES.
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	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457(F): JAMES HADEN PARTICIPATES IN THE MARTHA JEFFERSON HEALTH SERVICES CORPORATION NONQUALIFIED RETIREMENT PLAN. THIS IS A SERP WITH TARGET BENEFIT OFFSET BY THE QUALIFIED PENSION PLAN AND SOCIAL SECURITY. DURING 2014, MR. HADEN RECEIVED A VESTED DISTRIBUTION UNDER THE PLAN OF $2,028,877, WHICH HAS BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND AND HOWARD KERN PARTICIPATED IN THE SENTARA OPTION PLAN FOR EXECUTIVES. THIS PLAN IS UNRELATED TO "EQUITY" OF THE EMPLOYER. PARTICIPATION IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF SENTARA HEALTHCARE AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. DAVID BERND,HOWARD KERN, AND TERRY GILLILAND, M.D. PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2014, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($1,328,440 ) AND HOWARD KERN ($146,902). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	DURING 2014, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: THE MANAGEMENT INCENTIVE PLAN RECOGNIZES INDIVIDUALS BASED ON SPECIFIC CRITERIA AND DEFINED ORGANIZATION PERFORMANCE STANDARDS. THE PLAN IS NOT ANNUALLY GUARANTEED AND IMPLEMENTATION WILL DEPEND ON ORGANIZATION-WIDE PERFORMANCE. IF ORGANIZATION-WIDE GOALS ARE NOT MET, THE PRESIDENT/CEO WILL HAVE THE DISCRETION TO DETERMINE ANY VARIATIONS TO THE PLAN. ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ETHAN R MURPHY
FAMILY MEMBER OF BOARD MEMBER E. RAY MURPHY	$38,600	EMPLOYMENT	0
SHANNON M KUIDA
FAMILY MEMBER OF OFFICER ELLIOT H. KUIDA	$62,724	EMPLOYMENT	0
BURKHARD F SPIEKERMANN MD
SUBSTANTIAL CONTRIBUTOR	$117,000	PROFESSIONAL SERVICES	0
MICHAEL J OBLINGER MD
SUBSTANTIAL CONTRIBUTOR	$107,404	PROFESSIONAL SERVICES	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$10,150	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$85,462	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	GIFTS IN KIND	Desc
Contribution	182	ContributionCnt
Noncash Contributions Rpt F990	$32,476	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRIC	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	MARTHA JEFFERSON HOSPITAL USES EXTERNAL PARTIES TO COORDINATE AN ARMS-LENGTH SALE OF NON-CASH CONTRIBUTIONS. FOR EXAMPLE, A LICENSED STOCK BROKER WAS USED THIS YEAR TO SELL GIFTS OF STOCK.	ExplanationTxt

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (4 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionTxt
SENTARA HEALTHCARE
INVESTMENTS	2014-05-01	$123,299,694	BROKERAGE STATEMENT	521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)
SENTARA HEALTHCARE
CASH	2014-11-30	$40,000,000		521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)
SENTARA HEALTHCARE
PENSION ASSET	2014-04-30	$3,729,484	BOOK VALUE	521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)
SENTARA HEALTHCARE
INTERCO DEBT	2014-06-30	-$239,988,655	BOOK VALUE	521271901	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	501(C)(3)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	COMMUNITY EVENTS AND HEALTH SCREENINGS: HEALTH SCREENINGS ARE AN IMPORTANT SERVICE OFFERED BY MARTHA JEFFERSON. THE FOLLOWING SCREENINGS ARE HELD ANNUALLY: SKIN CANCER SCREENING, BREAST HEALTH SCREENING, DIABETES ALERT DAY. IN ADDITION TO THE SCREENING EVENTS WE ALSO HOST EVENTS FOR THE COMMUNITY THAT PROMOTE WELLNESS. EACH SPRING THE CELEBRATION OF LIFE IS HELD FOR CANCER PATIENTS, SURVIVORS, AND THEIR FAMILIES. THE AFTERNOON IS FILLED WITH FOOD, SALSA DANCING, GAMES AND MUSIC AND PROVIDES A CHANCE FOR MEMBERS OF THE COMMUNITY TO CELEBRATE THEIR LIFE. WE ALSO HOLD FOOD AND SHOE DRIVES TO HELP PROVIDE MUCH NEEDED ITEMS TO PEOPLE IN THE COMMUNITY. ANNUALLY, WE HOST THE MJ5K RUN AND WALK TO BENEFIT THE CARING TRADITION FUND. NUTRITION PROGRAMS: AS HEALTHCARE PROVIDERS, OUR GOAL IS TO KEEP THE MEMBERS OF OUR COMMUNITY HEALTHY AND FEELING WELL. AT MARTHA JEFFERSON HOSPITAL WE OFFER A VARIETY OF PROGRAMS THAT ALLOW PEOPLE ACCESS TO INFORMATION THAT THEN HELPS THEM MAKE EDUCATED NUTRITION CHOICES. FOR STARTERS, ONE OF OUR REGISTERED DIETICIANS TAKES LEARNING ON LOCATION THROUGH OUR SUPERMARKET SMARTS CLASSES. THROUGH A PARTNERSHIP WITH GIANT FOOD, PEOPLE ARE ABLE TO GET HANDS-ON EXPERIENCE WHEN IT COMES TO MAKING HEALTHY DECISIONS AT THE GROCERY. WE ALSO PROVIDE HEART HEALTHY NUTRITION, DIABETES NUTRITION AND NUTRITION TIPS FOR INDIVIDUALS WITH CANCER. IN ADDITION TO OUR CLASSES, MARTHA JEFFERSON HAS A PRESENCE ACROSS THE LOCAL MEDIA AIRWAVES. NUTRITION TIPS AND TIMELY INFORMATION IS GIVEN BY ONE OF OUR REGISTERED DIETICIANS THROUGH DAILY RADIO SPOTS, A WEEKLY TELEVISION SEGMENT, AND VARIOUS PRINT OPPORTUNITIES. MARHTA JEFFERSON HOSPITAL ALSO PROVIDES FREE HEALTH ASSESSMENTS AT THE STARR HILL HEALTH CENTER. A NURSE PRACTITIONER WILL WORK WITH PATIENTS ON MEAL PLANNING, EXERCISE ROUTINES, AND GENERAL HEALTHY LIFESTYLE TIPS. IN 2014, 66 PATIENTS WERE SEEN AS PART OF THIS PROGRAM WITH 651 FOLLOW-UP APPOINTMENTS. SUPPORT GROUPS: MARTHA JEFFERSON HOSPITAL OFFERS SUPPORT GROUPS OF A WIDE VARIETY TO OUR PATIENTS AND MEMBERS OF THE COMMUNITY. GROUPS MEET ON A REGULAR BASIS AND HELP PROVIDE A SAFE COMMUNITY WHERE PEOPLE CAN SHARE STORIES, REFLECT ON THEIR EXPERIENCE, AND GAIN KNOWLEDGE FROM WHAT OTHERS ARE GOING THROUGH. THE FOLLOWING ARE JUST SOME OF THE TOPICS WE OFFER: WELCOME TO MOTHERHOOD, BREAST CANCER SUPPORT, FAMILY CANCER SUPPORT, HODGKIN'S AND LYMPHOMA SUPPORT, CARDIAC REHAB SUPPORT AND SLEEP APNEA SUPPORT. PROGRAM SUPPORT/UNDERWRITING: MARTHA JEFFERSON PROVIDES MEDICAL IMAGING, LABORATORY SERVICE AND OUTPATIENT DIAGNOSTIC SERVICE ACCESS TO THE CLIENTS OF THE CHARLOTTESVILLE FREE CLINIC (CFC) AND GREENE CARE CLINIC (GCC). THIS ACCESS SUPPORTS PRIMARY CARE SERVICES AND/OR MENTAL HEALTH SERVICES FOR THE WORKING UNDER OR UNINSURED MEMBERS OF OUR COMMUNITIES. MARTHA JEFFERSON SUPPORTED ACCESS TO MENTAL HEALTH SERVICES IN 2014 THROUGH FINANCIAL AND IN-KIND DONATIONS TO THE WOMEN'S INITIATIVE AND THE CHARLOTTESVILLE FREE CLINIC. ACCESS TO DENTAL SERVICES FOR CHILDREN WAS SUPPORTED THROUGH FINANCIAL DONATIONS TO THE ALBEMARLE COUNTY DEPARTMENT OF SOCIAL SERVICES. OTHER LOCAL ORGANIZATIONS/PROGRAMS SUPPORTED BY MARTHA JEFFERSON HOSPITAL INCLUDE: UNITED WAY RX RELIEF PROGRAM, SMOKING CESSATION, FLU CLINIC, HEALTH UPDATE FOR WOMEN, HIV/HEP C SCREENING, CHARLOTTESVILLE FREE CLINIC, CITY SCHOOLYARD GARDEN, PIEDMONT VIRGINIA COMMUNITY COLLEGE.
FORM 990, PART VI, SECTION A, LINE 2	THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAS AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. DAVID BERND AND HOWARD KERN HAVE A BUSINESS RELATIONSHIP.
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 AS FOLLOWS: SENTARA HEALTHCARE, THE 501(C)(3) SOLE MEMBER OF THE ORGANIZATION, APPOINTED THE CLASS B DIRECTORS AND APPROVED THE CLASS A DIRECTORS. THE CLASS A DIRECTORS WERE ELECTED BY A MAJORITY OF THE CLASS A DIRECTORS VOTING AS A SEPARATE CLASS, EXCLUDING THE CLASS A DIRECTOR SUBJECT TO RE-ELECTION, AND RATIFIED BY THE MEMBER'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE WRITTEN CONSENT OF ITS 501(C)(3) SOLE MEMBER, SENTARA HEALTHCARE: APPROVAL OR ADOPTION OF ANY PLAN OR MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; OR ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF STRATEGIC PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; TRANSACTIONS WITH INTERESTED PERSONS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT; UNBUDGETED CAPITAL EXPENDITURES OR INDEBTEDNESS OVER SPECIFIED DOLLAR AMOUNTS; AND THE COMMENCEMENT OR SETTLEMENT OF LITIGATION. SENTARA HEALTHCARE HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE HOSPITAL, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING THE FORM 990 WITH THE IRS, IT IS REVIEWED BY THE FINANCE TEAM, INCLUDING THE CHIEF FINANCIAL OFFICER. IT IS ALSO REVIEWED BY SENTARA HEALTHCARE'S TAX DIRECTOR. MARTHA JEFFERSON HOSPITAL WILL SUBMIT THE PUBLIC DISCLOSURE VERSION OF FORM 990 FOR THE PRECEDING FISCAL YEAR TO THE CEO EVALUATION COMMITTEE OF THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS IN THE RESPECTIVE MEETING FOLLOWING THE FILING OF THE FORM 990. IN ADDITION, THE PUBLIC DISCLOSURE VERSION OF FORM 990 WILL BE PROVIDED TO THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS AT THE MEETING FOLLOWING THE FILING OF THE FORM 990. MARTHA JEFFERSON HOSPITAL WILL ALSO ADVISE BOARD MEMBERS OF THE WEBSITE ADDRESS AT WHICH THE PUBLIC DISCLOSURE VERSION OF FORM 990 WILL BE POSTED (WWW.GUIDESTAR.ORG/990).
FORM 990, PART VI, SECTION B, LINE 12C	MARTHA JEFFERSON HOSPITAL'S CONFLICT OF INTEREST POLICY IS ADMINISTERED BY THE CORPORATE COMPLIANCE OFFICER. ON AN ANNUAL BASIS ALL DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES, MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES AND OTHER EMPLOYEES COMPLETE A DETAILED CONFLICT OF INTEREST QUESTIONNAIRE DISCLOSING ANY REPORTABLE ACTIVITIES AND INVESTMENTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IN ADDITION, ALL PERSONS LISTED ABOVE ARE ANNUALLY PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY. IF CHANGES TO PERSONNEL OCCUR BETWEEN ANNUAL COMPLETION OF THE CONFLICT OF INTEREST QUESTIONNAIRE, NEW PERSONNEL ARE ALSO REQUIRED TO COMPLETE THE QUESTIONNAIRE. ALL DISCLOSURE STATEMENTS ARE REVIEWED FOR REPORTABLE TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15	AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 30 NOT-FOR-PROFIT HEALTHCARE SYSTEMS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, BOND RATING, AND QUALITATIVE PERFORMANCE MEASURES BASED ON RANKINGS FROM SDI'S NATIONAL TOP INTEGRATED HEALTH NETWORKS. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE SYSTEM'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A)ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. IT WAS ALSO USED TO ESTABLISH COMPENSATION FOR ITS VICE CHAIRMAN, WHO ALSO SERVES AS PRESIDENT AND COO OF THE SYSTEM. THE PROCESS WAS LAST UNDERTAKEN DURING 2014 FOR THE POSITIONS LISTED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFER FROM MJH FOUNDATION 125,834,123. BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY 240,153,279. NET PLEDGE ACTIVITY - RESTRICTED FUNDS 12,004. NET ASSET TRANSFER TO PARENT -167,029,178.
FORM 990, PART VI, LINE 16B	AT DECEMBER 31, 2014 MARTHA JEFFERSON HOSPITAL DID NOT HAVE A SPECIFIC JOINT VENTURE POLICY. ANY PROPOSED JOINT VENTURE PARTICIPATION IS EVALUATED WITHIN THE CONTEXT OF THE ADMINISTRATIVE POLICY ENTITLED "AUTHORITY TO COMMIT AND EXPEND FUNDS". THIS POLICY DEPICTS THE TYPES AND LEVELS OF EXPENDITURES AND COMMITMENTS THAT MANAGEMENT CAN UNDERTAKE. ALL PROPOSED JOINT VENTURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL TO ENSURE COMPLIANCE WITH THE APPROPRIATE FEDERAL, STATE AND REGULATORY LAW. ANY JOINT VENTURE PARTICIPATION MUST BE EVALUATED AND APPROVED BY THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS. A SPECIFIC JOINT VENTURE PARTICIPATION POLICY IS CURRENTLY IN PROCESS OF DEVELOPMENT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1Txt
City	CHARLOTTESVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22911	ZIPCd

Field	Value	IRS element (for citing)
EIN	261126956	EIN
Primary Activities	PHYSICIAN PRACTICES	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$26,319,555	TotalIncomeAmt
End Of Year Assets	$2,692,479	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARTHA JEFFERSON HEALTH SERVICES CORPORATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401355	COMMUNITY HEALTHCARE	VA	501(C)(3)	11 TYPE II	N/A	0
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVESTMENT & MANAGEMENT SERVICES FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11 TYPE I		Yes (1)	MARTHA JEFFERSON HOSPITAL
MARTHA JEFFERSON HOSPITAL FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	300041113	FUNDRAISING	VA	501(C)(3)	11 TYPE I		Yes (1)	MARTHA JEFFERSON HOSPITAL
CLARKSVILLE SENIOR CARE LLC
184 BUFFALO ROAD	CLARKSVILLE	VA	23927	541957066	SENIOR CARE	VA	501(C)(3)	11 TYPE I		Yes (1)	HALIFAX REGIONAL HOSPITAL
HALIFAX REGIONAL DEV FOUNDATION INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801459	HEALTH/WELFARE	VA	501(C)(3)	11 TYPE I		Yes (1)	HALIFAX REGIONAL HOSPITAL
HALIFAX REGIONAL HOSPITAL INCORPORATED
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	540648699	HEALTH CARE	VA	501(C)(3)	3		Yes (1)	SENTARA HEALTHCARE
HALIFAX REGIONAL LONG TERM CARE INC
103 ROSE HILL DRIVE	SOUTH BOSTON	VA	24592	546074529	SENIOR CARE	VA	501(C)(3)	11 TYPE I		Yes (1)	HALIFAX REGIONAL HOSPITAL
SENTARA HALIFAX REGIONAL PROPERTIES INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541801463	HEALTH/WELFARE	VA	501(C)(3)	11 TYPE I		Yes (1)	HALIFAX REGIONAL HOSPITAL
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	7	N/A	0
TIDEWATER HEALTH CARE INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	3		Yes (1)	SENTARA HOSPITALS
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	3		Yes (1)	SENTARA HEALTHCARE
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	9		Yes (1)	SENTARA HEALTHCARE
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	9		Yes (1)	SENTARA HEALTHCARE
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)	LINE 9		Yes (1)	SENTARA ENTERPRISES
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I		Yes (1)	SENTARA HEALTHCARE
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	3		Yes (1)	SENTARA HEALTHCARE
SENTARA RMH MEDICAL CENTER
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	540506331	HEALTH CARE	VA	501(C)(3)	3		Yes (1)	SENTARA HEALTHCARE
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	9		Yes (1)	SENTARA RMH MEDICAL CENTER
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	9		Yes (1)	SENTARA HEALTHCARE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
PHYSICAL THERAPY ACAC LLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	PHYSICAL THERAPY	VA	MARTHA JEFFERSON MEDICAL ENTERPRISES INC	UNRELATED	$159,821	$174,070	0	0	0.50000
MANAGEMENT SERVICES
814 GREENBRIER CIR	CHESAPEAKE	VA	23320	541365012	HEALTH MANAGEMENT SERVICES	VA								N/A
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	REAL ESTATE RENTAL	VA								N/A
PRINCESS ANNE AMB SURG CENTER
1975 GLENN MITCHELL DRIVE STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA								N/A
VA BEACH AMBULATORY SURG CENTER
1700 WILL O WISP DR	VA BEACH	VA	23454	541448218	HEALTH CARE	VA								N/A
AMER HEALTH EVAL CTR - WMSBG LLC
739 THIMBLE SHOALS STE 105	NEWPORT NEWS	VA	23606	263761741	HEALTH CARE	VA								N/A
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DR	NORFOLK	VA	23502	201338518	HEALTH CARE	VA								N/A
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VA BEACH	VA	23502	200942600	HEALTH CARE	VA								N/A
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR STE 180	VA BEACH	VA	23462	204024074	CONSULTING	VA								N/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIR STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA								N/A
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA								N/A
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA								N/A
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA								N/A
POTOMAC INOVA HEALCARE ALLIANCE LLC
8110 GATEHOUSE ROAD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTH CARE	VA								N/A
ORTHOPAEDIC HOSPITAL MGT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA								N/A
MNS SUPPLY CHAIN NETWORK LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	454235238	GPO	DE								N/A
LAKE RIDGE AMBULATORY SURGERY CENTER LLC
12825 MINNIEVILLE RD STE 204	WOODBRIDGE	VA	22192	455347932	HEALTH CARE	VA								N/A
ALETA HEALTH LLC
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	465661314	MSO	DE								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SERVICE	VA	MARTHA JEFFERSON HOSPITAL	C	$3,083,187	$429,499	1.00000	Yes (1)
SENTARA SOUTHSIDE HEALTH SERVICES INC
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541417772	HEALTH CARE	VA		C				Yes (1)	N/A
DOMINION HEALTH MEDICAL ASSOCIATES LTD
2204 WILBORN AVENUE	SOUTH BOSTON	VA	24592	541060357	HEALTH CARE	VA		C				Yes (1)	N/A
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA		C				Yes (1)	N/A
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA		C				Yes (1)	N/A
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA		C				Yes (1)	N/A
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA		C				Yes (1)	N/A
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA		C				Yes (1)	N/A
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA		C				Yes (1)	N/A
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA		C				Yes (1)	N/A
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA		C				Yes (1)	N/A
SENTARA STRATEGIC SOLUTIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA		C				Yes (1)	N/A
ROCKINGHAM HEALTH SERVICES INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	541721387	CONTRACTING SERVICES	VA		C				Yes (1)	N/A
POTOMAC VENTURES CORP
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	541441420	PHARMACY	VA		C				Yes (1)	N/A
BAY PRIMEX INSURANCE COMPANY LTD
				980704114	INSURANCE			C				Yes (1)	N/A	PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ
ALBEMARLE PHYSICIAN SERVICES-SENTARA INC
1144 NORTH ROAD STREET	ELIZABETH CITY	NC	27909	264592192	PHYS PRACTICE	NC		C				Yes (1)	N/A
SENTARA HEALTH PLANS OF OHIO INC
4417 CORPORATION LANE	VIRGINIA BEACH	VA	23462	471509408	TPA	OH		C				Yes (1)	N/A
SENTARA HEALTH INSURANCE CO OF NC
4417 CORPORATION LANE	VIRGINIA BEACH	VA	23462	471888140	HEALTH INSURANCE	NC		C				Yes (1)	N/A
SENTARA HEALTH PLANS OF NC INC
4417 CORPORATION LANE	VIRGINIA BEACH	VA	23462	465510421	TPA	NC		C				Yes (1)	N/A

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

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARTHA JEFFERSON MEDICAL ENTERPRISES
A	$94,548	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
D	$3,189,954	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
Q	$333,991	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
M	$2,442,487	CORP BOOKS/RECORDS
MJH FOUNDATION
Q	$161,719	CORP BOOKS/RECORDS
MJH FOUNDATION
S	$125,834,123	CORP BOOKS/RECORDS
MJH FOUNDATION
C	$1,004,509	CORP BOOKS/RECORDS
SENTARA ENTERPRISES
M	$286,219	CORP BOOKS/RECORDS
OPTIMA HEALTH PLAN
L	$7,023,953	CORP BOOKS/RECORDS
OPTIMA HEALTH INSURANCE COMPANY
L	$4,935,876	CORP BOOKS/RECORDS
SENTARA RMH MEDICAL CENTER
O	$138,080	CORP BOOKS/RECORDS
SENTARA RMH MEDICAL CENTER
P	$270,358	CORP BOOKS/RECORDS
SENTARA RMH MEDICAL CENTER
S	$174,545	CORP BOOKS/RECORDS