SENTARA HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SENTARA HEALTH (EIN 52-1271901)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201333189349303278
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T11:44:47-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	521271901	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	SENT	NameControl
Phone	7574557020	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DRIVE	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23502	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT BROERMANN	Name
Title	SR VP/CFO/TREASURER	Title
Phone	7574557020	Phone
Date Signed	2013-11-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVID L BERND	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DRIVE	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23502	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1646180704	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SENTARA.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	AT SENTARA, WE IMPROVE HEALTH EVERY DAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	539	TotalNbrEmployees
Total Nbr Volunteers	54	TotalNbrVolunteers
Total Gross UBI	4098493	TotalGrossUBI
Net Unrelated Business Txbl Income	1791337	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	66189186	ContributionsGrantsPriorYear
Contributions Grants Current Year	21133614	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	64492834	ProgramServiceRevenuePriorYear
Program Service Revenue CY	71594703	ProgramServiceRevenueCY
Investment Income Prior Year	60144524	InvestmentIncomePriorYear
Investment Income Current Year	75629132	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-1743504	OtherRevenuePriorYear
Other Revenue Current Year	17277276	OtherRevenueCurrentYear
Total Revenue Prior Year	189083040	TotalRevenuePriorYear
Total Revenue Current Year	185634725	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	19603445	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1141225	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	60057370	SalariesEtcPriorYear
Salaries Etc Current Year	63219034	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	89686	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	45474	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	530635	TotalFundrsngExpCurrentYear
Other Expense Prior Year	40135754	OtherExpensePriorYear
Other Expenses Current Year	47218008	OtherExpensesCurrentYear
Total Expenses Prior Year	119886255	TotalExpensesPriorYear
Total Expenses Current Year	111623741	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	69196785	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	74010984	RevenuesLessExpensesCY
Total Assets BOY	2082820453	TotalAssetsBOY
Total Assets EOY	2934194179	TotalAssetsEOY
Total Liabilities BOY	1380432581	TotalLiabilitiesBOY
Total Liabilities EOY	2030510903	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	702387872	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	903683276	NetAssetsOrFundBalancesEOY
Mission Description	WE IMPROVE HEALTH EVERY DAY THROUGH COORDINATING, PROMOTING AND PLANNING FOR THE PROVISION OF HEALTH SERVICES AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	91064845	Expense
Grants	1141225	Grants
Revenue	79056756	Revenue
Description	SEE SCHEDULE O.	Description
Total Program Service Expense	91064845	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	163	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	539	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7574557020	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DR	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23502	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (77 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM L ACHENBACH
DIRECTOR/TRUSTEE	2.00	3.00	X	0	0	0
DAVID L BERND
CEO/DIRECTOR/TRUSTEE	40.00	14.00	X	4981854	0	326749	X
JERRY A BRIDGES
DIRECTOR/TRUSTEE (THRU 9/12)	2.00	1.00	X	0	0	0
JOAN P BROCK
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
FREDERICK C COBLE
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
LAWRENCE G CUMMING
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
W ANDREW DICKINSON MD
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
DEBORAH M DICROCE
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
JACK L EZZELL JR
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
ROBERT C FORT
DIRECTOR/TRUSTEE/CHAIRMAN	3.00	1.00	X	0	0	0	X
L ALVIN GARRISON JR
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
HENRY U HARRIS III
DIRECTOR/TRUSTEE/VICE CHAIRMAN	3.00	1.00	X	0	0	0	X
ANN E C HOMAN
DIRECTOR/TRUSTEE	2.00	3.00	X	0	0	0
CHARLES F LOVELL JR MD
DIRECTOR/TRUSTEE	2.00	2.00	X	0	95191	0
PETER D PRUDEN III
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
MARC B SHARP
DIR/TRUST/CHAIR (CHAIR THRU 9/12)	3.00	1.00	X	1006	0	0	X
MARION WALL
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
THOMAS L WOODWARD
DIRECTOR/TRUSTEE	2.00	1.00	X	0	0	0
NANCY A BAGRANOFF
TRUSTEE (THRU 9/12)	1.00	0.00	X	0	0	0
WILLIAM K BARLOW
TRUSTEE	1.00	0.00	X	0	0	0
LILLIAN R BEVIER
TRUSTEE	1.00	2.00	X	0	0	0
CHARLES R BIRDSONG
TRUSTEE	1.00	0.00	X	0	0	0
WILLIAM K BUTLER II
TRUSTEE	1.00	1.00	X	0	0	0
DIAN T CALDERONE
TRUSTEE	1.00	1.00	X	0	0	0
DONALD H CLARK
TRUSTEE	1.00	0.00	X	0	0	0
RICHARD F CLARK MD
TRUSTEE	1.00	0.00	X	0	0	0
JAMES CROCKER
TRUSTEE	1.00	0.00	X	0	0	0
ALLAN G DONN
TRUSTEE	1.00	0.00	X	0	0	0
PAUL DRESSER
TRUSTEE	1.00	0.00	X	0	0	0
F DUDLEY FULTON
TRUSTEE	1.00	0.00	X	0	0	0
DENNIS F GARDNER
TRUSTEE (THRU 10/22/12)	1.00	0.00	X	0	0	0
VERNON M GEDDY II
TRUSTEE	1.00	0.00	X	0	0	0
EDWARD L HAMM JR
TRUSTEE	1.00	0.00	X	0	0	0
NORMAN HOFFMAN
TRUSTEE	1.00	0.00	X	0	0	0
MICHAEL S IVES
TRUSTEE	1.00	0.00	X	0	0	0
JAMES R JOSEPH
TRUSTEE	1.00	0.00	X	0	0	0
AUBREY L LAYNE JR
TRUSTEE	1.00	0.00	X	0	0	0
AUBREY E LOVING JR
TRUSTEE	1.00	0.00	X	0	0	0
MICHAEL D LUBELEY
TRUSTEE	1.00	0.00	X	0	0	0
JOHN F MALBON
TRUSTEE	1.00	0.00	X	0	0	0
GARY T MCCOLLUM
TRUSTEE	1.00	0.00	X	0	0	0
JAMES R MESSNER
TRUSTEE	1.00	2.00	X	0	0	0
PAUL V MICHELS
TRUSTEE	1.00	0.00	X	0	0	0
ROBERT S MILLER III
TRUSTEE	1.00	0.00	X	0	0	0
R SCOTT MORGAN
TRUSTEE	1.00	0.00	X	0	0	0
E RAY MURPHY
TRUSTEE	1.00	2.00	X	0	0	0
VINCENT A NAPOLITANO
TRUSTEE	1.00	0.00	X	0	0	0
WESTBROOK J PARKER
TRUSTEE (AS OF 10/12)	1.00	0.00	X	0	0	0
ROBIN D RAY
TRUSTEE	1.00	0.00	X	0	0	0
THOMAS L ROSS
TRUSTEE (THRU 9/12)	1.00	0.00	X	0	0	0
C EDWARD RUSSELL JR
TRUSTEE	1.00	0.00	X	0	0	0
R MICHAEL SORENSEN
TRUSTEE	1.00	2.00	X	0	0	0
BARBARA B STOLTZFUS
TRUSTEE	1.00	0.00	X	0	0	0
RONY THOMAS
TRUSTEE	1.00	0.00	X	0	0	0
MARY L BLUNT
CORP VP	5.00	40.00		0	848417	174487	X
ROBERT A BROERMANN
CFO/TREASURER	40.00	10.00		1203319	0	186076	X
MICHAEL M DUDLEY
SR VP	10.00	41.00		905211	0	660683	X
MICHAEL V GENTRY
CORP VP	5.00	41.00		0	719865	94345	X
ROBERT L GRAVES
CORP VP	5.00	40.00		0	659826	80070	X
VICKY G GRAY
SR VP	40.00	1.00		728039	0	94594	X
HOWARD P KERN
COO/PRESIDENT	40.00	12.00		3731697	0	722594	X
JEFFREY P KING
VP/SECRETARY/GEN. COUNSEL	40.00	5.00		548806	0	78912	X
KENNETH M KRAKAUR
SR VP	40.00	9.00		979254	0	84563	X
DAVID R MAIZEL MD
CORP VP	5.00	40.00		0	792755	108120	X
GENEMARIE W MCGEE
SYS CHIEF NURSE EXECUTIVE	5.00	40.00		0	280101	154302	X
MEGAN R PERRY
CORP VP	5.00	40.00		657478	0	202483	X
ASHLEY K PROVOST
ASSIST SECRETARY	40.00	0.00		126875	0	9602	X
BERTRAM S REESE
CIO/SR VP	10.00	40.00		0	842203	114349	X
MARK A SZALWINSKI
CORP VP (THRU 2/12)	5.00	40.00		0	382682	22025	X
MICHAEL V TAYLOR
SR VP	40.00	0.00		766219	0	119887	X
DOUGLAS M THOMPSON
CORP VP	40.00	0.00		490727	0	85937	X
GARY R YATES MD
SR VP/CMO	40.00	10.00		1281743	0	172648	X
GRACE R HINES
CORP VP, STRAT SUPPORT/PROG DEV	40.00	1.00		430237	0	172521		X
BRUCE S ROBERTSON
PRESIDENT, SLCC	5.00	40.00		396550	0	146420		X
VIKKI LORENZ
VP, CORP FINANCE	40.00	0.00		373450	0	119041		X
EDWARD L TORCOM
VP, MANAGED CARE CONTR	40.00	0.00		341462	0	50406		X
RAYMOND G TROIANO
VP/PRESIDENT, SVBGH	40.00	0.00		101361	340124	75063		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	18045288	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4961164	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4055877	TotalOtherCompensation
Number Individuals GT100 K	110	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KPMG LLP
PO BOX 120001 DEPT 0566	DALLAS	TX	75312	PROFESSIONAL SVCS	1855311
PILOT MEDIA
PO BOX 79917	BALTIMORE	MD	212790917	MEDIA ADVERTISING	1007339
NATIONAL RESEARCH CORP
PO BOX 809030	CHICAGO	IL	606809030	CONSULTANTS	895718
BDC ADVISORS LLC
1221 BRICKELL AVE SUITE 1470	MIAMI	FL	33131	CONSULTANTS	863854
IPROSPECTCOM INC
200 CLARENDON ST 23RD FLOOR	BOSTON	MA	02116	MARKETING SERVICES	743304

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	49	NumberOfContractorsGT100K
Related Organizations	20521234	RelatedOrganizations
All Other Contributions	612380	AllOtherContributions
Total Contributions	21133614	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SUPPORT SERVICES	900099	71455140	69351829	2103311
WORKING DESIGN	900099	139563	135418	4145

Field	Value	IRS element (for citing)
Total Program Service Revenue	71594703	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	40858852	TotalRevenueColumn
Exclusion	$40,858,852	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1495316259	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1460545979	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	34770280	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	34770280	TotalRevenueColumn
Exclusion	$34,770,280	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
INTERCO INTEREST CHARGES	900099	7785328	7785328
DEEMED DISTR. FROM CFC	524298	5604613		$5,604,613
SUBPART F INCOME	524298	1988832		$112,117	1876715

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1898503	TotalRevenueColumn
Related Or Exempt Function Income	1784181	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	114322	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	17277276	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	185634725	TotalRevenueColumn
Related Or Exempt Function Income	79056756	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4098493	UnrelatedBusinessRevenue
Exclusion	$81,345,862	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	932381	Total
Program Services	932381	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	208844	Total
Program Services	208844	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	19146956	Total
Program Services	15126095	ProgramServices
Management And General	4020861	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	138671	Total
Program Services	109550	ProgramServices
Management And General	29121	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	33590306	Total
Program Services	26325842	ProgramServices
Management And General	6998009	ManagementAndGeneral
Fundraising	266455	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3692557	Total
Program Services	2903758	ProgramServices
Management And General	771885	ManagementAndGeneral
Fundraising	16914	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3841339	Total
Program Services	3013286	ProgramServices
Management And General	801000	ManagementAndGeneral
Fundraising	27053	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2809205	Total
Program Services	2205215	ProgramServices
Management And General	586197	ManagementAndGeneral
Fundraising	17793	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3789173	Total
Program Services	2993447	ProgramServices
Management And General	795726	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1114518	Total
Program Services	880469	ProgramServices
Management And General	234049	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	769332	Total
Program Services	607772	ProgramServices
Management And General	161560	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	29519	Total
Program Services	23320	ProgramServices
Management And General	6199	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	45474	Total
Fundraising	45474	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	4654233	Total
Program Services	3676844	ProgramServices
Management And General	977389	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	6351307	Total
Program Services	5481301	ProgramServices
Management And General	867557	ManagementAndGeneral
Fundraising	2449	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	6114181	Total
Program Services	4828993	ProgramServices
Management And General	1283656	ManagementAndGeneral
Fundraising	1532	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2627438	Total
Program Services	2031554	ProgramServices
Management And General	540033	ManagementAndGeneral
Fundraising	55851	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	860853	Total
Program Services	680074	ProgramServices
Management And General	180779	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1112982	Total
Program Services	879256	ProgramServices
Management And General	233726	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	801030	Total
Program Services	632814	ProgramServices
Management And General	168216	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	214394	Total
Program Services	169371	ProgramServices
Management And General	45023	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11358407	Total
Program Services	11354266	ProgramServices
Management And General	4141	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	641269	Total
Program Services	506603	ProgramServices
Management And General	134666	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1229524	Total
Program Services	971324	ProgramServices
Management And General	258200	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
UNRELATED BUSINESS TAX	393005	393005
RECRUITING EXPENSES	2794194	2207413	586781
PURCHASED & CONTRACTED	1853055	1393522	370430	89103
ORGANIZATIONAL DUES	1381890	1091693	290197

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-872296	Total
Program Services	-563167	ProgramServices
Management And General	-317140	ManagementAndGeneral
Fundraising	8011	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	111623741	Total
Program Services	91064845	ProgramServices
Management And General	20028261	ManagementAndGeneral
Fundraising	530635	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	522842888	BOY
EOY	607772141	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	159232795	BOY
EOY	155227727	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5186587	BOY
EOY	5693338	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	19901212	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	15171257	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4757380	BOY
EOY	4729955	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1046702125	BOY
EOY	1267421717	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	169081674	BOY
EOY	257481231	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	175017004	BOY
EOY	635868070	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2082820453	BOY
EOY	2934194179	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	150451641	BOY
EOY	168675335	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	2720000	BOY
EOY	2150000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	844055175	BOY
EOY	1335701801	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	383205765	BOY
EOY	523983767	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1380432581	BOY
EOY	2030510903	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	700814777	BOY
EOY	901984504	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1573095	BOY
EOY	1698772	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	702387872	BOY
EOY	903683276	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2082820453	BOY
EOY	2934194179	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	74010984	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	65020017	ReconciliationUnrealizedInvest
Reconcilation Other Changes	62264403	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	34121648	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	35320786	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13489023	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	66189186	CurrentTaxYearMinus1Year
Current Tax Year	21133614	CurrentTaxYear
Total	170254257	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	34121648	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	35320786	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13489023	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	66189186	CurrentTaxYearMinus1Year
Current Tax Year	21133614	CurrentTaxYear
Total	170254257	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	1036630	AmountsSubstContributorsTotal
Public Support Total170	169217627	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	60262969	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	29713824	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36386851	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	40093753	CurrentTaxYearMinus1Year
Current Tax Year	42959801	CurrentTaxYear
Total	209417198	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1379382	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	391523	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	29377	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	866623	CurrentTaxYearMinus1Year
Current Tax Year	1182283	CurrentTaxYear
Total	3849188	Total

Field	Value	IRS element (for citing)
Total Support	383520643	TotalSupport
Public Support Pertcentage170	0.44120	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.46990	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$25,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$116,651	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$198,194	OtherActivitiesAmount
Total Lobbying Expenditures IIB	339845	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	THE ORGANIZATION ENGAGED IN THE DISSEMINATION OF INFORMATION CONCERNING HEALTH CARE LEGISLATION TO EMPLOYEES VIA EMAIL. THE ORGANIZATION IS INVOLVED IN INDIRECT LOBBYING ACTIVITIES THROUGH PAYMENT OF MEMBERSHIP DUES TO VHHA AND AHA. FURTHERMORE, THE ORGANIZATION ENGAGED VECTRE CORPORATION TO MONITOR AND PROVIDE CONSULTATION ON FEDERAL, STATE, AND LOCAL HEALTH CARE LEGISLATION. THE ORGANIZATION ALSO MADE A CONTRIBUTION TO MOVE HAMPTON ROADS, A 501(C)(4) SOCIAL WELFARE ORGANIZATION, TO BE USED IN ITS ADVOCACY EFFORTS FOR LIGHT RAIL EXPANSION IN HAMPTON ROADS.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	61588154	BeginningOfYearBalance
Contributions	612380	Contributions
Investment Earnings Or Losses	9724182	InvestmentEarningsOrLosses
Grants Or Scholarships	210000	GrantsOrScholarships
Other Expenditures	285069	OtherExpenditures
End Of Year Balance	71429647	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	73911554	BeginningOfYearBalance
Contributions	492273	Contributions
Investment Earnings Or Losses	-12427191	InvestmentEarningsOrLosses
Grants Or Scholarships	187348	GrantsOrScholarships
Other Expenditures	201134	OtherExpenditures
End Of Year Balance	61588154	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	77901428	BeginningOfYearBalance
Contributions	324828	Contributions
Investment Earnings Or Losses	-3720513	InvestmentEarningsOrLosses
Grants Or Scholarships	157906	GrantsOrScholarships
Other Expenditures	436283	OtherExpenditures
End Of Year Balance	73911554	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70232826	BeginningOfYearBalance
Contributions	1592765	Contributions
Investment Earnings Or Losses	6496683	InvestmentEarningsOrLosses
Grants Or Scholarships	202741	GrantsOrScholarships
Other Expenditures	218105	OtherExpenditures
End Of Year Balance	77901428	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70961613	BeginningOfYearBalance
Contributions	4830492	Contributions
Investment Earnings Or Losses	-5043974	InvestmentEarningsOrLosses
Grants Or Scholarships	200000	GrantsOrScholarships
Other Expenditures	315305	OtherExpenditures
End Of Year Balance	70232826	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.97620	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.02380	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2493820	OtherCostOrOtherBasis
Book Value	2493820	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4126514	OtherCostOrOtherBasis
Depreciation	3580168	Depreciation
Book Value	546346	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	228337	OtherCostOrOtherBasis
Depreciation	221942	Depreciation
Book Value	6395	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12129778	OtherCostOrOtherBasis
Depreciation	11006824	Depreciation
Book Value	1122954	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	922763	OtherCostOrOtherBasis
Depreciation	362323	Depreciation
Book Value	560440	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4729955	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (15 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
OAKTREE PRINCIPAL OPPORT FD	5634050	F
CHASE MULTI STRATEGY	22905817	F
AUSTIN CAPITAL	495425	F
OCM FUND II	1959723	F
GOLDMAN SACHS ALT.	337962	F
UBS TRUMBULL (I)	68486406	F
UBS TRUMBULL (II)	32799539	F
OAKTREE REAL ESTATE FD IV	9729914	F
OCM REAL ESTATE FD V	10566243	F
HEALTH ENTERPRISES	1302805	F
SANTE HEALTH VENTURES	2370633	F
SANTE HEALTH VENTURES II	198944	F
POINTER OFFSHORE	19933379	F
WELLINGTON DIVERSIFIED INV	80558368	F
HEALTH ENTERPRISES PARTNERS II	202023	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	257481231	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
BOND ISSUANCE COSTS, NET	5459214
OTHER ASSETS	7330752
OTHER LONG TERM ASSETS	23369135
DUE FROM AFFILIATES	548598530
TRUSTEED FUNDS	51110439

Field	Value	IRS element (for citing)
Total Book Value Other Assets	635868070	TotalBookValueOtherAssets
Federal Income Tax Liability	408424	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$5,083,352
OTHER LT LIABILITIES	$484,938,744
OTHER CURRENT LIABILITIES	$33,553,247

Field	Value	IRS element (for citing)
Total Of Amounts	523983767	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	Identifier
Return Reference	PART V, LINE 4:	ReturnReference
Explanation	INTENDED USES OF ENDOWMENT FUND THE BOARD DESIGNATED ENDOWMENT FUND IS SET ASIDE FOR THE SENTARA FOUNDATION'S USE. THE FOUNDATION ASSISTS THE COMMUNITY WITH FILLING THE HEALTH CARE GAPS, DEVELOPING NEW PROGRAMS, AND BUILDING CONSENSUS AROUND CURRENT HEALTH ISSUES. THE TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE USED PREDOMINANTLY FOR EDUCATION & RESEARCH, HOSPICE HOUSE, HEART FUNDS AND SENTARA'S HOPE FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEAN	UNRELATED TRADE OR BUSINESS
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	58698585
EUROPE	INVESTMENTS	337962

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	59036547	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	59036547	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	CENTRAL AMERICA AND THE CARIBBEAN, UNRELATED TRADE OR BUSINESS	Identifier
Return Reference	PART I, LINE 3	ReturnReference
Explanation	THE ORGANIZATION OWNS BAY PRIMEX INSURANCE COMPANY, LTD., A CAPTIVE INSURANCE COMPANY WHOSE SOLE ACTIVITY IS THE REINSURANCE, ON A FACULTATIVE BASIS, OF THE CLAIMS-MADE PROFESSIONAL AND MANAGED CARE LIABILITY INSURANCE POLICIES, AND THE OCCURRENCE-BASED GENERAL LIABILITY POLICY ISSUED BY LEXINGTON INSURANCE COMPANY TO THE ORGANIZATION AND ITS RELATED ENTITIES. COVERAGE INCLUDES THE EMPLOYEES OF THE ORGANIZATION, ITS CONTROLLED SUBSIDIARIES, ITS AFFILIATED JOINT VENTURES, CERTAIN PHYSICIANS ON THE MEDICAL STAFF OF ITS RELATED FACILITIES, AND SOME NON-EMPLOYED PHYSICIANS. PROVISION OF INSURANCE TO NON-EMPLOYED PHYSICIANS IS CONSIDERED AN UNRELATED TRADE OR BUSINESS AND IS REPORTED AS SUCH ON FORM 990 PART VIII LINE 11.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Agreement Ref Fundraising	0	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4000 FABER PLACE DR	AddressLine1
City	CHARLESTON	City
State	SC	State
ZIP Code	294058585	ZIPCode

Field	Value	IRS element (for citing)
Activity	CONSULTING	Activity
Fundraiser Control Of Funds	0	FundraiserControlOfFunds
Gross Receipts	764631	GrossReceipts
Amount Retained By Contractor	45474	AmountRetainedByContractor
Net To Organization	719157	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	764631	TotalGrossReceipts
Total Retained By Contractors	45474	TotalRetainedByContractors
Total Net To Organization	719157	TotalNetToOrganization
Licensed States	VA	LicensedStates

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Identifier	FUNDRAISING ADDITIONAL INFORMATION	Identifier
Return Reference	PART I, LINE 2B	ReturnReference
Explanation	AS THE PARENT ORGANIZATION, SENTARA HEALTHCARE PERFORMS FUNDRAISING ACTIVITIES FOR ALL OF ITS 501(C)(3) SUBSIDIARIES. CONTRIBUTIONS RAISED ARE REPORTED ON THE APPLICABLE FORM 990, DEPENDING ON DONOR SPECIFICATIONS.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (43 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
ACCESS PARTNERSHIP
P O BOX 41093	NORFOLK	VA	23541	201830252	501(C)(3)	110000	HEALTHCARE ACCESS TO UNDERINSURED
AMERICAN DIABETES ASSOCIATION
1701 NORTH BEAUREGARD ST	ALEXANDRIA	VA	22311	131623888	501(C)(3)	7600	DIABETES RESEARCH AND SERVICES
AMERICAN HEART ASSOCIATION
500 E PLUM ST STE 110	NORFOLK	VA	23510	135613797	501(C)(3)	10250	CARDIOVASCULAR DISEASE RESEARCH FUNDING
ARC OF THE VIRGINIA PENINSULA INC
2520 58TH STREET	HAMPTON	VA	23661	540802199	501(C)(3)	5800	JOBS FOR THE DISABLED
BEACH HEALTH CLINIC
3396 HOLLAND RD STE 102	VIRGINIA BEACH	VA	23452	541366960	501(C)(3)	25000	PHARMACY SERVICES FOR INDIGENT
BOYS AND GIRLS CLUBS
11825 ROCK LANDING DRIVE CHESAPEAKE	NEWPORT NEWS	VA	23606	540538202	501(C)(3)	22400	INSPIRE AND ENABLE YOUNG PEOPLE	BUILDING STE B
CATHOLIC CHARITIES OF EASTERN VA
5361 A VIRGINIA BEACH BLVD	VIRGINIA BEACH	VA	23462	540505879	501(C)(3)	23000	MENTAL HEALTH SERVICES
CHESAPEAKE CARE INC
2145 S MILITARY HWY	CHESAPEAKE	VA	23320	541642754	501(C)(3)	25000	HEALTHCARE FOR UNINSURED
CHESP HEALTH INVESTMENT PROGRAM
1302 JEFFERSON ST	CHESAPEAKE	VA	23324	541893166	501(C)(3)	15500	CASE MANAGEMENT TO PRENATAL HISPANICS
COMMUNITY FREE CLINIC OF NEWPORT NEWS
727 25TH STREET	NEWPORT NEWS	VA	23607	273510814	501(C)(3)	15000	NEW CLINIC CONTRIBUTION
FORKIDS INC
P O BOX 6044	NORFOLK	VA	23508	541477799	501(C)(3)	25000	HEALTHCARE FOR HOMELESS SHELTER
GHENT AREA MINISTRY
1301 COLONIAL AVENUE STE 2	NORFOLK	VA	23517	260082182	501(C)(3)	10300	RESOURCES AND FINANCIAL AID FOR THE POOR
GLOUCESTER-MATHEWS FREE CLINIC
2276 GEORGE WASHINGTON MEM HWY	HAYES	VA	23072	541875619	501(C)(3)	11750	HEALTHCARE FOR INDIGENTS
H E L P INC
P O BOX 190	HAMPTON	VA	23669	541209213	501(C)(3)	10000	DENTAL CARE FOR INDIGENTS
INSTITUTE FOR DIVERSITY IN HEALTH MANAGEMENT
155 N WACKER DRIVE STE 400	CHICAGO	IL	60606	582094118	501(C)(3)	10000	EXPAND HEALTHCARE LEADERSHIP OPPORTUNITIES FOR MINORITIES
JUNIOR ACHIEVEMENT
6387 CENTER DRIVE SUITE 3	NORFOLK	VA	23502	540799839	501(C)(3)	10000	TEACH ECONOMICS TO YOUNG PEOPLE
LACKEY FREE CLINIC
1620 OLD WILLIAMSBURG RD	YORKTOWN	VA	23690	541850915	501(C)(3)	12500	HEALTHCARE FOR INDIGENTS
LEE'S FRIENDS
7400 HAMPTON BLVD RM 201	NORFOLK	VA	23505	541533488	501(C)(3)	7500	EMOTIONAL SUPPORT FOR CANCER PATIENTS AND FAMILIES
MARCH OF DIMES
860 GREENBRIER CIRCLE STE 502	CHEASPEAKE	VA	23320	131846366	501(C)(3)	10000	MARCH FOR BABIES
MARY BUCKLEY FOUNDATION
3808 C VIRGINIA BEACH BLVD	VIRGINIA BEACH	VA	23452	203609232	501(C)(3)	8000	BRAIN INJURY SURVIVORS
MOVE HAMPTON ROADS
101 W MAIN ST STE 430	NORFOLK	VA	23510	204209277	501(C)(4)	25000	LIGHT RAIL ADVOCACY
NEPTUNE FESTIVAL
265 KINGS GRANT ROAD STE 102	VIRGINIA BEACH	VA	23452	521372330	501(C)(3)	25000	COMMUNITY ENJOYMENT AND ENRICHMENT
OFFICE OF HUMAN AFFAIRS - CITY OF NEWPORT NEWS
2410 WICKHAM AVENUE	NEWPORT NEWS	VA	23607	237014485	501(C)(3)	15000	PREGNANCY OUTCOMES
OLDE TOWN MEDICAL CTR
5249 OLDE TOWNE RD STE D	WILLIAMSBURG	VA	23188	541663905	501(C)(3)	12500	PEDIATRIC DENTAL SERVICES
PARK PLACE HEALTH AND DENTAL CLINIC
606 W 29TH ST	NORFOLK	VA	23503	541626757	501(C)(3)	12500	HEALTHCARE
PENINSULA INST FR COMMUNITY HLTH
4714 MARSHALL AVE	NEWPORT NEWS	VA	23607	541083954	501(C)(3)	15000	PEDIATRIC HEALTHCARE FOR INDIGENTS
PIN MINISTRY
503 15TH STREET	VIRGINIA BEACH	VA	23451	412126841	501(C)(3)	15000	RESOURCES FOR THE POOR
HAMPTON ROADS COMMUNITY HEALTH CENTER INC
664 LINCOLN ST	PORTSMOUTH	VA	23704	541626757	501(C)(3)	83000	HEALTHCARE ACCESS FOR INDIGENTS
PROJECT CARE
416 J CLYDE MORRIS BOULEVARD	NEWPORT NEWS	VA	23601	273518508	501(C)(3)	8000	HEALTHCARE FOR UNINSURED
RX PARTNERSHIP
2924 EMERYWOOD PKWY STE 300	RICHMOND	VA	23294	571186937	501(C)(3)	15000	ACCESS TO FREE MEDICATION
SETON YOUTH SHELTERS
3333 VIRGINIA BEACH BLVD STE 28	VIRGINIA BEACH	VA	23452	541250483	501(C)(3)	15000	HIGH-RISK TEEN MENTAL HEALTHCARE
ST COLUMBA ECUMENICAL MINISTRIES
2414 LAFAYETTE BLVD	NORFOLK	VA	23509	541394797	501(C)(3)	12000	PRESCRIPTIONS
THOMAS NELSON COMMUNITY COLLEGE EDUCATIONAL FOUNDATION
99 THOMAS NELSON DRIVE	HAMPTON	VA	23666	541217532	501(C)(3)	50000	ENHANCE NURSING PROGRAM FOR OBSTETRICS
UNION MISSION MINISTRIES
P O BOX 3203	NORFOLK	VA	23514	540506427	501(C)(3)	30000	HEALTHCARE FOR HOMELESS
UNITED WAY GREATER WILLIAMSBURG
312 WALLER MILL ROAD SUITE 100	WILLIAMSBURG	VA	23185	540844073	501(C)(3)	8250	SPONSORSHIP
UNITED WAY OF SOUTH HAMPTON ROADS
2515 WALMER ROAD PO BOX 41069	NORFOLK	VA	23513	540506322	501(C)(3)	15250	SPONSORSHIP
UNITED WAY OF THE VA PENINSULA
739 THIMBLE SHOALS BLVD SUITE 400	NEWPORT NEWS	VA	23606	540535602	501(C)(3)	9500	SPONSORSHIP
UP CENTER
222 W 19TH ST	NORFOLK	VA	23517	540674774	501(C)(3)	10000	MENTORING PROGRAM FOR AT RISK YOUTH
VA SUPPORTIVE HOUSING
P O BOX 8585	RICHMOND	VA	23226	541444564	501(C)(3)	25000	CASE MANAGEMENT FOR HOMELESS
VIRGINIA ASSOCIATION OF FREE CLINICS
711 MOOREFIELD PARK DR STE C	RICHMOND	VA	23226	541802019	501(C)(3)	7500	HEALTHCARE FOR LOW-INCOME AND UNINSURED
WESTERN TIDEWATER FREE CLINIC
2019 MEADE PKWY	SUFFOLK	VA	23434	263302837	501(C)(3)	12500	PROVIDE DENTAL PROGRAM ACCESS
WILLIAM AND MARY ATHLETIC EDUCATIONAL FOUNDATION
P O BOX 399	WILLIAMSBURG	VA	23187	546056480	501(C)(3)	13000	FUNDING FOR ATHLETIC SCHOLARSHIPS
YWCA OF SOUTH HAMPTON ROADS
5215 COLLEY AVENUE	NORFOLK	VA	23508	540506491	501(C)(3)	10000	WOMEN IN CRISIS CHILD CARE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	42	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
MORTGAGE PAYMENTS	17	24146
RENT	106	125371
UTILITIES	120	41988
FOOD	82	16050
TEMPORARY LODGING	1	1038
HOUSEHOLD ITEMS	1	250

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. THE SENTARA HEALTH FOUNDATION, A DIVISION OF THE ORGANIZATION, IS RESPONSIBLE FOR AWARDING AND MONITORING THE USE OF GRANT AND SPONSORSHIP FUNDS DONATED TO OTHER ORGANIZATIONS IN THE COMMUNITY WHO SHARE THE SAME MISSION AS THE ORGANIZATION: IMPROVING HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. COMMUNITY RECOGNITION GRANTS ARE AWARDED ANNUALLY BY THE FOUNDATION'S GRANT COMMITTEE TO OTHER 501(C)(3) ORGANIZATIONS WITHIN THE COMMUNITY AFTER A RIGOROUS APPLICATION AND REVIEW PROCESS. ONCE AWARDED, THE GRANTS ARE DISTRIBUTED THE FOLLOWING YEAR IN TWO PAYMENTS - AT THE BEGINNING OF THE YEAR, THEN AFTER AN INTERIM REPORT HAS BEEN FILED WITH THE FOUNDATION. THE INTERIM REPORT MUST INCLUDE THE GRANT OBJECTIVES, ANY CHANGES IN STATUS OF THE ORGANIZATION'S 501(C)(3) STATUS, DETAILS OF THE GRANT OUTCOMES TO DATE AND COMPLIANCE WITH SUBMITTED FINANCIAL BUDGET. GRANTEES ARE REQUIRED TO SUBMIT WITH THE REPORT A DETAILED LISTING OF MEASUREMENTS INCLUDING THE NUMBER OF PEOPLE SERVED AND INCOME LEVELS. FURTHER, A PLAN OF PROGRAM SUSTAINABILITY MUST BE COMPLETED TO PROMOTE THE INITIATIVE'S GOALS FOR THE FUTURE. COMMUNITY BENEFIT SPONSORSHIPS ARE AWARDED QUARTERLY BASED ON THE RECOMMENDATION OF THE FOUNDATION'S SPONSORSHIP REVIEW COMMITTEE. APPLICANTS MUST SUBMIT A PROPOSAL IN WRITING DEMONSTRATING HOW FUNDS WILL BE USED TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. SPONSORSHIPS ARE GENERALLY AWARDED TO OTHER 501(C)(3) ORGANIZATIONS WITH ACTIVE COMMUNITY BOARDS WHO OVERSEE THE EXPENDITURE OF SUCH FUNDS. THE SENTARA HEALTH FOUNDATION ALSO ADMINISTERS THE H.O.P.E. (HELPING OVERCOME PERSONAL EMERGENCY) FUND, A PROGRAM FOR EMPLOYEES OF THE SENTARA HEALTHCARE SYSTEM WHO ARE IN NEED OF EMERGENCY ASSISTANCE. THIS PROGRAM IS FUNDED BY DONATIONS FROM EMPLOYEES AND MANAGED BY THE PLANNING COUNCIL, A HUMAN SERVICES AGENCY USED TO PROCESS ALL H.O.P.E. FUND APPLICATIONS TO MAINTAIN CONFIDENTIALITY. EMPLOYEES WHO EXPERIENCE CATASTROPHIC EVENTS THROUGH NO FAULT OF THEIR OWN SUCH AS FIRE, DEATH IN THE FAMILY, FLOODING, HURRICANE, TORNADO, CURRENT PERSONAL ILLNESS OR SERIOUS PERSONAL FAMILY ILLNESS THAT RESULT IN HARDSHIP MAY APPLY FOR ASSISTANCE. APPLICANTS MUST COMPLETE A 3-PAGE APPLICATION FORM. APPLICANTS SUBMIT THESE FORMS ALONG WITH THEIR LATEST PAY STUB, COPIES OF THE BILLS BEING SUBMITTED FOR PAYMENT, AND OFFICIAL DOCUMENTATION OF THE CATASTROPHIC EVENT. THE PLANNING COUNCIL THEN INTERVIEWS THE APPLICANT AND DETERMINES IF THE GUIDELINES ARE MET FOR ASSISTANCE. IN THE EVENT OF A NATURAL DISASTER, APPLICANTS MUST FIRST APPLY TO OTHER EMERGENCY ASSISTANCE PROGRAMS, SUCH AS THE AMERICAN RED CROSS, SALVATION ARMY, OR F.E.M.A., BEFORE BECOMING ELIGIBLE FOR ASSISTANCE FROM THE H.O.P.E. FUND. A REVIEW COMMITTEE EVALUATES EACH APPLICATION AND DETERMINES ASSISTANCE LEVELS BASED ON DOCUMENTED,APPROPRIATE NEED. FUNDS MAY ONLY BE USED TO PAY EXISTING BILLS OR ANTICIPATED EXTRAORDINARY EXPENSES RELATED TO A CATASTROPHIC EVENT. BILLS THAT ARE NOT NECESSARY FOR THE PRESERVATION OF DAILY LIVING, INCLUDING NON-ESSENTIAL UTILITIES (I.E., WIRELESS PHONES, CABLE TV, ETC.), ARE NOT COVERED. PAYMENTS ARE MADE DIRECTLY TO SERVICE PROVIDERS RATHER THAN TO INDIVIDUAL RECIPIENTS. FUNDS ARE ONLY DISTRIBUTED PROVIDED ADEQUATE EMPLOYEE DONATIONS HAVE BEEN MADE BY EMPLOYEES FOR EMPLOYEES. ASSISTANCE IS PROVIDED AS THE AVAILABILITY OF FUNDS PERMIT; DECISIONS ARE MADE IN THE ORDER IN WHICH COMPLETED APPLICATIONS REQUESTS ARE RECEIVED. ASSISTANCE FOR AN INDIVIDUAL EMPLOYEE IS LIMITED TO ONCE PER 12-MONTH PERIOD AND TYPICALLY DOES NOT EXCEED $2,000. DURING 2012, 154 INDIVIDUAL EMPLOYEES WERE ASSISTED BY THE HOPE FUND.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID L BERND
CEO/DIRECTOR/TRUSTEE	1088008	0	1480853	0	2412993	0	307098	0	19651	0	5308603	0	451083	0
MARY L BLUNT
CORP VP	0	420265	0	347071	0	81081	0	159920	0	14567	0	1022904	0	31174
ROBERT A BROERMANN
CFO/TREASURER	603224	0	570022	0	30073	0	169154	0	16922	0	1389395	0	75162	0
MICHAEL M DUDLEY
SR VP	433267	0	441731	0	30213	0	648954	0	11729	0	1565894	0	54701	0
MICHAEL V GENTRY
CORP VP	0	416727	0	299644	0	3494	0	89216	0	5129	0	814210	0	33234
ROBERT L GRAVES
CORP VP	0	317572	0	285652	0	56602	0	68073	0	11997	0	739896	0	26331
VICKY G GRAY
SR VP	342405	0	330063	0	55571	0	72374	0	22220	0	822633	0	42669	0
HOWARD P KERN
COO/PRESIDENT	745300	0	876468	0	2109929	0	707467	0	15127	0	4454291	0	1341894	0
JEFFREY P KING
VP/SECRETARY/GEN. COUNSEL	379944	0	167174	0	1688	0	58956	0	19956	0	627718	0	18906	0
KENNETH M KRAKAUR
SR VP	439315	0	451965	0	87974	0	69660	0	14903	0	1063817	0	59037	0
DAVID R MAIZEL MD
CORP VP	0	392734	0	331909	0	68112	0	90436	0	17684	0	900875	0	29455
GENEMARIE W MCGEE
SYS CHIEF NURSE EXECUTIVE	0	193394	0	85954	0	753	0	135044	0	19258	0	434403	0	11698
MEGAN R PERRY
CORP VP	366138	0	267955	0	23385	0	186592	0	15891	0	859961	0	25723	0
BERTRAM S REESE
CIO/SR VP	0	380324	0	382075	0	79804	0	96342	0	18007	0	956552	0	47533
MARK A SZALWINSKI
CORP VP (THRU 2/12)	0	56611	0	301566	0	24505	0	7500	0	14525	0	404707	0	36105
MICHAEL V TAYLOR
SR VP	369300	0	384883	0	12036	0	103631	0	16256	0	886106	0	46151	0
DOUGLAS M THOMPSON
CORP VP	243118	0	199095	0	48514	0	68567	0	17370	0	576664	0	20330	0
GARY R YATES MD
SR VP/CMO	491485	0	569420	0	220838	0	136361	0	36287	0	1454391	0	136794	0
GRACE R HINES
CORP VP, STRAT SUPPORT/PROG DEV	251076	0	143438	0	35723	0	160808	0	11713	0	602758	0	14225	0
BRUCE S ROBERTSON
PRESIDENT, SLCC	209347	0	108026	0	79177	0	137229	0	9191	0	542970	0	67978	0
VIKKI LORENZ
VP, CORP FINANCE	251385	0	115969	0	6096	0	115308	0	3733	0	492491	0	14955	0
EDWARD L TORCOM
VP, MANAGED CARE CONTR	217630	0	123217	0	615	0	31276	0	19130	0	391868	0	0	0
RAYMOND G TROIANO
VP/PRESIDENT, SVBGH	0	189588	0	112736	101361	37800	0	67040	0	8023	101361	415187	0	23559

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	RELEVANT INFORMATION REGARDING COMPENSATION BENEFITS CHARTER TRAVEL WAS PROVIDED TO CERTAIN BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION IN CONNECTION WITH BUSINESS PURPOSES ONLY AND WAS NOT INCLUDABLE IN TAXABLE INCOME. FIRST CLASS TRAVEL WAS ALSO PROVIDED TO THE CEO ON A BUSINESS TRIP DUE TO THE LENGTH OF THE FLIGHT, IN ORDER TO ACCOMMODATE HIS CONDUCTING OF BUSINESS WHILE IN-FLIGHT. THE ORGANIZATION PROVIDED A GROSS-UP PAYMENT ON A TAXABLE GIFT TO THE ORGANIZATION'S DEPARTING CHAIRMAN, THEREBY CREATING ADDITIONAL COMPENSATION WHICH WAS REPORTED ON FORM 1099-MISC.
PART I, LINES 4A-B	RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY RAYMOND TROIANO, CURRENT HIGHEST COMPENSATED EMPLOYEE, RECEIVED $101,361 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN AND MICHAEL DUDLEY PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND PARTICIPATED IN AN INDIVIDUAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. VESTING OCCURS EACH DECEMBER 31 AND THE PRESENT VALUE OF THE ADDITIONAL ACCRUAL IS DISTRIBUTED IN A TAXABLE LUMP SUM. FOR 2012, MR. BERND RECEIVED A TOTAL LUMP SUM DISTRIBUTION OF $2,149,953. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II. DAVID BERND, HOWARD KERN, AND MICHAEL DUDLEY 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 THE ORGANIZATION'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF THE ORGANIZATION AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. DURING 2012, HOWARD KERN RECEIVED $1,599,005 UPON EXERCISE OF OPTIONS GRANTED UNDER THE PLAN. THIS AMOUNT HAS BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II. DAVID BERND, HOWARD KERN, MICHAEL DUDLEY, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, ROBERT GRAVES, VICKY GRAY, KENNETH KRAKAUR, BERTRAM REESE, MARK SZALWINSKI, MICHAEL TAYLOR, DOUGLAS THOMPSON, GARY YATES, M.D., GRACE HINES, DAVID MAIZEL, M.D., MEGAN PERRY, BRUCE ROBERTSON, RAYMOND TROIANO, M.D., AND JEFFREY KING PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY THE ORGANIZATION'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 2012, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($221,782); MARY BLUNT ($57,134); MICHAEL DUDLEY ($8,584); ROBERT GRAVES ($44,820); VICKY GRAY ($48,420); GRACE HINES ($28,270); HOWARD KERN ($495,665); KENNETH KRAKAUR ($73,122); DAVID MAIZEL, M.D. ($55,710); BERTRAM REESE ($53,938); BRUCE ROBERTSON ($70,189); MARK SZALWINSKI ($21,280); DOUGLAS THOMPSON ($34,605); RAYMOND TROIANO, M.D. ($10,649); AND GARY YATES, M.D. ($136,904). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN(B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7	NON-FIXED PAYMENTS NOT LISTED DURING 2012, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT - WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. LONG TERM INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR LONG-TERM INCENTIVE AWARDS BASED ON ACHIEVING SYSTEM MISSION AND STRATEGIC IMPERATIVES AND VALUES IN THE AREAS OF FINANCIAL PERFORMANCE, PATIENT SAFETY, CLINICAL QUALITY, AND OTHER KEY METRICS OVER 3-YEAR PERIODS. AWARD OPPORTUNITIES VARY BY LEVEL. A NEW 3-YEAR CYCLE BEGINS EACH YEAR. FOR FORM 990 PURPOSES, ESTIMATED ANNUAL EARNINGS UNDER EACH ACTIVE CYCLE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR EARNED; AND ACTUAL EARNINGS FOR EACH 3-YEAR CYCLE ARE REPORTED AS INCENTIVE COMPENSATION IN THE YEAR PAID. KEY CONTRIBUTOR AWARDS - REWARDS EXCEPTIONAL INDIVIDUALS OR TEAMS FOR SIGNIFICANT CONTRIBUTION AND RESULTS AS RECOGNIZED BY BUSINESS UNITS. PERFORMANCE PLUS - ELIGIBLE FULL-TIME AND PART-TIME EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN MAY EARN ADDITIONAL COMPENSATION IF THEIR BUSINESS UNIT MEETS FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE GOALS, AND THE SYSTEM NET OPERATING MARGIN GOAL HAS BEEN MET. INDIVIDUAL PAYOUT IS BASED ON JOB CLASSIFICATION, BUSINESS UNIT GOAL SUCCESS AND PERCENTAGE OF POOL AVAILABLE FOR DISTRIBUTION. GOALS AND THE PERCENTAGE OF POOL AVAILABLE FOR DISTRIBUTION ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
EDA OF ALBEMARLE COUNTY VA
A	521297503	012677CE8	2003-09-25	34192283	CURRENT REFUND SERIES 1993 BONDS	1	0	0
EDA OF ALBEMARLE COUNTY VA
B	521297503	012663AD2	2008-10-30	160795000	FUND CONSTRUCTION OF REPLACEMENT HOSPITAL	0	0	0
IDA OF THE CITY OF HARRISONBURG VA
C	542000436	415669BN9	2006-12-28	196167653	FUND CONSTRUCTION OF REPLACEMENT HOSPITAL	0	0	0
IDA OF THE CITY OF HARRISONBURG VA
D	542000436		2011-11-28	75000000	MODIFICATION OF THE SERIES 2010 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures
A	14970000	19100000	35978004	472703	32045259	3460041	2003	1	1	1
B			160910240	1424688		378825	2011	0	0	1	21112959	199290	137794478
C	1995000		216008765	1339016	12682735	2543479	2010	0	0	1		4253886	195189648
D	1724138		75000000		75000000		2011	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1	1
B	1	1	1	1
C	1	1	1	1
D	1	1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
WACHOVIA BANK
A	0	0	0	1	0	0	1	8.900000000000	1	0	1
UBS AG
B	0	1	0	0	1	1	0			1	1	4.500000000000	0	1
MORGAN STANLEY & CO
C	1				0	0	1		1	1	1
(no name)
D	0	0	1	0	1	0	0			0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
ENTITY 1, ISSUER A, PART I:	ISSUER WAS PREVIOUSLY INDUSTRIAL DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY, VIRGINIA.
ENITTY 1, ISSUER B, PART I:	ISSUER NAME IS INDUSTRIAL DEVELOPMENT AUTHORITY OF ALBEMARLE, VIRGINIA.
ENTITY 1, ISSUER A:	HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 2 - SERIES 2003 BONDS DEFEASED ON 6/19/12. SENTARA ESTABLISHED ESCROW FUND WITH EQUITY AND REMAINING MONIES HELD IN PRIOR BOND FUND AND DEBT SERVICE RESERVE FUND. SERIES 2003 BONDS MATURING ON 10/1/12 - 10/1/13 WILL BE REDEEMED BY THE 2012 ESCROW AS SCHEDULED, THE PRINCIPAL MATURING 10/1/14 - 10/1/20 WILL BE CALLED FOR REDEMPTION ON 10/1/13. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INVESTMENT EARNINGS (MAINLY FROM THE DEBT SERVICE RESERVE FUND). PART II, 11 - INCLUDES CURRENT REFUNDING PROCEEDS, AND INTEREST EARNINGS FROM THE DEBT SERVICE RESERVE FUND WHICH WERE TRANSFERRED TO THE SERIES 2003 BOND FUND ON A REGULAR BASIS TO BE USED FOR DEBT SERVICE PURPOSES ON THE SERIES 2003 BONDS. ALSO INCLUDES PORTION OF 2012 EQUITY ESCROW FUND ASSOCIATED WITH PRIOR DEBT SERVICE RESERVE FUND PROCEEDS. PART II, 12 - UNSPENT PROCEEDS CONSIST OF DEBT SERVICE RESERVE PROCEEDS CURRENTLY HELD IN THE 2012 ESCROW FUND, WHICH WERE ALLOCATED PRO-RATA WITH EQUITY THROUGH ESCROW MATURITY. PART IV, 2C - ARBITRAGE COMPLIANCE REPORTS ARE SUBMITTED TO SENTARA ANNUALLY. REPORT WAS COMPLETED 7/31/08 (FIFTH BOND YEAR) REFLECTING NO REBATE DUE. MOST RECENT REPORT WAS 7/31/12. PART IV, 5A - THE GUARANTEED INVESTMENT CONTRACT WAS ENTERED INTO ON OCTOBER 2, 2003 AND WAS TERMINATED ON JUNE 13, 2012 IN ANTICIPATION OF 2012 DEFEASANCE. THE ORIGINAL MATURITY DATE WAS OCTOBER 1, 2020. ON MARKET TERMINATION PAYMENT RECEIVED BY GIC PROVIDER, WHICH WAS THEN USED TOWARDS DEFEASANCE OF 2003 BONDS.	SERIES 2003 (MARTHA JEFFERSON HOSPITAL)
ENTITY 1, ISSUER B:	HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INVESTMENT EARNINGS (MAINLY FROM THE PROJECT FUND AND CAPITALIZATION INTEREST FUNDS). PART II, 12 - UNSPENT PROCEEDS CONSIST OF CAPITALIZED INTEREST PROCEEDS. INTEREST RATES ON BONDS FELL SUBSTANTIALLY IN 2008 CAUSING THE CAPITALIZED INTEREST TO TAKE LONGER TO EXPEND. PART IV, 2C - ARBITRAGE COMPLIANCE REPORTS ARE SUBMITTED TO SENTARA ANNUALLY. THE FIRST INSTALLMENT PERIOD FOR THIS ISSUE WILL END 9/30/13. LAST REPORT COMPLETED 9/30/12. PART IV, 4A-E - UBS SWAP WHICH WAS SCHEDULED TO MATURE ON OCTOBER 1, 2048 WAS TERMINATED ON APRIL 11, 2013. SENTARA USED FINANCIAL ADVISOR TO NEGOTIATE FAIR MARKET VALUE TERMINATION. SENTARA ENTERED INTO NEW INTEREST RATE SWAP AGREEMENT WITH BARCLAYS ON APRIL 11, 2013, WITH A NEW FIXED INTEREST RATE. NEW SWAP NOT TREATED AS A QUALIFIED HEDGE. SENTARA ALSO HAD A BASIS SWAP WITH UBS WHICH WAS NOT TREATED AS A QUALIFIED HEDGE. THIS BASIS SWAP WAS NOVATED TO BARCLAYS ON APRIL 11, 2013. SENTARA EXPECTED TO REISSUE THE SERIES 2008A-D BONDS IN JUNE 2013. THIS REISSUANCE WILL BE TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES.	SERIES 2008ABC&D (MARTHA JEFFERSON HOSPITAL)
ENTITY 1, ISSUER C:	HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INVESTMENT EARNINGS (MAINLY FROM THE CONSTRUCTION FUND AND DEBT SERVICE RESERVE FUND). PART II, 4 - SUBSEQUENT TO ACQUISITION OF HOSPITAL BY SENTARA, DEBT SERVICE RESERVE FUND NO LONGER REQUIRED DUE TO HIGH CREDIT RATINGS HELD BY SENTARA. THE SERIES 2006 DEBT SERVICE RESERVE PROCEEDS WERE RELEASED TO SENTARA ON 1/10/12. SENTARA DEPOSITED THESE MONIES INTO A SEPARATELY HELD ACCOUNT AND TRACKED. THESE MONIES WILL BE USED TO PAY DEBT SERVICE ON THE 2006 BONDS UNTIL FULLY EXPENDED. PART II, 11 - MAINLY INCLUDES DEBT SERVICE RESERVE FUND PROCEEDS USED FOR DEBT SERVICE PURPOSES AFTER THE 1/10/12 RELEASE DATE. PART II, 12 - UNSPENT PROCEEDS INCLUDES REMAINING DEBT SERVICE RESERVE FUND PROCEEDS. THESE AMOUNTS ARE EXPECTED TO BE FULLY SPENT BY AROUND 2/15/13. PART IV, 1 - SENTARA REBATED 100% OF ACCRUING ARBITRAGE LIABILITY OR $743K TO THE IRS WITHIN 60 DAYS OF THE FIRST INSTALLMENT EVALUATION DATE. PART IV, 5A - INVESTMENT AGREEMENTS WERE ENTERED INTO FOR THE SERIES 2006 CONSTRUCTION FUND, WHICH MATURED ON 9/1/09 AND THE DEBT SERVICE RESERVE FUND, WHICH WAS SCHEDULED TO MATURE ON 8/15/15. HOWEVER, DUE TO RELEASE OF THE DEBT SERVICE RESERVE FUND PROCEEDS, THAT INVESTMENT AGREEMENT WAS TERMINATED EARLY IN JANUARY 2012. PART IV, 5 - TERM OF GIC WAS 2.4 AND 4.7. DUE TO SYSTEM LIMITATIONS, THIS INFORMATION COULD NOT BE ENTERED ON THE APPROPRIATE LINE.	SERIES 2006 (ROCKINGHAM MEMORIAL HOSPITAL)
ENTITY 1, ISSUER D:	HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE MODIFIED THE INTEREST RATES AND TERMS OF A PRIOR SERIES 2010AB&C. MODIFICATION WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE.	SERIES 2011AB&C (ROCKINGHAM MEMORIAL HOSPITAL)
ENTITY 2, ISSUER A:	HOSPITAL FACILITIES AND DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE MODIFIED THE INTEREST RATES AND TERMS OF A PRIOR SERIES 2009 ISSUE. MODIFICATION WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE.	SERIES 2011A (ROCKINGHAM MEMORIAL HOSPITAL)
ENTITY 2, ISSUER B:	HOSPITAL FACILITIES AND DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE MODIFIED THE INTEREST RATES AND TERMS OF A PRIOR SERIES 2009 ISSUE. MODIFICATION WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE.	SERIES 2011B (ROCKINGHAM MEMORIAL HOSPITAL)
ENTITY 2, ISSUER C:	HOSPITAL FACILITIES AND DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE MODIFIED THE INTEREST RATES AND TERMS OF A PRIOR SERIES 2009 ISSUE. MODIFICATION WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE.	SERIES 2011C (ROCKINGHAM MEMORIAL HOSPITAL)
ENTITY 2, ISSUER D:	PART II, 1 - SENTARA ISSUED TAXABLE COMMERCIAL PAPER NOTES IN 2012 TO PARTIALLY REFUND THIS 2003 COMMERCIAL PAPER PROGRAM. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT WITHIN 18 MONTHS OF RECEIPT OF PROCEEDS. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART IV, 2C - SENTARA HAD ARBITRAGE COMPLIANCE REPORT COMPLETED FOR THIS ISSUE AS OF 12/16/2007, WHICH REFLECTED NO REBATE DUE TO THE IRS FOR THIS 2003 ISSUANCE. DEBT WAS ISSUED AS REIMBURSEMENT FOR PRIOR EXPENDITURES INCURRED. THEREFORE, THIS ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION.	SERIES 2003 COMMERCIAL PAPER PROGRAM (SENTARA HEALTHCARE)
ENTITY 3, ISSUER A:	PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 2006 ISSUE. THE REFUNDING WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. ALL PROCEEDS SPENT ON THE DATE OF ISSUE. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA PROVIDED WITH ARBITRAGE COMPLIANCE CERTIFICATE IN SEPTEMBER OF 2008. FIFTH YEAR WOULD BE 6/25/13.	SERIES 2008 (SENTARA HEALTHCARE SYSTEM)
ENTITY 3, ISSUER B:	PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INTEREST EARNINGS (MAINLY FROM PROJECT FUND AND ESCROW FUND). PART II, 11 - OTHER SPENT PROCEEDS INCLUDES REFUNDING PROCEEDS AND INTEREST EARNINGS FROM REFUNDING ESCROW FUND. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 1997A AND 1998 ISSUE. THE REFUNDINGS WERE TREATED AS CURRENT REFUNDINGS FOR FEDERAL TAX PURPOSES. REFUNDING PROCEEDS WERE DEPOSITED INTO AN ESCROW FUND AND INVESTED. THOSE AMOUNTS WERE FULLY EXPENDED ON OR AROUND 3/1/2010 TO REDEEM THE PRIOR BONDS. PART IV, 2B - FIRST INSTALLMENT PERIOD FOR THIS ISSUE WILL END NO LATER THAN 1/28/2015. ARBITRAGE COMPLIANCE REPORT COMPLETED THROUGH DECEMBER 31, 2011, WHICH REFLECTED ALL PROCEEDS SPENT AND NO ACCRUING ARBITRAGE LIABILITY FOR SENTARA.	SERIES 2010 (SENTARA HEALTHCARE SYSTEM - VSBFA)
ENTITY 3, ISSUER C:	PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 2009B & 2009C ISSUE. THE REFUNDING WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. ALL PROCEEDS SPENT ON THE DATE OF ISSUE. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA PROVIDED WITH ARBITRAGE COMPLIANCE CERTIFICATE IN MAY OF 2010. FIFTH YEAR WOULD BE 3/3/15.	SERIES 2010B&C (SENTARA HEALTHCARE SYSTEM - EDA OF NORFOLK)
ENTITY 3, ISSUER D:	PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 2009A ISSUE. THE REFUNDING WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. ALL PROCEEDS SPENT ON THE DATE OF ISSUE. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA PROVIDED WITH ARBITRAGE COMPLIANCE CERTIFICATE IN MAY OF 2012. FIFTH YEAR WOULD BE 4/26/17.	SERIES 2012A (SENTARA HEALTHCARE SYSTEM - EDA OF NORFOLK)
ENTITY 4, ISSUER A:	PART II, 3 - TOTAL PROCEEDS OF THE ISSUE INCLUDES ISSUE PRICE, PLUS INTEREST EARNINGS ASSOCIATED WITH PROJECT FUND AND ESCROW FUNDS. PART II, 6 - INCLUDES REMAINING PROCEEDS BALANCE WITHIN POTOMAC SERIES 2003 ESCROW FUND AND INTEREST EARNINGS. PART II, 7 - COST OF ISSUANCE EXPENSES PAID FROM EQUITY CONTRIBUTION AND NOT FROM PROCEEDS OF THE SERIES 2012B BONDS. PART II, 11 - OTHER SPENT PROCEEDS INCLUDES PROCEEDS SPENT FROM MARTHA JEFFERSON SERIES 2002 ESCROW FUND, WHICH CLOSED OUT 10/1/2012. ALSO INCLUDES MATURED SECURITIES AND INTEREST AND INTEREST EARNINGS FROM POTOMAC SERIES 2003 ESCROW FUND. PART II, 12 - UNSPENT PROCEEDS CONSIST OF THE REMAINING PROJECT FUND PROCEEDS. PART II, 15 - SERIES 2012B ADVANCE REFUNDED THE MARTHA JEFFERSON SERIES 2002 BONDS MATURING 10/1/2012 - 10/1/2035 WITH A CALL FOR REDEMPTION DATE OF 10/1/2012. THE SERIES 2012B ALSO ADVANCE REFUNDED THE POTOMAC HOSPITAL SERIES 2003 BONDS MATURING 10/1/2012 - 10/1/2036 WITH A CALL FOR REDEMPTION DATE OF 10/1/2013. PART IV, 2A - SENTARA WILL HAVE ANNUAL ARBITRAGE COMPLIANCE REPORTS COMPLETED FOR THIS ISSUE. FIRST REPORT TO BE COMPLETED WITH A 5/16/2013 EVALUATION DATE. THE FIRST INSTALLMENT PERIOD WILL END NO LATER THAN MAY 16, 2017.	SERIES 2012B (SENTARA HEALTHCARE SYSTEM)
ENTITY 4, ISSUER B:	PART II, 2 - SERIES 2003 BONDS DEFEASED ON MAY 16, 2012, SENTARA ESTABLISHED ESCROW FUND WITH SERIES 2012B PROCEEDS AND REMAINING MONIES HELD IN PRIOR BOND FUND AND DEBT SERVICE RESERVE FUND MONIES. SERIES 2003 BONDS MATURING ON 10/1/2012 WERE REDEEMED BY THE 2012B ESCROW AS SCHEDULED, THE PRINCIPAL MATURING 10/1/2013 THROUGH 10/1/2036 WILL BE CALLED FOR REDEMPTION ON 10/1/2013, THE FINAL REDEMPTION DATE. PART II, 11 - INCLUDES INTEREST EARNINGS FROM THE DEBT SERVICE RESERVE FUND WHICH WERE TRANSFERRED TO THE SERIES 2003 BOND FUND ON A REGULAR BASIS TO BE USED FOR DEBT SERVICE PURPOSES ON THE SERIES 2003 BONDS PART II, 12 - UNSPENT PROCEEDS CONSIST OF DEBT SERVICE RESERVE PROCEEDS CURRENTLY HELD IN THE 2012B ESCROW FUND. PART IV, 2C - ARBITRAGE COMPLIANCE REPORTS ARE SUBMITTED TO SENTARA ANNUALLY. THE LAST REPORT COMPLETED FOR THE 2003 BONDS WAS AS OF OCTOBER 1, 2012, THE NINTH BOND YEAR. THE FIRST INSTALLMENT PERIOD REPORT WAS THROUGH 10/1/2008 AND RESULTED IN NO REBATE PAYMENT DUE TO THE IRS. THE SECOND INSTALLMENT AND FINAL REPORT WILL BE COMPLETED AS OF 10/1/2013. PART IV, 5A - THE GUARANTEED INVESTMENT CONTRACT WAS ENTERED INTO ON DECEMBER 18, 2003 AND WAS TERMINATED ON MAY 14, 2012 IN ANTICIPATION OF 2012B DEFEASANCE. THE ORIGINAL MATURITY DATE WAS SEPTEMBER 30, 2013. POTOMAC HOSPITAL RECEIVED PAR PLUS ACCRUED INTEREST ON GIC AT TERMINATION, NO MARKET VALUE PREMIUM.	SERIES 2003 (POTOMAC HOSPITAL)

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
IDA OF THE CITY OF HARRISONBURG VA
A	542000436	2011-12-14	10000000	PARTIAL REFUNDING OF SERIES 2009	0	0	0
IDA OF THE CITY OF HARRISONBURG VA
B	542000436	2012-01-04	10000000	PARTIAL REFUNDING OF SERIES 2009	0	0	0
IDA OF THE CITY OF HARRISONBURG VA
C	542000436	2012-01-20	10000000	PARTIAL REFUNDING OF SERIES 2009	0	0	0
EDA THE CITY OF NORFOLK
D	237253445	2003-07-16	53100000	FINANCING FOR CAPITAL AND FIXED ASSETS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Capital ExpendituresCapitalExpenditures
A	10000000	10000000	2007	1	1	1
B	10000000	10000000	2007	1	1	1
C	10000000	10000000	2007	1	1	1
D	53100000		2003	0	1	1	300000	53100000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1	1
B	1	1	1	1
C	1	1	1	1
D	1	1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
SUNTRUST BANK
A	0	0	1	0	1	1	5.100000000000	0	0	0	0	1
SUNTRUST BANK
B	0	0	1	0	1	1	5.100000000000	0	0	0	0	1
SUNTRUST BANK
C	0	0	1	0	1	1	5.100000000000	0	0	0	0	1
(no name)
D	0	0	1	1	1	0				0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
EDA THE CITY OF SUFFOLK
A	541131047	86481QAA7	2008-06-25	156615000	REFUNDED BONDS ISSUED OCTOBER 2006	0	0	0
VA SMALL BUSINESS FINANCING AUTHORITY
B	541300845	928105AV7	2010-01-28	296243684	REFUND PRIOR BONDS AND FUND NEW PROJECT	0	0	0
EDA THE CITY OF NORFOLK
C	237253445	65588TAL3	2010-03-03	132480000	REFUNDED SERIES 2009B&C	0	0	0
EDA THE CITY OF NORFOLK
D	237253445	65588TAN9	2012-04-26	68890000	REFUNDED SERIES 2009A BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures
A	156615000	156615000	2008	1	1	1
B	296443256	63507476	2011	1	1	1	27055000	2715612	230220167
C	132480000	132480000	2010	1	1	1	620000
D	68890000	68890000	2012	1	1	1	310000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ResearchEngageBondCounselResearch
A	1	1	1	0	1
B	1	1	1	0	1
C	1	1	1	1	1	1
D	1	1	1	1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	1	1	0	0	1
B	1	0	1	0	1
C	1	1	0	1	1
D	1	1	0	1	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
EDA THE CITY OF NORFOLK
A	237253445	65588NBB7	2012-05-16	163163080	REF. POTOMAC 2003 & MARTHA JEFFERSON 2002 AND FINANCE NEW PROJECTS	0	0	0
IDA OF THE COUNTY OF PRINCE WILLIAM VA
B	521325659	74175HCP9	2003-12-18	50631054	FINANCING FOR NEW ACUTE CARE FACILITY	1	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount Bond DefeasedAmountBondDefeased	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion
A	1930000	163559518	45604414	24068570	42623083	51263451	0	1	0	1
B	5300000	52978956		40487609	1341457	3332737	0	0	1	1	45700000	7229504	587649	2006

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	1	1	1	0	0	0	1
B	0	1	1	1	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
A	0	1	0	0	0	0	0	0	1
AIGMFC
B	0	0	0	1	0	0	1	0	1	9.600000000000	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ALLISON K KRAKAUR
FAMILY MEMBER OF KEN KRAKAUR, SENIOR VICE PRESIDENT.	94020	EMPLOYMENT	0
DIANA ROSS
FAMILY MEMBER OF THOMAS ROSS, TRUSTEE.	98486	EMPLOYMENT	0
MARC A SHARP
FAMILY MEMBER OF MARC B. SHARP, DIRECTOR,TRUSTEE AND CHAIRMAN.	44651	EMPLOYMENT	0
KAUFMAN AND CANOLES
ENTITY OF WHICH DIR/TRUST. L. CUMMING & TRUST. C. E. RUSSELL ARE PARTNERS.	366890	LEGAL SERVICES	0
WILLCOX & SAVAGE
ENTITY OF WHICH TRUSTEE ALLAN G. DONN IS A > 5% MEMBER.	250740	LEGAL SERVICES	0
OPACC I LLC
SEE BELOW.	189094	RENT EXPENSE	0
VHHA
SEE BELOW.	566044	MEMBERSHIP	0

Form990 Schedule L Part V Form990ScheduleLPartV (4 entries)

ExplanationExplanation
OPACC I, LLC-CONTINUED(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:OFFICER KENNETH KRAKAUR IS A BOARD MEMBER OF OPACC I, LLC, A JOINT VENTURE OF SENTARA VENTURES, INC., A TAXABLE SUBSIDIARY OF SENTARA HOLDINGS, INC., WHICH IS A TAXABLE SUBSIDIARY OF THE ORGANIZATION.
DIRECTORS/TRUSTEES/OFFICERS/KEY EMPLOYEES OF THE ORGANIZATION MAY ALSO SERVE AS DIRECTORS/TRUSTEES/OFFICERS OF RELATED TAXABLE ENTITIES WITHIN THE SENTARA HEALTHCARE SYSTEM. SEE SCHEDULE R FOR A LISTING OF TRANSACTIONS THE ORGANIZATION HAD WITH THESE RELATED TAXABLE ENTITIES.
THE ORGANIZATION PAYS VARIOUS EXPENSES ON BEHALF OF AFFILIATED JOINT VENTURES, FOR WHICH IT IS LATER REIMBURSED. FOR SCHEDULE L PURPOSES, EXPENSE REIMBURSEMENTS WERE NOT CONSIDERED "BUSINESS TRANSACTIONS" AND ACCORDINGLY, HAVE NOT BEEN REPORTED.
(A) NAME OF PERSON: VHHA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:ENTITY OF WHICH PRESIDENT/COO HOWARD KERN IS A BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: MEMBERSHIP DUES

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
SENTARA HEALTHCARE I. YOUR NOT-FOR-PROFIT HEALTH PARTNER FOR MORE THAN 120 YEARS, SENTARA HEALTHCARE HAS BEEN COMMITTED TO HELPING PEOPLE WITH THEIR HEALTHCARE NEEDS, AND IN 2010 AND 2011, MODERN HEALTHCARE MAGAZINE RECOGNIZED US AS THE NATION'S NUMBER-ONE MOST INTEGRATED HEALTHCARE SYSTEM. U.S. NEWS & WORLD REPORT NAMED US THE MOST RECOGNIZED PROVIDER IN HAMPTON ROADS, A COMMUNITY OF CITIES AND COUNTIES IN SOUTHEAST VIRGINIA. PROVIDERS INCLUDED ON THE LIST MAY BE CONSIDERED AMONG THE NATION'S BEST OR ARE HIGH-PERFORMING IN THE REGION THEY SERVE. FOUNDED IN 1888 AS THE RETREAT FOR THE SICK IN NORFOLK, VIRGINIA, WE HAVE GROWN THROUGHOUT VIRGINIA AND NORTH CAROLINA AND NOW OPERATE MORE THAN 100 SITES OF CARE, INCLUDING 10 ACUTE CARE HOSPITALS, SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, AND TWO IN THE BLUE RIDGE REGION OF VIRGINIA. AS WE FINALIZE THIS REPORT, WE HAVE COMPLETED OUR MERGER WITH HALIFAX REGIONAL HEALTH SYSTEM IN CENTRAL VIRGINIA. OUR NOT-FOR-PROFIT SYSTEM PROUDLY INCLUDES ADVANCED IMAGING CENTERS, NURSING AND ASSISTED-LIVING CENTERS, OUTPATIENT CAMPUSES, PHYSICAL THERAPY AND REHABILITATION SERVICES, A HOME HEALTH AND HOSPICE AGENCY, A 3,680-PROVIDER MEDICAL STAFF, AND THREE MEDICAL GROUPS WITH 618 PROVIDERS. IN ADDITION, WE PROVIDE MEDICAL TRANSPORT AMBULANCES AND THE NIGHTINGALE AIR AMBULANCE, AND WE EXTEND HEALTH INSURANCE TO MORE THAN 450,000 PEOPLE THROUGH OPTIMA HEALTH, OUR AWARD-WINNING HEALTH PLAN. AMONG OUR MANY STRENGTHS, WE ARE A NATIONAL LEADER IN HEART AND KIDNEY CARE, STROKE CARE, AND INFECTION PREVENTION, AND WE WERE THE FIRST IN THE NATION TO DEVELOP THE EICU, A REMOTE MONITORING SYSTEM FOR INTENSIVE CARE. OUR DEDICATION TO IMPROVING AND INCREASING MEDICAL OPTIONS FOR OUR NEIGHBORS IS REINFORCED BY OUR COMMUNITY OUTREACH PROGRAMS, OUR INTRODUCTION OF NEW MEDICAL PROCEDURES, AND OUR PARTICIPATION IN MEDICAL TRIALS. THROUGH ALL OF THIS WORK, WE ADVANCE OUR MISSION OF IMPROVING HEALTH EVERY DAY. II. GROWING THE SENTARA FAMILY SINCE THE BEGINNING, SENTARA HAS REACHED OUT TO NEARBY INDUSTRY LEADERS AND JOINED FORCES TO EXTEND HEALTHCARE TO MORE PEOPLE. IN RECENT YEARS, WE HAVE GROWN THROUGHOUT VIRGINIA BY SEEKING PARTNERSHIPS WITH LONG-ESTABLISHED AND SUCCESSFUL HOSPITALS AND HEALTHCARE SYSTEMS WHO SHARE OUR DEDICATION TO EXCELLENCE AND VALUE. OUR INTEGRATED HEALTHCARE SYSTEM NOW INCLUDES: A. MARTHA JEFFERSON HOSPITAL MARTHA JEFFERSON HOSPITAL, A 176-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN CHARLOTTESVILLE, VIRGINIA, OFFICIALLY BECAME PART OF SENTARA HEALTHCARE IN JUNE 2011, MAKING IT OUR 10TH HOSPITAL. THE HOSPITAL ADMITS MORE THAN 11,000 INPATIENTS; TREATS MORE THAN 214,000 OUTPATIENTS; AND DELIVERS NEARLY 1,800 BABIES EACH YEAR. MJH PERFORMS MORE THAN 2,700 INPATIENT AND MORE THAN 3,600 OUTPATIENT SURGICAL PROCEDURES ANNUALLY, AND THE EMERGENCY DEPARTMENT TREATS MORE THAN 48,700 PATIENTS. MAJOR SERVICES INCLUDE A CANCER CARE CENTER, DIGESTIVE CARE CENTER, CARDIOLOGY CARE CENTER, ORTHOPEDICS, INCLUDING SPINE SURGERY AND JOINT REPLACEMENT SURGERY, WEIGHT LOSS SURGERY, STROKE CENTER SURGERY, THORACIC SURGERY, VASCULAR MEDICINE AND SURGERY, AND A WOMEN'S HEALTH CENTER. B. RMH HEALTHCARE SENTARA HEALTHCARE FINALIZED ITS AFFILIATION WITH RMH HEALTHCARE (FORMALLY ROCKINGHAM MEMORIAL HOSPITAL) IN MAY 2011. RMH IS A 238-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN HARRISONBURG, VIRGINIA THAT FIRST OPENED ITS DOORS IN 1912. SERVING A POPULATION OF OVER 200,000, THE HOSPITAL ADMITS MORE THAN 15,500 INPATIENTS AND DELIVERS CLOSE TO 1,750 BABIES ANNUALLY. THE STAFF AVERAGES MORE THAN 18,000 SURGICAL PROCEDURES ANNUALLY. THE RMH HAHN CENTER PROVIDES MORE THAN 16,000 CANCER TREATMENTS, AND THE RMH EMERGENCY DEPARTMENT TREATS MORE THAN 70,000 PATIENTS. SIGNATURE SERVICES INCLUDE A COMPREHENSIVE HEART AND VASCULAR CENTER, A FAMILY BIRTHPLACE, A SLEEP MEDICINE CENTER, IMAGING SERVICES, BEHAVIORAL HEALTH SERVICES, A WOMEN'S CENTER, AND A WELLNESS CENTER. C. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN DECEMBER 2009, SENTARA HEALTHCARE FINALIZED ITS AFFILIATION WITH POTOMAC HOSPITAL IN NORTHERN VIRGINIA. THE HOSPITAL FORMALLY ADOPTED THE SENTARA NAME IN 2011, AND THEN IN 2012 BEGAN CONDUCTING BUSINESS UNDER THE NAME SENTARA NORTHERN VIRGINIA MEDICAL CENTER (SNVMC). SNVMC IS A 183-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN WOODBRIDGE, VIRGINIA. THE HOSPITAL OFFERS A WIDE RANGE OF MEDICAL SPECIALTIES, A HIGHLY QUALIFIED MEDICAL AND CLINICAL STAFF, AND STATE-OF-THE-ART TECHNOLOGY TO UPHOLD ITS MISSION OF CARING FOR EVERYONE IN PRINCE WILLIAM COUNTY AND THE SURROUNDING COMMUNITIES. RESIDENTS IN NORTHERN VIRGINIA NOW HAVE THE OPTION OF RECEIVING CARDIOVASCULAR CARE CLOSE TO HOME, THANKS TO THE NEW SERVICES OFFERED IN THE SENTARA HEART AND VASCULAR CENTER AT SENTARA NORTHERN VIRGINIA MEDICAL CENTER. THE 12,000 SQUARE FOOT CENTER WITHIN THE HOSPITAL INCLUDES INTERVENTIONAL CARDIAC CATHETERIZATION (PREVIOUSLY UNAVAILABLE IN THE COUNTY), EMERGENT CARE OF STEMI PATIENTS AND OTHER PROCEDURES FOR CARDIAC DISEASE. RESIDENTS CAN ALSO BENEFIT FROM THE CONVENIENT, HIGH-QUALITY CARE OFFERED BY SENTARA MEDICAL GROUP, A PATIENT-FOCUSED PRACTICE WITH MULTI-SPECIALTY PHYSICIANS WITH OFFICES IN NORTHERN VIRGINIA. D. MDLIVE IN AUGUST 2012, SENTARA AND MDLIVE ANNOUNCED AN EQUITY PARTNERSHIP TO DELIVER REAL-TIME MEDICAL CONSULTATIONS VIA TELEPHONE AND ONLINE VIDEO THROUGH AN ESTABLISHED NETWORK OF PHYSICIANS. PATIENTS USE THE MDLIVE VIRTUAL CONSULT PLATFORM TO CONSULT DIRECTLY WITH A LICENSED SENTARA OR PARTNER PHYSICIAN WHO CAN DIAGNOSE LOW-ACUITY ILLNESSES, PROVIDE CARE, AND SUBSCRIBE PRESCRIPTIONS. E. HALIFAX REGIONAL HEALTH SYSTEM IN THE FALL OF 2012, HALIFAX REGIONAL HEALTH SYSTEM SIGNED A LETTER OF INTENT TO MERGE WITH SENTARA HEALTHCARE. IT IS AN INTEGRATED SYSTEM INCLUDING A 192-BED HOSPITAL, THREE LONG-TERM CARE FACILITIES, A HOME CARE AND HOSPICE FACILITY, AND A BROAD RANGE OF SPECIALTIES AND OUTPATIENT SERVICES ACROSS THE SOUTH BOSTON REGION, ABOUT 165 MILES WEST OF NORFOLK. THE MERGER WAS COMPLETED ON JULY 1, 2013. III. CONSTANTLY LOOKING AHEAD TO BEST SERVE OUR COMMUNITIES AND PROVIDE THE MOST PATIENT-FOCUSED, COST-EFFECTIVE HEALTHCARE POSSIBLE, WE SEEK TO EXPAND AND ENHANCE OUR SERVICES IN A VARIETY OF WAYS. WE STRIVE TO BE THE FIRST IN OUR COMMUNITIES TO OFFER NEW, YET PROVEN, MEDICAL PROCEDURES, AND WE REACH OUT TO NEW COMMUNITIES TO OFFER SERVICES WE HAVE PROUDLY AND SUCCESSFULLY OFFERED IN OTHER REGIONS. SOME OF THE WAYS WE HAVE DONE THIS RECENTLY INCLUDE: A. OFFERING AND STUDYING NEW PROCEDURES AND TECHNOLOGY SENTARA PHYSICIANS LEAD THE WAY IN HAMPTON ROADS BY OFFERING LIFESAVING PROCEDURES PREVIOUSLY NOT AVAILABLE IN THE REGION OR NOT READILY AVAILABLE. BY DOING SO, THEY GIVE RESIDENTS THE COMFORT AND COST-SAVINGS OF BEING CLOSE TO HOME WHILE IMPROVING THEIR HEALTH. IN 2012, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER STARTED A NEW TREATMENT FOR SEVERE ASTHMA CALLED BRONCHIAL THERMOPLASTY. THIS MINIMALLY INVASIVE OUTPATIENT PROCEDURE USES A BRONCHOSCOPE TO DELIVER THERMAL ENERGY TO THE LUNGS OF PATIENTS WITH ASTHMA TO DECREASE THE AMOUNT OF SMOOTH MUSCLE IN THE LUNGS THE MUSCLES THAT CONSTRICT AND RESULT IN ASTHMA SYMPTOMS. THAT SAME YEAR, THE SENTARA CANCER NETWORK'S MOBILE PET/CT BEGAN PERFORMING A FULL BODY SCAN TO DISCOVER AND STAGE CANCERS THAT MAY HAVE SPREAD TO THE BONES. THIS IS POSSIBLE DUE TO THE FDA'S APPROVAL OF THE USE OF 18F-SODIUM FLUORIDE AS AN INJECTION. WITH A $725,000 GRANT FROM THE POTOMAC HEALTH FOUNDATION, SENTARA NORTHERN VIRGINIA MEDICAL CENTER PURCHASED A NEW DIGITAL MAMMOGRAPHY VAN. WITH THE VAN, THE CENTER REACHES WOMEN WITH LITTLE OR NO INSURANCE, IN HOPES OF DETECTING CANCER EARLIER IN WOMEN IN PRINCE WILLIAM COUNTY, WHERE THERE'S A HIGHER-THAN-AVERAGE DEATH RATE FROM BREAST CANCER. IMPORTANT OPTIONS OUR PHYSICIANS INTRODUCED IN 2011 INCLUDED THE REGION'S FIRST AORTIC VALVE REPLACEMENT VIA CATHETER, THE FIRST O-ARM IMAGING SYSTEM TO ENHANCE SPINAL SURGERY, THE FIRST PAIRED KIDNEY EXCHANGE, AND A NEW ELECTROMAGNETIC NAVIGATIONAL BRONCHOSCOPY PROCEDURE. ALSO IN 2011, SENTARA WAS RECOGNIZED BY THE VIRGINIA HEART ATTACK COALITION FOR OUR EFFORTS IN WORKING WITH AREA EMS UNITS TO LAUNCH LIFENET, WHICH TRANSMITS VITAL, POTENTIALLY LIFESAVING PATIENT INFORMATION WHEN A HEART ATTACK IS SUSPECTED BY AN EMS TECHNICIAN. WE EXPLORED NEW TREATMENTS AS WELL IN NUMEROUS STUDIES. ONE OF THE MOST SIGNIFICANT RESEARCH PROJECTS WAS A STROKE STUDY OUR DOCTORS AND PATIENTS JOINED. THE STUDY RESULTS LED TO AN EARLY DECISION TO END ENROLLMENT AFTER FINDING THAT PATIENTS AT HIGH RISK OF A SECOND STROKE WHO WERE TREATED WITH STENTS THOUGHT TO BE MORE HELPFUL THAN AGGRESSIVE MEDICAL MANAGEMENT WERE ACTUALLY FARING WORSE. THIS IS JUST ONE EXAMPLE OF OUR COMMITMENT TO EXPLORING NEW OPTIONS AND QUICKLY APPLYING ACQUIRED KNOWLEDGE TO BETTER SERVE OUR PATIENTS.
GAINING SUCH KNOWLEDGE IN REGARDS TO THE BRAIN WAS PART OF OUR MOTIVATION LAST YEAR WHEN WE CREATED THE SENTARA NEUROSCIENCES INSTITUTE, A NETWORK OF NEUROSCIENCE EXPERTS DEDICATED TO EDUCATION, PREVENTION, RESEARCH AND THE TREATMENT OF NEUROLOGIC DISORDERS. SENTARA NEUROSCIENCES INSTITUTE PHYSICIANS ARE INVOLVED IN NATIONAL RESEARCH STUDIES OFFERING LOCAL PATIENTS NEW TREATMENT OPTIONS NOT OTHERWISE AVAILABLE IN THE AREA. NEARLY TWO DOZEN STUDIES ARE CURRENTLY UNDERWAY IN STROKE CARE, EPILEPSY, AND PARKINSON'S DISEASE WITH PATIENTS IN THE REGION. IN COLLABORATION WITH EASTERN VIRGINIA MEDICAL SCHOOL AND OTHER NEUROSCIENCE EXPERTS, THE SENTARA NEUROSCIENCES INSTITUTE OFFERS SOME OF THE MOST COMPREHENSIVE AND ADVANCED CARE TREATING DISEASES OF THE BRAIN, SPINAL CORD, NERVES AND MUSCLES IN VIRGINIA. THE INSTITUTE STRENGTHENS THE NEUROSCIENCE PROGRAM THAT HAS BEEN IN PLACE AT SENTARA FOR YEARS. ON SEPTEMBER 17, 2012, SURGEONS AND CARDIOLOGISTS AT SENTARA HEART HOSPITAL WERE THE FIRST IN THE WORLD TO BEGIN PERFORMING SURGERIES IN THE DUAL EPICARDIAL ENDOCARDIAL PERSISTENT (DEEP) ATRIAL FIBRILLATION FEASIBILITY TRIAL. THIS FOOD AND DRUG ADMINISTRATION-APPROVED STUDY IS SPONSORED BY CARDIAC DEVICE MANUFACTURER ATRICURE, INC. AND IS DESIGNED TO EVALUATE THE SAFETY AND EFFICACY OF A COMBINED PROCEDURE WHEREBY THE SURGEON CREATES LINES OF BLOCK ON THE OUTSIDE OF THE HEART WORKING THROUGH TINY CHEST INCISIONS. B. EXPANDING SERVICE AREAS AND PARTNERSHIPS OPTIMA HEALTH, SENTARA HEALTHCARE'S AWARD-WINNING HEALTH PLAN, EXPANDED ITS POPULAR OFFERINGS TO SOUTHWEST VIRGINIA, ROANOKE, AND SURROUNDING COMMUNITIES IN 2011. WE HAVE TAKEN SIMILAR STEPS IN THE RECENT PAST: MEDICAL TRANSPORT, OUR PREMIER COMMERCIAL EMS AGENCY AND AMBULANCE TRANSPORT SERVICE IN SOUTHEASTERN VIRGINIA, WITH ITS HOME OFFICE IN VIRGINIA BEACH, EXPANDED TO CHARLOTTESVILLE AND PETERSBURG, VIRGINIA IN 2008, TO CHRISTIANBURG AND ROANOKE, VIRGINIA IN 2009 AND TO THE PRINCE WILLIAM AREA IN 2010. MEDICAL TRANSPORT IS DEDICATED TO SERVING ITS PATIENTS WITH OUTSTANDING CUSTOMER SERVICE WITH THE LARGEST FLEET OF AMBULANCES IN VIRGINIA. SENTARA HOME CARE ALSO EXPANDED IN A SIMILAR WAY TO SERVE MORE VIRGINIANS. WE HAVE BEEN BRINGING HIGH-QUALITY HEALTHCARE HOME TO OUR PATIENTS SINCE 1982. TODAY, SENTARA HOME CARE SERVES PATIENTS THROUGHOUT MOST OF VIRGINIA AND BEYOND, INCLUDING HAMPTON ROADS, RICHMOND, AND NORTHEASTERN NORTH CAROLINA. IN 2008, HOME CARE'S SERVICE AREA GREW TO CHARLOTTESVILLE AND COVINGTON, VIRGINIA, AND IN 2009, IT EXPANDED TO BATH COUNTY IN WESTERN VIRGINIA. IN 2012, SENTARA ENTERPRISES ENTERED A PARTNERSHIP TO PROVIDE HOME CARE IN NORTHERN VIRGINIA. IN ADDITION TO EXPANDING SERVICES, SENTARA FORMED PARTNERSHIPS IN 2011 TO STREAMLINE PROCEDURES AND REDUCE COSTS. WE JOINED FORCES WITH MEDSTAR HEALTH AND NOVANT HEALTH WITH THE INTENTION OF SIMPLIFYING THE PURCHASING OF SUPPLIES AND SECURING QUANTITY DISCOUNTS. WORKING TOGETHER TO PURCHASE SUPPLIES AS ONE ENTITY, WE WILL PRODUCE SAVINGS THAT CAN SUPPORT LOWER HEALTHCARE COSTS. C. EXPANDING EDUCATIONAL SERVICES SENTARA ANNOUNCED A SIGNIFICANT GIFT TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) IN 2011 IN THE FORM OF TWO SEPARATE ENDOWMENTS OF $5 MILLION EACH. TOGETHER THESE GIFTS REPRESENT THE LARGEST DONATION IN THE MEDICAL SCHOOL'S HISTORY. THEY WILL PROVIDE ONGOING SUPPORT TO THE SENTARA SIMULATION CENTER FOR IMMERSIVE LEARNING AT EVMS AND THE GLENNAN CENTER FOR GERIATRICS AND GERONTOLOGY. SINCE 2006, SENTARA HAS COMMITTED TO PROVIDE EVMS WITH $52 MILLION IN PROGRAM DEVELOPMENT FUNDING. IN ADDITION TO SUPPORTING EVMS, SENTARA HAS ALSO EXPANDED ITS OWN EDUCATIONAL SERVICES. THE SENTARA SCHOOL OF HEALTH PROFESSIONALS CHANGED ITS NAME IN 2009 TO THE SENTARA COLLEGE OF HEALTH SCIENCES (SCHS) AFTER RECEIVING APPROVAL TO OFFER A BACCALAUREATE DEGREE IN NURSING. OUR NEW BACHELOR OF SCIENCE IN NURSING PROGRAM BEGAN AUGUST 2010 WITH FOUR WAYS TO RECEIVE A BACHELOR OF SCIENCE IN NURSING DEGREE: TRADITIONAL BSN, LPN TO BSN, RN TO BSN AND EARLY ADMISSION FOR HIGH SCHOOL SENIORS. OUR CARDIOVASCULAR PROGRAMS ADDED A NEW SPECIALTY IN 2011 - CARDIAC ELECTROPHYSIOLOGY, AND ALL FOUR SPECIALTIES (INVASIVE CARDIOVASCULAR TECHNOLOGIST, NON-INVASIVE VASCULAR STUDY, ADULT ECHOCARDIOGRAPHY, AND SURGICAL TECHNOLOGY) BECAME ASSOCIATES OF OCCUPATIONAL SCIENCE DEGREES IN 2010. THE SURGICAL TECHNOLOGY PROGRAM LAUNCHES THE FIRST ASSOCIATE OF OCCUPATIONAL SCIENCE DEGREE WITH THE JANUARY 2013 CLASS. IV. BUILDING FOR THE FUTURE ALONG WITH REACHING OUT TO NEW COMMUNITIES, SENTARA HEALTHCARE STRIVES TO BUILD ON OUR EXISTING SERVICES AND IN OUR ESTABLISHED AREAS SO THAT WE EXCEED OUR PATIENTS' EXPECTATIONS AND MEET GROWING HEALTHCARE DEMANDS. SOME OF THE CHANGES WE HAVE INVESTED IN IN OUR ESTABLISHED COMMUNITIES RECENTLY INCLUDE: A. SENTARA LAKE RIDGE CONSTRUCTION BEGAN IN 2011 ON SENTARA LAKE RIDGE, AN INNOVATIVE AND MODERN OUTPATIENT CAMPUS OFFERING CONVENIENT, HIGH-QUALITY MEDICAL SERVICES AND A PATIENT-FOCUSED EXPERIENCE. THE 43,500 SQUARE-FOOT FACILITY OPENED IN APRIL 2012 AS SENTARA'S FIRST OUTPATIENT FACILITY IN NORTHERN VIRGINIA TO PROVIDE 24-HOUR EMERGENCY CARE, ADVANCED IMAGING BY BOARD-CERTIFIED PHYSICIANS, AND LABORATORY SERVICES. IN 2012, SENTARA NORTHERN VIRGINIA MEDICAL CENTER PARTNERED WITH BLUE CHIP SURGICAL CENTER PARTNERS TO PROVIDE CARE THROUGH THE LAKE RIDGE AMBULATORY SURGERY CENTER, WHICH WILL OFFER ORTHOPEDIC AND SPINE SURGERY AND PAIN MANAGEMENT SERVICES IN A 9,500 SQUARE FOOT OFFICE EQUIPPED WITH ONE OR AND ONE PROCEDURE ROOM. B. SENTARA PRINCESS ANNE HOSPITAL THIS NEW, FIVE-STORY ACUTE CARE HOSPITAL OPENED IN AUGUST 2011 IN PARTNERSHIP WITH BON SECOURS VIRGINIA. THE 330,400-SQUARE-FOOT HOSPITAL COMPLEMENTS THE CONVENIENT OUTPATIENT SERVICES ALREADY PROVIDED AT SENTARA PRINCESS ANNE HEALTH CAMPUS AND OFFERS COMPREHENSIVE SURGICAL PROCEDURES, INTENSIVE CARE, ADVANCED CARDIAC CARE, AND A DEDICATED FAMILY MATERNITY CENTER FOR SOUTHERN VIRGINIA BEACH RESIDENTS. C. SENTARA LEIGH TOWER WORK BEGAN IN DECEMBER 2011 ON A MULTI-PHASE, THREE-YEAR PROJECT TO BUILD A NEW SENTARA LEIGH HOSPITAL ON THE SITE OF THE CURRENT ONE. TWO FIVE-STORY PATIENT TOWERS WILL EVENTUALLY REPLACE THREE 1970S-ERA WINGS AT THE NORFOLK, VIRGINIA HOSPITAL. THE NEW TOWERS WILL FEATURE STATE-OF-THE-ART PATIENT ROOMS WITH PRIVATE BATHROOMS, NO-STEP SHOWERS AND OVERNIGHT ACCOMMODATIONS FOR FAMILIES. THE PROJECT ALSO INCLUDES A 48-BED ORTHOPEDIC AND REHABILITATION CENTER ON THE FIRST FLOOR THAT WILL EMPLOY PART OF THE OUTSIDE GARDEN SPACE FOR WALKING EXERCISES ON DIFFERENT GRADES AND SURFACES MAKING IT A TRUE HEALING GARDEN. THE PROJECT WILL CONTINUE AS OUR STAFF MAINTAINS EXCELLENT, UNINTERRUPTED PATIENT CARE DURING THE PHASED CONSTRUCTION. D. SENTARA SENIOR DAY SERVICES SENTARA LIFE CARE, THE SENIOR SERVICES DIVISION OF SENTARA HEALTHCARE, INTRODUCED SENIOR DAY SERVICES AT SENTARA VILLAGE IN CHESAPEAKE IN NOVEMBER 2011. A SIMILAR PROGRAM HAS BEEN IN OPERATION FOR 19 YEARS AT SENTARA VILLAGE IN VIRGINIA BEACH. IT OFFERS A CHOICE OF FULL- AND HALF-DAY PROGRAMS AND HOURLY RESPITE SERVICES FOR SENIORS WHO LIVE AT HOME WITH THEIR FAMILIES. THE PROGRAM INCLUDES MEALS, ACTIVITIES AND SOCIALIZATION IN A SAFE ENVIRONMENT MONDAY THROUGH SATURDAY. WHEELCHAIR-ACCESSIBLE VAN TRANSPORTATION TO THE PROGRAM AND BACK HOME IS AVAILABLE. THE PROGRAM IS DESIGNED TO MEET SENIORS' SOCIALIZATION NEEDS AND FEATURES CRAFTS, CLASSES, AND OUTINGS AS PARTICIPANTS ARE ABLE AND INTERESTED. E. NEW NIGHTINGALE REGIONAL AIR AMBULANCE IN JUNE 2011, SENTARA HEALTH FOUNDATION WORKED WITH THE COMMUNITY TO COMPLETE THE PURCHASE OF A NEW HELICOPTER TO REPLACE OUR NIGHTINGALE REGIONAL AIR AMBULANCE HELICOPTER. THE TOTAL COST OF THE NEW STATE-OF-THE-ART EUROCOPTER EC-145 WAS $7.2 MILLION. NIGHTINGALE OPERATES AT A DEFICIT OF AS MUCH AS $650,000 PER YEAR BECAUSE SENTARA TAKES CARE OF EVERY NIGHTINGALE PATIENT, 24 HOURS PER DAY, REGARDLESS OF ABILITY TO PAY. EVERY YEAR, NIGHTINGALE TOUCHES THE LIVES OF ALMOST 700 CRITICALLY ILL AND INJURED PATIENTS. F. NEW PATIENT WING AT SENTARA OBICI THE ADDITION OF A NEW WING TO SENTARA OBICI HOSPITAL WAS COMPLETED IN JUNE 2010. THE NEW THREE-STORY, 63,480 SQUARE-FOOT WING OF THE SUFFOLK, VIRGINIA HOSPITAL INCLUDES ALL PRIVATE BEDS SERVING ORTHOPEDIC, MEDICAL, AND SURGICAL PATIENTS. IT INCREASED THE HOSPITAL'S BED CAPACITY TO 168 BEDS AND WILL HELP US MEET OUR GOAL OF IMPROVING CARE AND ACCESS FOR SENTARA OBICI HOSPITAL PATIENTS AND THE SURROUNDING WESTERN HAMPTON ROADS COMMUNITY, WHICH IS EXPECTED TO GROW 10 PERCENT BY 2014.
G. ORTHOPEDIC HOSPITAL AT SENTARA CAREPLEX THE ORTHOPEDIC HOSPITAL AT SENTARA CAREPLEX IN HAMPTON, VIRGINIA OPENED IN JULY 2010 AS THE AREA'S FIRST DEDICATED ORTHOPEDIC HOSPITAL, TAKING SPECIALIZED ORTHOPEDIC CARE TO A NEW LEVEL. THE 55,000 SQUARE-FOOT, TWO-STORY FACILITY PROVIDES PATIENTS ACCESS TO THE FULL CONTINUUM OF ORTHOPEDIC SERVICES, FROM THE PRE-OPERATIVE PHASE AND SURGERY TO REHABILITATION AND HOME CARE SERVICES. H. SENTARA ST. LUKE'S THIS TWO-STORY, 52,000 SQUARE-FOOT MEDICAL OFFICE BUILDING OPENED IN ISLE OF WIGHT, VIRGINIA IN 2010. IT FEATURES AN URGENT CARE CENTER, AN ADVANCED IMAGING CENTER, LABORATORY SERVICES, AND PHYSICAL THERAPY SERVICES. IT ALSO HOUSES SEVERAL PRIMARY CARE AND SPECIALTY PHYSICIANS. I. SECOND PACE LOCATION A SECOND LOCATION FOR THE PACE PROGRAM OPERATED BY SENTARA LIFE CARE CORPORATION, SENTARA'S LONG-TERM CARE DIVISION, OPENED IN PORTSMOUTH, VIRGINIA IN MARCH 2010. PACE, OR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, IS AN ADULT DAY CARE PROGRAM THAT IS A NURSING HOME ALTERNATIVE. THE FIRST OF ITS KIND IN VIRGINIA, THE PROGRAM IS A PREPAID HEALTH PLAN THAT PROVIDES TOTAL CARE FOR PARTICIPANTS, INCLUDING COMPREHENSIVE MEDICAL AND REHABILITATIVE SERVICES, IN-HOME SERVICES AND TRANSPORTATION. J. SENTARA HOSPICE HOUSE IN MAY 2012, SENTARA BROKE GROUND ON SENTARA HOSPICE HOUSE, AN 8,311 SQUARE-FOOT FACILITY TO PROVIDE CARE FOR UP TO 12 PEOPLE AND THEIR FAMILIES. WITH ONLY FIVE LIVE-IN HOSPICES IN VIRGINIA AND NONE IN HAMPTON ROADS, PATIENTS WERE NOT OFTEN ABLE TO CHOOSE THIS CARE OPTION UNTIL NOW. K. RMH WOMEN'S CENTER CONSTRUCTION BEGAN ON THE RMH FUNKHOUSER WOMEN'S CENTER IN JUNE 2012. THE 15,000 SQUARE FOOT CENTER WILL HOUSE WOMEN'S IMAGING, INCLUDING ADVANCED BREAST IMAGING/MAMMOGRAPHY AND BONE DENSITY SCREENING, RMH BREAST CARE, THE IMAGE RECOVERY CENTER, RMH HEART CHECK FOR MEN AND WOMEN, AND A SURGEON'S OFFICE. L. RMH OUTPATIENT ORTHOPEDICS & ADVANCED IMAGING CENTER RMH GAINED APPROVAL FOR THE NEW CENTER IN JULY 2012. THE NEW FACILITY WILL BE AN ORTHOPEDIC AND SPORTS MEDICINE DESTINATION INCLUDING ADVANCED IMAGING, RMH ORTHOPEDICS AND SPORTS MEDICINE, REHABILITATION THERAPY, A SPORTS PERFORMANCE ARENA AND AN INTERVENTIONAL SUITE FOR PAIN MANAGEMENT AND SPECIAL PROCEDURES. M. MARTHA JEFFERSON OUTPATIENT CARE CENTER A NEW OUTPATIENT CARE CENTER OPENED IN THE FALL OF 2012, WITH A FREE-STANDING 24-HOUR ED AND IMAGING, LABORATORY SERVICES, AND A PRIMARY CARE PRACTICE. THE ED SHORTENS TRAVEL TIME FOR EMS PROVIDERS, AND THE FACILITY AS A WHOLE HELPS CUT TRAVEL TIME FOR PATIENTS IN THE NORTHERN COUNTIES. V. SENTARA QUALITY & PATIENT SAFETY DISTINCTIONS A. MEASURING QUALITY HEALTHCARE SINCE OUR HEALTH SYSTEM'S EARLIEST YEARS, WE HAVE BELIEVED THE COMMUNITY DESERVES HEALTHCARE THAT IS MEASURABLY BETTER. SENTARA'S GOAL IS TO BE ACCREDITED BY RESPECTED NATIONAL ORGANIZATIONS AND TO ACHIEVE TOP 10 PERCENT PERFORMANCE WHEREVER BENCHMARKS EXIST. WE ARE PROUD OF THE WORK WE HAVE DONE SO FAR TOWARD THIS GOAL, AS IT HAS BEEN RECOGNIZED IN MANY WAYS: 1. TOP 100 INTEGRATED HEALTHCARE NETWORK SENTARA HAS CONSISTENTLY RANKED AMONG THE NATION'S TOP INTEGRATED HEALTHCARE NETWORKS AS PUBLISHED IN MODERN HEALTHCARE'S FACT-BASED RANKING. THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY TO BE AMONG THE NATION'S TOP 10 FOR ALL 15 YEARS OF THE SURVEY, SENTARA LANDED AT NUMBER ONE IN 2001, 2010 AND 2011. THE STUDY, PUBLISHED ANNUALLY, HIGHLIGHTS THE TOP 100 INTEGRATED HEALTH CARE NETWORKS ACROSS THE NATION AS SELECTED BY SDI, A HEALTH INFORMATION COMPANY. 2. USING TECHNOLOGY TO IMPROVE CARE SENTARA HEALTHCARE WAS BEEN NAMED ONE OF THE NATION'S MOST WIRED HEALTH SYSTEMS IN THE 2012 MOST WIRED SURVEY AND BENCHMARKING STUDY. HOSPITALS & HEALTH NETWORKS POLLED ABOUT 1,570 HOSPITALS. THE SURVEY ASSESSES HOSPITALS AND HEALTH SYSTEMS' MEANINGFUL USE OF ELECTRONIC MEDIA TECHNOLOGY IN FOUR AREAS INFRASTRUCTURE, BUSINESS AND ADMINISTRATIVE MANAGEMENT, CLINICAL QUALITY AND SAFETY, AND CARE CONTINUUM. SENTARA NORFOLK GENERAL HOSPITAL WAS NAMED AS ONE OF THE NATION'S MOST WIRED HOSPITALS DURING 2010, ACCORDING TO THE RESULTS OF THE 2010 MOST WIRED SURVEY AND BENCHMARKING STUDY. THE "MOST WIRED" HOSPITALS USE COMPUTERS TO ENABLE PHYSICIANS TO CHECK OR ORDER PATIENT TESTS AND ENTER MEDICATION ORDERS ELECTRONICALLY, AND TO ENABLE PATIENTS TO PAY BILLS VIA COMPUTER. AMONG THE REASONS SENTARA NORFOLK GENERAL HOSPITAL WAS INCLUDED ON THE LIST WAS ITS INVESTMENT IN THE ELECTRONIC MEDICAL RECORD SYSTEM, SENTARA ECARE. IN 2010, SENTARA HEALTHCARE WAS ALSO HONORED AS A RECIPIENT OF THE 2010 HIMMS (HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY) DAVIES AWARD. HIMMS ANALYTICS, A COMPANY THAT COLLECTS AND ANALYZES HEALTHCARE DATA, RECOGNIZES HEALTHCARE ORGANIZATIONS FOR SUCCESSFUL IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY SYSTEMS. SENTARA HEALTHCARE WAS HONORED WITH ITS STAGE 7 AWARD, A NATIONAL RECOGNITION THAT REPRESENTS ATTAINMENT OF THE HIGHEST LEVEL OF ELECTRONIC MEDICAL RECORD ADOPTION MODEL-SM (EMRAM). WITH THIS AWARD, SENTARA JOINED A SELECT GROUP OF HEALTH SYSTEMS ACROSS THE COUNTRY TO HAVE ATTAINED THIS LEVEL OF ELECTRONIC MEDICAL RECORD IMPLEMENTATION. 3. AWARD-WINING CARDIAC AND UROLOGY CARE SENTARA HEART HOSPITAL/SENTARA NORFOLK GENERAL HOSPITAL IS A COMPREHENSIVE NETWORK OF PROVIDERS, FACILITIES AND SERVICES WORKING TOGETHER TO ENSURE THE HIGHEST LEVEL OF CARE. FOR THE 13TH YEAR, THE HOSPITAL RANKED AMONG THE NATION'S BEST HEART PROGRAMS IN U.S. NEWS & WORLD REPORT'S 2012-2013 BEST HOSPITALS ISSUE. LISTED 49TH IN THE HEART CARE RANKINGS, SENTARA POSTS A MORTALITY SCORE THAT IS BETTER THAN FIVE OF THE TOP 10 PROGRAMS ON THE LIST. SENTARA REMAINS THE ONLY HEART PROGRAM IN THE REGION AND ONLY ONE OF THREE HOSPITALS IN VIRGINIA TO BE RANKED BY U.S. NEWS & WORLD REPORT. OUR UROLOGY PROGRAM WAS ALSO RECOGNIZED IN THE 2012-2013 LISTINGS IN THE 47TH RANKING. IN ADDITION TO THE NATIONAL RANKINGS, U.S. NEWS INCLUDED RANKINGS FOR STATE AND METRO AREAS. THREE SENTARA HOSPITALS WERE FEATURED IN THE HAMPTON ROADS RANKINGS, WITH SENTARA NORFOLK GENERAL HOSPITAL LISTED AT NUMBER ONE IN THE REGION AND NUMBER THREE IN THE STATE. U.S NEWS ALSO INCLUDED SENTARA VIRGINIA BEACH GENERAL HOSPITAL (SECOND IN THE REGION AND 16TH IN THE STATE), SENTARA LEIGH HOSPITAL (FOURTH IN THE REGION AND 19TH IN THE STATE), AND MARTHA JEFFERSON HOSPITAL IN CHARLOTTESVILLE RANKED 14TH IN THE STATE. 4. OUTSTANDING CANCER CARE THE SENTARA CANCER NETWORK WAS AWARDED AN OUTSTANDING ACHIEVEMENT AWARD AND ACCREDITATION FOR 2009 FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. ONLY 18 PERCENT OF 432 PROGRAMS SURVEYED DURING THE YEAR RECEIVED OUTSTANDING ACHIEVEMENT AWARDS-BASED ON FACTORS SUCH AS LEADERSHIP, RESEARCH, AND QUALITY IMPROVEMENT. THE ACCREDITED PORTION INCLUDED SENTARA NORFOLK GENERAL HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. SENTARA LEIGH HOSPITAL WAS ADDED IN 2010. SENTARA NORTHERN VIRGINIA MEDICAL CENTER EARNED AN OUTSTANDING ACHIEVEMENT AWARD UNDER THE CATEGORY OF COMMUNITY HOSPITAL CANCER PROGRAMS. THE SENTARA CANCER NETWORK AND SENTARA NORTHERN VIRGINIA MEDICAL CENTER WERE THE ONLY CANCER PROGRAMS IN VIRGINIA TO EARN OUTSTANDING ACHIEVEMENT AWARDS FOR 2009. AFTER A THREE-DAY SURVEY IN 2012, THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER RE-ACCREDITED THE SENTARA CANCER NETWORK FOR THREE YEARS WITH COMMENDATIONS. THE ACCREDITATION WAS AS AN "INTEGRATED NETWORK" THE ONLY ONE IN VIRGINIA WITH NO DEFICIENCIES. 5. COMPREHENSIVE BREAST HEALTH SERVICES SENTARA IS HOME TO NINE BREAST CENTERS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, FOLLOWING THE ACCREDITATION OF THREE CENTERS IN 2011 AND THREE, RMH WOMEN'S CENTER'S BREAST CARE PROGRAM, SENTARA NORTHERN VIRGINIA COMPREHENSIVE BREAST CENTER, AND MARTHA JEFFERSON HOSPITAL, IN 2012. TO GAIN ACCREDITATION, THE CENTERS MUST FOLLOW A MULTIDISCIPLINARY TEAM APPROACH, PROVIDE ACCESS TO CLINICAL TRIAL INFORMATION, AND OFFER NEW TREATMENT OPTIONS ALONG WITH OTHER REQUIREMENTS. THE BREAST CENTERS ARE ALSO AMONG THE ELITE GROUP DESIGNATED AS AN AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE. AFTER RIGOROUS EVALUATION OF STAFF, EQUIPMENT, PHYSICIAN CREDENTIALS, TECHNIQUE AND IMAGE QUALITY, THE CENTERS ARE NOW FULLY ACCREDITED IN THE THREE MAJOR AREAS OF BREAST IMAGING AND CANCER DETECTION, MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND ULTRASOUND-GUIDED BIOPSY. 6. WEIGHT LOSS SURGERY EXCELLENCE AFTER A DETAILED REVIEW OF CLINICAL QUALITY AND SAFETY, SURGICAL OUTCOMES, AND OVERALL PERFORMANCE, WEIGHT LOSS SURGERY PROGRAMS AT SENTARA CAREPLEX HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL AND SENTARA NORTHERN VIRGINIA MEDICAL CENTER HAVE RECEIVED DESIGNATION AS A WEIGHT LOSS SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY.
7. GOLD SEALS OF APPROVAL AND DET NORSKE VERITAS HEALTHCARE, INC (DNVHC) ACCREDITATION THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS HAS GIVEN SEVERAL OF OUR HOSPITALS ITS GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION. SENTARA NORFOLK GENERAL HOSPITAL EARNED VASCULAR CERTIFICATION. SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA OBICI HOSPITAL, AND SENTARA PRINCESS ANNE HOSPITAL ALL EARNED PRIMARY STROKE CERTIFICATION. VOLUNTARY HOSPITALS ASSOCIATION "BLUEPRINTED" THE SENTARA HAMPTON ROADS' HOSPITALS STROKE PROGRAMS AS A "LEADING PRACTICE IN STROKE CARE" WITH A WEBINAR ORIGINATING FROM SENTARA. IN 2012, RMH WAS CERTIFIED BY THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER. THE SURVEYORS RECOGNIZED RMH'S PATIENT DISCHARGE PHONE CALL PROGRAM AND ITS COLLABORATION WITH LOCAL EMS PROVIDERS AS BEST PRACTICES IN STROKE CARE. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WAS ALSO ACCREDITED BY THE DNVHC IN 2011 AS A CERTIFIED PRIMARY STROKE CENTER BASED ON ITS CONTINUAL INTEGRATION OF QUALITY STANDARDS FOR MANAGEMENT OF STROKE PATIENTS. THE JOINT COMMISSION RECOGNIZED SENTARA VIRGINIA BEACH GENERAL HOSPITAL FOR HEART FAILURE AND ACUTE MYOCARDIAL INFARCTION CARE. IN 2011, THE HOSPITAL ALSO RECEIVED FULL ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI (PERCUTANEOUS CORONARY INTERVENTION, ALSO KNOWN AS ANGIOPLASTY). IN 2012, SENTARA LEIGH HOSPITAL RECEIVED THIS ACCREDITATION AS WELL. 8. HMC TOP QUALITY AWARD THE HEALTHCARE MANAGEMENT COUNCIL (HMC) ISSUED ITS FIRST TOP QUALITY AWARDS AMONG ITS MEMBER HOSPITALS IN 2010. HMC CLIENT HOSPITALS WORK AGAINST A COMPLEX MATRIX OF PERFORMANCE BENCHMARKS TO IMPROVE CLINICAL OUTCOMES, SAFETY, QUALITY, AND FINANCIALS. ONLY SEVEN HOSPITALS RECEIVED PERFORMANCE AWARDS IN 2010. SENTARA LEIGH HOSPITAL WAS AMONG THE HONORABLE MENTIONS AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WAS LISTED IN THE "MOST IMPROVED" CATEGORY. 9. QUALITY SENIOR CARE SENTARA LIFE CARE WAS AWARDED A BRONZE 2010 NATIONAL QUALITY AWARD FROM THE AMERICAN HEALTH CARE ASSOCIATION AND THE NATIONAL CENTER FOR ASSISTED LIVING. A BRONZE AWARD RECOGNIZES LONG TERM CARE PROGRAMS THAT HAVE MADE A SYSTEMATIC COMMITMENT TO QUALITY IMPROVEMENT AND DESIGNED WAYS TO MEASURE PROGRESS. 10. QUALITY ASSURANCE AWARD FOR SENTARA MEDICAL GROUP PRACTICES IN 2012, VIRTUALLY ALL OF SENTARA MEDICAL GROUP PRIMARY CARE PRACTICES HAD BEEN RECOGNIZED BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE (NCQA) AS A PATIENT-CENTERED MEDICAL HOME-LEVEL III, UNDER NCQA'S PHYSICIAN PRACTICE CONNECTIONS PROGRAM. 11. HOME HEALTH QUALITY IMPROVEMENT/CENTERS FOR MEDICARE AND MEDICAID GOLD AWARD SENTARA HOME CARE WAS ONE OF THE FIRST PARTICIPANTS IN THE HOME HEALTH QUALITY IMPROVEMENT (HHQI) NATIONAL CAMPAIGN, CREATED BY THE CENTERS FOR MEDICARE AND MEDICAID (CMS) TO INSPIRE AND PROMOTE QUALITY OUTCOMES FOR HOME HEALTH PATIENTS. UTILIZING BEST PRACTICE PROTOCOLS IN REDUCING USE OF EMERGENCY ROOM CARE AND EARLY IDENTIFICATION AND INTERVENTION TO SUPPORT PATIENT AMBULATORY NEEDS HAS NOW GARNERED SENTARA HOME CARE SERVICES THE CMS TOP 10% RATING AND RECEIPT OF THE GOLD AWARD DESIGNATION. 12. COMMUNITY HEALTH ACCREDITATION SENTARA HOME CARE RECEIVED NATIONAL ACCREDITATION THROUGH THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP) IN JULY 2011. CHAP IS AN INDEPENDENT ACCREDITING BODY DESIGNED TO INSPIRE COMMUNITY HEALTHCARE ORGANIZATIONS TO ACHIEVE ORGANIZATIONAL EXCELLENCE AND COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. THE RIGOROUS PROCESS INCLUDED A WEEK-LONG SURVEY OF HOME HEALTH, HOSPICE, HOME INFUSION, HOME MEDICAL EQUIPMENT, AND HOME RESPIRATORY CARE SERVICES IN ADDITION TO MEETING WITH PATIENTS AND STAFF TO ASSESS QUALITY OF CARE. 13. SLEEP CENTER ACCREDITATION THE SLEEP CENTER AT SENTARA BELLEHARBOUR GAINED NATIONAL ACCREDITATION THROUGH THE AMERICAN ACADEMY OF SLEEP MEDICINE (AASM) IN JUNE 2011. ONLY SLEEP CENTERS MEETING STRINGENT PERFORMANCE AND QUALITY STANDARDS ARE HONORED WITH ACCREDITATION. THE COMPREHENSIVE, YEAR-LONG REVIEW PROCESS INCLUDES EVALUATION OF CLINICAL QUALITY, PROCEDURE STANDARDS AND STAFFING REQUIREMENTS. THE ACCREDITATION PROCESS INCLUDES AN ON-SITE INSPECTION BY AN AASM REPRESENTATIVE AND EVALUATES ALL ASPECTS OF THE SLEEP DISORDER DIAGNOSIS PROCESS, THE TREATMENT PLANS, AND THE STAFF AND PHYSICIANS' QUALIFICATIONS. 14. DISABILITY EMPLOYMENT CHAMPION THE VIRGINIA DEPARTMENT OF REHABILITATIVE SERVICES AWARDED SENTARA CAREPLEX HOSPITAL WITH A 2010 "DISABILITY EMPLOYMENT CHAMPION" AWARD FOR OUR PARTICIPATION IN VIRGINIA'S FIRST "PROJECT SEARCH." THE PROGRAM PLACES RECENT HIGH SCHOOL GRADUATES WITH DISABILITIES IN TRAINING AND MENTORING PROGRAMS THAT CAN LEAD TO FULL-TIME EMPLOYMENT. PROJECT SEARCH PRESENTED SENTARA NORFOLK GENERAL WITH A SPECIAL AWARD IN JULY 2012 FOR ACHIEVING 100% EMPLOYMENT OF EIGHT GRADUATES IN ITS 2011 PROGRAM. 15. SUPPORTING CAREER AND TECHNICAL EDUCATION THE VIRGINIA DEPARTMENT OF EDUCATION CHOSE SENTARA OBICI HOSPITAL AS A REGIONAL WINNER OF ITS 2009 "CREATING EXCELLENCE" AWARD FOR OUR SUPPORT OF CAREER AND TECHNICAL EDUCATION. OBICI HAS WORKED WITH THE SUFFOLK SCHOOLS FOR FOUR YEARS, PROVIDING STUDENTS IN THE "INTRODUCTION TO HEALTH OCCUPATIONS" CURRICULUM WITH REAL-WORLD EXPOSURE TO HEALTH CAREERS, INCLUDING A MEDICAL CAMP FOR MORE THAN 100 STUDENTS. 16. AWARD FOR EMPLOYEE WELLNESS PROGRAM OPTIMA HEALTH AND SENTARA HEALTHCARE WON THE CASE IN POINT PLATINUM AWARD IN THE WELLNESS/PREVENTION CATEGORY IN 2011 FOR OUR PARTNERSHIP IN DEVELOPING SENTARA'S INCENTIVE-BASED EMPLOYEE WELLNESS PROGRAM, MISSION: HEALTH, WHICH SAVED THE ORGANIZATION $3.4 MILLION DOLLARS IN ITS FIRST THREE YEARS. THE CASE IN POINT PLATINUM AWARDS RECOGNIZE THE MOST SUCCESSFUL AND INNOVATIVE CASE MANAGEMENT PROGRAMS WORKING TO IMPROVE HEALTHCARE. WINNERS WERE RECOGNIZED FOR THEIR INNOVATIVE WORK IN ENSURING THAT INDIVIDUALS RECEIVE SAFE, QUALITY, AND EFFECTIVE HEALTHCARE IN THE LEAST RESTRICTIVE SETTING AND IN A COST-EFFECTIVE MANNER. MISSION: HEALTH ALSO RECEIVED A 2011 C. EVERETT KOOP NATIONAL HEALTH AWARD HONORABLE MENTION. 17. AWARD FOR SUPPORTING BREASTFEEDING FOUR SENTARA HOSPITALS IN HAMPTON ROADS AND SIX PROGRAM CHAMPIONS RECEIVED BUSINESS INVESTMENT IN BABIES (BIB) AWARDS IN 2012 FROM THE BUSINESS CASE FOR BREASTFEEDING PROGRAM ADMINISTERED THROUGH CINCH, THE COALITION FOR INFANT AND CHILD HEALTH AT EASTERN VIRGINIA MEDICAL SCHOOL. SENTARA WAS AMONG THE EMPLOYERS CITED FOR CREATING A SUPPORTIVE ENVIRONMENT FOR NURSING MOTHERS TO PUMP BREAST MILK DURING THE WORKDAY BY PROVIDING TIME, PRIVATE SPACE, AND WRITTEN POLICIES. HOSPITALS INCLUDED SENTARA NORFOLK GENERAL, SENTARA LEIGH, SENTARA VIRGINIA BEACH GENERAL, AND SENTARA PRINCESS ANNE. 18. FIVE-STAR RANKINGS, SILVER ACHIEVEMENT, AND EXCELLENCE IN ACTION AWARDS FOR NURSING CENTERS FOR THE SECOND YEAR IN A ROW, TWO SENTARA NURSING CENTERS RECEIVED A FIVE STAR OVERALL RANKING IN U.S. NEWS & WORLD REPORT'S ANNUAL BEST NURSING HOMES SURVEY. BEST NURSING HOMES RECOGNIZES TOP-RATED HOMES IN THE UNITED STATES. OF MORE THAN 15,500 HOMES RATED, SENTARA WINDMERE AND NURSING CENTER PORTSMOUTH WERE AMONG FEWER THAN ONE IN EIGHT THAT RECEIVED A FIVE-STAR OVERALL RATING IN ALL FOUR QUARTERS OF 2011. SENTARA NURSING CENTER-CURRITUCK RECEIVED A 2012 SILVER-ACHIEVEMENT IN QUALITY AWARD FROM THE AMERICAN HEALTHCARE ASSOCIATION AND NATIONAL CENTER FOR ASSISTED LIVING. THE COMPETITIVE AWARDS FOLLOW CRITERIA IN THE BALDRIGE PERFORMANCE EXCELLENCE PROGRAM AND MARK MEASURABLE PROGRESS IN QUALITY IMPROVEMENTS IN LONG TERM CARE. MYINNERVIEW, A DIVISION OF NATIONAL RESEARCH CORPORATION, RECOGNIZED TWO SENTARA NURSING CENTERS WITH EXCELLENCE IN ACTION AWARDS FOR 2010-2011 FOR THEIR SUCCESS IN CUSTOMER AND WORKFORCE SATISFACTION. SENTARA WINDERMERE IN VIRGINIA BEACH RECEIVED ONE AWARD FOR CUSTOMER SATISFACTION. SENTARA NURSING CENTER PORTSMOUTH RECEIVED TWO AWARDS FOR CUSTOMER AND WORKFORCE SATISFACTION IN SURVEYS CONDUCTED DURING 2010. OF 5,500 QUALIFYING NURSING HOMES, 593 AROUND THE COUNTRY AND ONLY FIVE IN VIRGINIA RECEIVED EXCELLENCE IN ACTION AWARDS. B. PATIENT SAFETY OUR FOCUS GOES BEYOND THE BASICS OF MAKING HEALTHCARE SAFE FOR OUR PATIENTS. SENTARA HAS BUILT A STRONG "CULTURE OF SAFETY" TO REDUCE MEDICAL ERRORS BY MODELING SUCCESSFUL PROGRAMS FROM THE NUCLEAR POWER AND AVIATION INDUSTRIES. THIS CULTURE OF SAFETY PROMOTES BEHAVIORS THAT RESULT IN SAFE, RELIABLE AND EFFECTIVE CARE.
THE FOUNDATION OF THIS CULTURE IS A STRONG ACCOUNTABILITY TO PERFORM REGIMENTED BEHAVIORS THAT REDUCE MEDICAL ERRORS. OUR STAFF USES GUIDELINES KNOWN AS "BEHAVIOR BASED EXPECTATIONS," OR BBE'S, TO ENSURE THE HIGHEST STANDARD OF CARE. THE GOAL IS TO MAKE THESE TOOLS AND TECHNIQUES A HABIT. FOR OUR DEDICATION, WE HAVE RECEIVED NUMEROUS AWARDS FOR PATIENT SAFETY AND QUALITY OF CARE STANDARDS. 1. THE LEAPFROG HOSPITAL SURVEY THE LEAPFROG HOSPITAL RECOGNITION PROGRAM HONORS HOSPITALS THAT DEMONSTRATE EXCELLENCE OR IMPROVEMENT IN PATIENT SAFETY, QUALITY, AND RESOURCE UTILIZATION. THE LHRP RECOGNIZED SENTARA CAREPLEX HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA BAYSIDE HOSPITAL, AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER FOR TOP-LEVEL PERFORMANCE DURING 2010. IN 2012, THE LEAPFROG GROUP DEVELOPED THE HOSPITAL SAFETY SCORE GRADING MORE THAN 2,600 OF THE NATION'S HOSPITALS ON PATIENT SAFETY. IN VIRGINIA, 58 HOSPITALS WERE NAMED IN THE REPORT, AND SEVEN SENTARA HOSPITALS ACHIEVED THE HIGHEST GRADE OF A FOR DELIVERING SAFE CARE TO PATIENTS. 2. INFECTION PREVENTION PREVENTION OF HEALTH CARE-ASSOCIATED INFECTIONS IS A NATIONAL CONCERN, AND SENTARA CONTINUALLY STRIVES TO REDUCE THESE CASES. ALL OF OUR HOSPITALS HAVE BEEN WORKING DILIGENTLY TO REDUCE THE OCCURRENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP), WHICH CAN DEVELOP IN PATIENTS WHO HAVE BEEN ON MECHANICAL VENTILATION FOR 48 HOURS OR MORE. IN 2012, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER (SWRMC) MARKED EIGHT CONSECUTIVE YEARS WITH ZERO CASES OF VAP, WHICH NO OTHER HOSPITAL IN THE COUNTRY CAN CLAIM. THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE CRITICAL CARE SOCIETIES COLLABORATIVE HAVE RECOGNIZED SWRMC FOR OUTSTANDING ACHIEVEMENT AND LEADERSHIP IN THE ELIMINATION OF VAP. VOLUNTARY HOSPITALS OF AMERICA (VHA), A VOLUNTARY NATIONAL ORGANIZATION FOCUSED ON HEALTH CARE FINANCIAL PERFORMANCE THROUGH CLINICAL EXCELLENCE AND SUPPLY CHAIN MANAGEMENT, "BLUEPRINTED" THE PRACTICES AT SWRMC AS A MODEL FOR HOSPITALS ACROSS THE COUNTRY. IN 2012, WE LAUNCHED A SYSTEM-WIDE ANTI-SEPSIS EFFORT TO IMPROVE EARLY RECOGNITION AND TREATMENT OF THE POTENTIALLY DEADLY CONDITION CAUSED BY UNTREATED INFECTIONS. STAFF MEMBERS FOLLOW EMPLOYEE-DESIGNED AND BEST PRACTICE PROCEDURES TO DETECT AND TREAT SEPSIS IN ITS EARLIEST STAGES. 3. IMPROVING PATIENT SAFETY THROUGH TECHNOLOGY SENTARA HEALTHCARE PROVIDES THE SENTARA ECARE HEALTH NETWORK. THE CLINICAL SYSTEM USES INNOVATIVE TECHNOLOGY TO LINK PATIENT MEDICAL INFORMATION BETWEEN OUR HOSPITALS, PHYSICIAN PRACTICES AND OTHER HEALTH CARE SITES OVER A PROTECTED NETWORK, ENABLING THE SECURE SHARING OF PATIENT INFORMATION, INCREASING PATIENT SAFETY AND REDUCING PREVENTABLE MEDICAL ERRORS. MYCARE, THE COMPONENT OF ECARE THAT ALLOWS PATIENTS TO ACCESS PART OF THEIR MEDICAL RECORDS, WAS PROMOTED TO PATIENTS IN 2011. A PHONE APP WAS CREATED TO PROVIDE EASY ACCESS AS WELL. 2012 MARKED THE 12TH YEAR THAT WE EMPLOYED OUR EICU REMOTE MONITORING SYSTEM FOR OUR SICKEST HOSPITAL PATIENTS. SENTARA WAS THE FIRST HOSPITAL SYSTEM IN THE COUNTRY TO IMPLEMENT THE EICU SYSTEM, WHICH USES A NETWORK OF CAMERAS, MONITORS, ALERTS, AND TWO-WAY COMMUNICATION LINKS. DOCTORS AND CRITICAL CARE NURSES AT THE EICU COMMAND CENTER MAKE VIRTUAL ROUNDS ON ICU PATIENTS. THIS SENTARA-PIONEERED TECHNOLOGY IS NOW USED TO HELP CARE FOR PATIENTS IN NEARLY 5,000 ICU BEDS NATIONALLY. ANOTHER SAFETY INITIATIVE ADOPTED BY SENTARA IS BEDSIDE MEDICATION VERIFICATION, INCLUDING BAR-CODING TECHNOLOGY. NATIONAL STUDIES HAVE FOUND THAT BEDSIDE VERIFICATION CAN REDUCE HOSPITAL MEDICATION ERRORS BY NEARLY 70 PERCENT. ALSO IN 2011, SENTARA WAS RECOGNIZED BY THE VIRGINIA HEART ATTACK COALITION FOR OUR EFFORTS IN WORKING WITH AREA EMS UNITS TO LAUNCH LIFENET, WHICH TRANSMITS VITAL, POTENTIALLY LIFESAVING PATIENT INFORMATION WHEN A HEART ATTACK IS SUSPECTED BY AN EMS TECHNICIAN. VI. COMMITMENT TO THE COMMUNITY AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, WE CONTINUOUSLY REINVEST IN THE COMMUNITY BY PURCHASING THE MOST MEDICALLY ADVANCED TECHNOLOGY, BUILDING NEW, STATE-OF-THE-ART HEALTHCARE FACILITIES, TRAINING MEDICAL PROFESSIONALS, AND PROVIDING THE HIGHEST QUALITY HEALTHCARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IT'S NOT JUST OUR MISSION, IT'S OUR COMMITMENT TO THE COMMUNITY. MARTHA JEFFERSON HOSPITAL WAS RECENTLY HONORED BY THE CHARLOTTESVILLE REGIONAL CHAMBER OF COMMERCE WITH THE 2012 HOVEY S. DABNEY AWARD FOR CORPORATE CITIZENSHIP. ORGANIZATIONS RECEIVING THIS AWARD ARE KNOWN FOR ENGAGING IN SOUND, SUCCESSFUL BUSINESS PRACTICE AND BEING GOOD PARTNERS WITH OTHER BUSINESSES, INVESTING DIRECTLY IN THE ECONOMIC AND CULTURAL ADVANCEMENT OF THE COMMUNITY, PURSUING A POSITIVE WORK ENVIRONMENT, AND INSPIRING BY EXAMPLE. SENTARA OBICI HOSPITAL WAS AWARDED A NATIONAL JACKSON HEALTHCARE CHARITABLE SERVICE AWARD IN 2011 FOR ITS COMMUNITY OUTREACH PROGRAM THAT OFFERS CHRONIC DISEASE MANAGEMENT FOR PEOPLE LIVING AT 200 PERCENT OF THE POVERTY LEVEL WHO HAVE CONGESTIVE HEART FAILURE, DIABETES OR BOTH DISEASES. THE SENTARA OBICI HOSPITAL COMMUNITY HEALTH OUTREACH PROGRAM WAS ONE OF 10 HOSPITAL PROGRAMS THAT RECEIVED A $10,000 CHECK IN SUPPORT OF THE PROGRAM'S ONGOING SERVICE. THE VIRGINIA FOUNDATION FOR HEALTHY YOUTH AWARDED A $178,770 GRANT TO RMH'S STRONG FAMILIES/GREAT YOUTH COALITION FOR THEIR TOWARD NO TOBACCO PROGRAM, A TWO-WEEK CLASS FOR SEVENTH GRADERS. IN 2011, THE AMERICAN HOSPITAL ASSOCIATION RECOGNIZED THE PROGRAM IN ITS ANNUAL REPORT AS A BEST COMMUNITY HEALTH PRACTICE. THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES AWARDED RMH WITH A $3.1 MILLION, FIVE-YEAR GRANT IN NOVEMBER 2012 TO HELP FAMILIES AT RISK FROM SUBSTANCE ABUSE. AS A FISCAL AGENT, RMH OVERSEES ADMINISTRATION OF THE GRANT, AND CENTRAL SHENANDOAH VALLEY FAMILY PARTNERSHIP HELPS FAMILIES WITH CHILDREN IN DANGER OF BEING REMOVED FROM THEIR HOMES BECAUSE OF SUBSTANCE ABUSE BY A CAREGIVER. SOLIANT HEALTH NAMED MARTHA JEFFERSON HOSPITAL, WHICH RECENTLY RELOCATED TO A NEW, MOUNTAIN-SIDE FACILITY, THE TOP VOTE-GETTER IN THE COUNTRY IN ITS ANNUAL "MOST BEAUTIFUL HOSPITAL" SURVEY IN 2012. HERE ARE SOME OF THE OTHER WAYS WE'VE INVESTED IN THE PEOPLE WE SERVE: A. THE SENTARA HEALTH FOUNDATION WE ESTABLISHED THE SENTARA HEALTH FOUNDATION IN 1998 TO IMPROVE HEALTH AND QUALITY OF LIFE THROUGHOUT SOUTHEASTERN VIRGINIA AND NORTH CAROLINA AND TO DEMONSTRATE OUR NOT-FOR-PROFIT MISSION. THE FOUNDATION HAS TOUCHED THE LIVES OF MANY VIRGINIA RESIDENTS FROM THE EASTERN SHORE TO GREATER HAMPTON ROADS THROUGH GRANTS SUPPORTING COMMUNITY HEALTH PROGRAMS. SPECIFICALLY, IT HAS AWARDED NEARLY $9.6 MILLION IN GRANTS ($601,800 IN 2012). PROGRAMS INCLUDE MOBILE DENTAL CARE, PRENATAL SUPPORT, MEDICATION ASSISTANCE, AND REDUCED-COST PRIMARY CARE. THE FOUNDATION ALSO SPONSORS COMMUNITY EVENTS, SUCH AS THE SUSAN G. KOMEN TIDEWATER RACE FOR THE CURE, THE AMERICAN HEART ASSOCIATION HEART GALA AND HEART WALK AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE. B. IN SUPPORT OF THE COMMUNITY LED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS, SENTARA PROUDLY PROVIDES CARE TO ALL AND REINVESTS IN THE COMMUNITY IN NUMEROUS WAYS: 1. CONTRIBUTIONS EACH YEAR, WE PROVIDE MILLIONS OF DOLLARS IN BENEFITS TO THE COMMUNITY. IN 2012, SENTARA REINVESTED $282,200,000 INTO COMMUNITIES. SENTARA EARMARKED $19,866,000 FOR HEALTH CARE TEACHING PROGRAMS TO ENSURE A QUALIFIED POOL OF PHYSICIANS AND NURSES. WE ALSO SPENT $4,430,000 TO SUPPORT LOCAL COMMUNITY PROGRAMS THAT PROVIDED HEALTH EVENTS AND HEALTH SCREENINGS TO MORE THAN 39,000 INDIVIDUALS. WE PROVIDED $257,931,000 IN UNCOMPENSATED PATIENT CARE. IN OUR HAMPTON ROADS COMMUNITIES, THIS INCLUDED SERVING MORE THAN 180,373 PEOPLE WHO WERE UNINSURED OR UNDERINSURED. IN ADDITION, SENTARA EMPLOYEES DONATED TO THE UNITED WAY TO THE TUNE OF OVER $1 MILLION IN 2011 AND 2012. NUMEROUS EMPLOYEES ALSO VOLUNTEERED AT UNITED WAY AGENCIES FOR THE ANNUAL DAY OF CARING. 2. MEDICALLY UNDERSERVED SENTARA MEDICAL GROUP'S PHYSICIANS AND MEDICAL STAFF VOLUNTEER THOUSANDS OF HOURS TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS), FREE CLINICS, COMMUNITY EDUCATION, AND CIVIC AND CHARITABLE PROGRAMS. WE SUPPORT AND OPERATE UNCOMPENSATED CARE CLINICS THROUGHOUT THE REGION, INCLUDING THE SENTARA AMBULATORY CARE CENTER (ACC). THE ACC IS A COLLABORATIVE EFFORT WITH EVMS AND IS LOCATED NEAR SENTARA NORFOLK GENERAL HOSPITAL. IT FEATURES AN APPOINTED SIDE, WHICH FUNCTIONS LIKE A DOCTOR'S OFFICE AND A SAME-DAY "WALK-IN" SERVICE SIDE FOR MORE PRESSING AND IMMEDIATE HEALTH CONCERNS. IN NOVEMBER 2012, SENTARA PARTNERED WITH THE FREE FOUNDATION TO OPEN A VIRGINIA BEACH FACILITY. THE NON-PROFIT COLLECTS, REFURBISHES, STERILIZES, AND DISTRIBUTES USED DURABLE MEDICAL EQUIPMENT TO THOSE WHO CANNOT AFFORD IT. THE SENTARA HEALTH FOUNDATION SUPPORTED THE FREE SET-UP AND DONATED SPACE.
C. IN SUPPORT OF COMMUNITY HEALTH INITIATIVES 1. SENTARA COMMUNITY HEALTH AND PREVENTION AS PART OF SENTARA'S COMMITMENT TO PREVENTIVE HEALTH MEASURES, WE SPONSOR AND HOST SPECIAL COMMUNITY INITIATIVES THAT ARE DESIGNED TO EDUCATE THE COMMUNITY ABOUT HEALTH. OUR CAMPAIGNS INCLUDE: -NATIONAL DRUG TAKE BACK DAY -DRIVE-THRU FLU SHOTS -WOMEN'S DAY HEALTH FAIR -WEBINARS FOR WEIGHT LOSS SURGERY -PAINT FACEBOOK PINK TO RAISE AWARENESS FOR BREAST HEALTH -TEXT OUTREACH TO PREGNANT WOMEN -EATING FOR LIFE, AN AWARD-WINNING NUTRITION AND HEALTHY EATING PROGRAM -KNOW YOUR NUMBERS, A CARDIOVASCULAR RISK REDUCTION AND HEALTH IMPROVEMENT PROGRAM -WALK-ABOUT WITH HEALTHY EDGE, A WALKING PROGRAM THAT ENCOURAGES WALKING FOR CARDIOVASCULAR HEALTH -GET OFF YOUR BUTT: STAY SMOKELESS FOR LIFE, A SMOKING CESSATION PROGRAM -HEALTHY HEART PROGRAM, A CARDIOVASCULAR DISEASE REDUCTION PROGRAM -SENTARA LIVING, A COMPREHENSIVE WELLNESS PROGRAM FOR SENIORS -SENTARA'S MOBILE MAMMOGRAPHY UNIT VISITS NUMEROUS WORK SITES EVERY YEAR TO ENCOURAGE WELLNESS. -CAMP LIGHTHOUSE, A GRIEF CAMP FOR KIDS AGES 5-16 WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE -DON'T SIT ON COLON CANCER HEALTHY EATING AND SCREENING CAMPAIGN AND 5K -PROSTATE CANCER EDUCATION AND FREE SCREENINGS -MOBILE ER TENTS AT VIRGINIA BEACH ROCK 'N' ROLL HALF MARATHON -A NEW BLOG FOR WOMEN OF CHILDBEARING AGE WITH INFORMATION AND SUPPORT FOR MOTHERS AND MOTHERS-TO-BE -COURAGE F.U.N, A PROJECT TO COMBAT CHILDHOOD OBESITY THROUGH SOCCER TRAINING AND WEIGHT MANAGEMENT EDUCATION -LUNG CANCER SCREENING EDUCATION FOR SMOKERS 55 AND OLDER WHO HAVE SMOKED A PACK A DAY FOR OVER 30 YEARS 2. TOBACCO-FREE ENVIRONMENTS HOSPITALS SEE THE EFFECTS OF TOBACCO EVERY DAY IN HEART DISEASE, RESPIRATORY AILMENTS, AND CANCERS. IN RESPONSE, SENTARA HAS IMPLEMENTED OUR TOBACCO-FREE ENVIRONMENT (TFE) CAMPAIGN. NO ONE IS ALLOWED TO SMOKE, CHEW OR DIP ANYWHERE ON CAMPUS, NOT EVEN IN CARS. THE GOAL IS NOT JUST TO AVOID THE AESTHETIC AND HEALTH ISSUES OF SECOND-HAND SMOKE, BUT TO PUT SENTARA'S MISSION INTO PRACTICE BY HELPING STAFF, PATIENTS, AND VISITORS QUIT THIS HABIT. AS OF 2011, ALL OF OUR FACILITIES ADOPTED THE TOBACCO FREE ENVIRONMENT INITIATIVES. WE HAVE EARNED THE AMERICAN CANCER SOCIETY "EXCELLENCE IN THE WORKPLACE TOBACCO CONTROL" AWARD FOR OUR EFFORTS. VII. OPTIMA HEALTH PLAN A. IMPROVING HEALTH OPERATING WITH THE SAME MISSION IN MIND -- TO IMPROVE HEALTH EVERY DAY -- IS OUR HEALTH PLAN, OPTIMA HEALTH. WITH MORE THAN 25 YEARS OF HEALTH INSURANCE EXPERIENCE, OPTIMA HEALTH PROVIDES HEALTH PLAN COVERAGE TO MORE THAN 450,000 MEMBERS THROUGHOUT THE STATE, HAVING EXTENDED COVERAGE TO SOUTHWEST VIRGINIA IN 2011. OUR QUALITY PROVIDER NETWORK FEATURES MORE THAN 15,000 PROVIDERS INCLUDING SPECIALISTS, PRIMARY CARE PHYSICIANS, AND HOSPITALS. B. SUPPORTING THE COMMUNITY OPTIMA HEALTH PROVIDES MORE THAN INSURANCE FOR OUR COMMUNITIES; WE REACH OUT THROUGH HEALTH SCREENINGS, EVENTS, EDUCATION MATERIALS, AND IMMUNIZATIONS. OUR HIGHLIGHTS INCLUDED: -HEALTH IMPROVEMENT EVENT REQUESTS INCREASED BY 8% (IN 2011 THERE WERE 1,866 EVENTS WITH 39,049 PARTICIPANTS COMPARED TO 2,014 EVENTS WITH 43,263 PARTICIPANTS IN 2012). THESE EVENTS WERE OFFERED TO CHURCHES, EMPLOYER GROUPS, COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY LOCATIONS. -POCKET EKG SCREENED 660 PARTICIPANTS IN 2012. 604 (92%) OF THOSE PARTICIPANTS WERE IDENTIFIED WITH CARDIOVASCULAR HEALTH RISKS. -EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTHY HEART, GUIDED IMAGERY AND YOGA, OUR CARDIOVASCULAR DISEASE RISK REDUCTION PROGRAMS, COLLECTIVELY INCREASED IN DISTRIBUTION BY 72% OVER 2011. -SELF CARE MANUALS WERE DISTRIBUTED TO HEALTH PLAN MEMBERS AND COMMUNITY ORGANIZATIONS. WE SENT OUT 8,749 IN 2012. -PREVENTIVE BIRTHDAY CARD REMINDERS FOR PREVENTIVE HEALTH SCREENINGS DELIVERED MESSAGES TO 264,891 ADULT HEALTH PLAN MEMBERS. PREVENTIVE BIRTHDAY CARD REMINDERS FOR CHILDREN DELIVERED ANNUAL PHYSICAL EXAM MESSAGES TO 149,059 HEALTH PLAN MEMBERS. -HEALTHY EDGE/MISSION: HEALTH -- DURING THE MONTH OF NOVEMBER, 16,630 EMPLOYEES COMPLETED A HEALTH RISK ASSESSMENT IN CONJUNCTION WITH THE MISSION: HEALTH PROGRAM. OF THOSE, 10,231 EMPLOYEES ATTENDED 145 ON-SITE HEALTH SCREENINGS WITHIN SIX MONTHS. IN 2012, 6,016 EMPLOYEES WERE IDENTIFIED WITH TWO OR MORE HEALTH RISKS AND 5,633 AGREED TO ENGAGE WITH A HEALTH COACH. 2,495 EMPLOYEES AGREED TO CONTINUE ENGAGING WITH THEIR HEALTH COACH. 1,230 EMPLOYEES FROM 2012 WILL NO LONGER NEED TO ENGAGE WITH A HEALTH COACH. EMPLOYEE MAMMOGRAPHY PROGRAM OFFERED ALL FEMALE SENTARA EMPLOYEES AGE 40 AND OVER THE OPPORTUNITY FOR A MAMMOGRAM SCREENING. 759 EMPLOYEES SUBMITTED MAMMOGRAPHY, COLORECTAL CANCER SCREENING AND/OR PROSTATE CANCER SCREENING PROGRAM COUPONS IN 2012. -TOBACCO CESSATION PROGRAM HAD 11,530 INTERVENTIONS IN 2012. 15,941 CAMPUS WIDE ELECTRONIC INTERVENTIONS WERE SENT OUT TO PROMOTE THE GREAT AMERICAN SMOKEOUT (GASO) AND 6,140 GASO QUIT KITS WERE DISTRIBUTED. OUR CERTIFIED TOBACCO TREATMENT SPECIALISTS FACILITATED 31 TOBACCO CESSATION AWARENESS GROUP PROGRAMS FOR 311 PARTICIPANTS AND PROVIDED 29 TOBACCO AWARENESS PRESENTATIONS FOR COMMUNITY AND EMPLOYER GROUPS. OVER 500 INPATIENTS FROM SENTARA VIRGINIA BEACH GENERAL HOSPITAL AND SENTARA HEART HOSPITAL WERE CONTACTED FOUR WEEKS AFTER THEIR HOSPITAL DISCHARGE FOR TOBACCO CESSATION FOLLOW-UP. -WELLNESSFORLIFE -- 12,505 CITY OF VIRGINIA BEACH AND VIRGINIA BEACH PUBLIC SCHOOL EMPLOYEES COMPLETED REGISTRATION FOR ENROLLMENT INTO THE WELLNESS PROGRAM. OF THOSE, 8,516 EMPLOYEES ATTENDED 77 ON-SITE HEALTH SCREENINGS WITHIN 7 MONTHS. 5,937 EMPLOYEES WERE IDENTIFIED WITH TWO OR MORE HEALTH RISKS. OVERALL, 80% OF ELIGIBLE EMPLOYEES PARTICIPATED. THESE ARE TREMENDOUS NUMBERS FOR THE INAUGURAL YEAR OF THIS PROGRAMMING. -FLU PATROL ADMINISTERED A TOTAL OF 8,573 IMMUNIZATIONS, WHICH SURPASSED OUR GOAL OF 8,000. -WE SUPPORTED COMMUNITY PARTNERS, INCLUDING VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DIABETES COUNCIL, PENINSULA AGENCY ON AGING, COMMUNITY HEALTH CENTERS, AND VARIOUS CHURCHES WITH RESOURCES FOR CARDIOVASCULAR HEALTH RISK REDUCTION, CANCER RISK REDUCTION PROGRAMS AND CLINICAL EXPERTISE FOR PROGRAM DEVELOPMENT. C. ACCREDITATION AND AWARDS THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) HAS RECOGNIZED OUR QUEST FOR EXCELLENCE BY AWARDING OUR COMMERCIAL HMO AND MEDICAID HMO PRODUCTS WITH AN "EXCELLENT" ACCREDITATION STATUS. WE HAVE MAINTAINED THIS RATING SINCE 1998, A CLAIM NO OTHER HEALTH PLAN IN THE REGION CAN MAKE. OPTIMA HEALTH RECEIVED AN A+ RATING FROM THESTREET.COM (WEISS RATINGS, INC.) FOR FINANCIAL SOUNDNESS, RECOGNIZING OUR ABILITY TO WITHSTAND SEVERE ECONOMIC ADVERSITY AND SHOWING EXCEPTIONAL FINANCIAL STRENGTH. THESTREET.COM IS THE NATION'S LEADING INDEPENDENT PROVIDER OF RATINGS AND ANALYSES OF FINANCIAL SERVICE COMPANIES, MUTUAL FUNDS, AND STOCKS. THE RATING RECOGNIZES OPTIMA HEALTH AS AN OUTSTANDING INSURER OFFERING EXCELLENT FINANCIAL STABILITY FOR ITS CUSTOMERS. FEWER THAN FIVE PERCENT OF THE NATION'S HMOS AND HEALTH INSURERS MEET THESTREET.COM RATING'S CRITERIA FOR EXCEPTIONAL FINANCIAL STRENGTH. VIII. CONCLUSION THROUGH ALL THAT WE DO AT SENTARA HEALTH AND OPTIMA HEALTH, WE STRIVE TO IMPROVE HEALTH EVERY DAY, WHETHER IT IS BY USING THE MOST ADVANCED MEDICAL EQUIPMENT POSSIBLE, CARING FOR A NEW PATIENT WHO MIGHT NOT OTHERWISE BE HELPED, OR RESEARCHING NEW WAYS TO PREVENT OR CURE CHALLENGING HEALTH CONDITIONS. WHILE OUR OFFICIAL PATIENT COUNT COULD BE FIGURED HOSPITAL BY HOSPITAL AND PHYSICIAN'S OFFICE BY PHYSICIAN'S OFFICE, WE BELIEVE WE MAY HELP NEARLY THREE MILLION PEOPLE - WHETHER ENROLLED "PATIENTS" OR COMMUNITY MEMBERS -- ACROSS VIRGINIA AND NORTH CAROLINA, THANKS TO ALL OF OUR VITAL HEALTH SERVICES AND PROGRAMS OFFERED EACH YEAR.
SENTARA HEALTHCARE IS THE PARENT CORPORATION OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES SERVICES TO PEOPLE THROUGHOUT VIRGINIA AND NORTH CAROLINA -- WHETHER ENROLLED "PATIENTS" OR COMMUNITY MEMBERS. AT ONLY FIVE WORDS LONG, THE MISSION OF SENTARA HEALTHCARE IS EASY TO REMEMBER: WE IMPROVE HEALTH EVERY DAY. WHILE SOME MAY SEE THIS AS OUR SIMPLE GOAL, WE EXTEND IT AS OUR PROMISE. WHETHER IT'S A PATIENT WHO HAS CALLED ONE OF OUR SENTARA MEDICAL GROUP PROVIDERS FOR HELP WITH A CHRONIC ILLNESS, SOMEONE WHO NEEDS EMERGENCY CARE AT ONE OF OUR HOSPITALS, OR A COMMUNITY MEMBER WHOSE FIRST ENCOUNTER WITH SENTARA IS AT A FREE HEALTH SCREENING, WE WANT TO HELP EVERYONE. AS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE SYSTEM, WE FOCUS ON GIVING BACK TO THOSE WE SERVE. WE REINVEST INCOME FROM OPERATIONS BACK INTO MEETING OUR COMMUNITY'S HEALTH NEEDS AND IMPROVING OUR CARE. EACH YEAR, WE DONATE UNCOMPENSATED CARE FOR THOSE WHO NEED IT MOST, DOING WHAT WE CAN FOR THOSE WITHOUT FINANCIAL RESOURCES AND ENSURING THEY RECEIVE THE SAME MEDICAL GUIDANCE AND TREATMENT AS OTHER PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. SINCE OUR EARLIEST DAYS, WE HAVE LED THE WAY BY INVESTING IN INNOVATIVE TECHNIQUES, COLLABORATIONS AND PROCEDURES. INNOVATION HAPPENS IN DIFFERENT WAYS, BEYOND OUR CARE CENTERS' WALLS, TOO, AS WE PARTNER WITH COMMUNITY ORGANIZATIONS WHO FIND UNIQUE WAYS TO EDUCATE AND TREAT THOSE WHO MIGHT NEVER KNOW SENTARA OTHERWISE. THROUGH OUR FOUNDATIONS, WE FUND GROUPS WHO WORK DIRECTLY WITH INDIVIDUALS NEEDING MEDICAL CARE AND INFORMATION ON HOW TO IMPROVE THEIR OWN HEALTH. THE FOLLOWING IS A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2012.	PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A
THE ORGANIZATION IS THE 501(C)(3) SOLE MEMBER OR SHAREHOLDER OF SEVERAL OTHER ORGANIZATIONS FOR WHICH IT MAINTAINS AGENCY RELATIONSHIPS AND ISSUES 1099S. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE ORGANIZATION ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099S ATTRIBUTABLE SOLELY TO THE ORGANIZATION.		FORM 990, PART V, LINE 1A: FORM 1096
BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS DAVID BERND AND BERTRAM REESE HAVE A BUSINESS RELATIONSHIP THROUGH COMMON OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. DAVID BERND AND HOWARD KERN HAVE A BUSINESS RELATIONSHIP THROUGH COMMON OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. MICHAEL S. IVES AND F. DUDLEY FULTON HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. C. EDWARD RUSSELL, JR. AND LAWRENCE CUMMING HAVE A BUSINESS RELATIONSHIP. BOTH ARE PARTNERS IN A LAW FIRM UNRELATED TO THE ORGANIZATION. R. SCOTT MORGAN, LAWRENCE A. CUMMING, AUBREY L. LAYNE JR., W. ANDREW DICKINSON, ROBERT S. MILLER AND JOHN F. MALBON HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. HOWARD KERN AND GARY YATES, M.D. HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. HOWARD KERN AND DOUGLAS THOMPSON HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION. THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.		FORM 990, PART VI, SECTION A, LINE 2
EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THE ORGANIZATION HAD MEMBERS WHO WERE INDIVIDUALS DESIGNATED INDIVIDUALLY AS TRUSTEES AND COLLECTIVELY AS THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES, EXCEPT EX-OFFICIO TRUSTEES, ARE DIVIDED INTO THREE (3) CLASSES OF APPROXIMATELY EQUAL NUMBER AND ARE ELECTED FOR TERMS OF THREE (3) YEARS. DIRECTORS OF THE ORGANIZATION SERVE AS EX OFFICIO TRUSTEES WITH THE SAME VOTE AS OTHER TRUSTEES.		FORM 990, PART VI, SECTION A, LINE 6
HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY THE BOARD OF TRUSTEES, INCLUDING EX OFFICIO TRUSTEES, ELECT/RATIFY THE BOARD OF DIRECTORS, WHICH SERVES AS THE ORGANIZATION'S GOVERNING BODY.		FORM 990, PART VI, SECTION A, LINE 7A
DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE GOVERNANCE AUTHORITY OF TRUSTEES IS LIMITED TO THE ANNUAL ELECTION/RATIFICATION OF THE ORGANIZATION'S TRUSTEES AND DIRECTORS; AND THE APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS. TRUSTEES HAVE NO OTHER VOTING OR ANY PROPERTY RIGHTS WITH RESPECT TO THE ORGANIZATION.		FORM 990, PART VI, SECTION A, LINE 7B
FORM 990 REVIEW PROCESS THE ORGANIZATION USED ITS OWN IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED.		FORM 990, PART VI, SECTION B, LINE 11
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS TRUSTEES, DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S LEGAL DEPARTMENT MONITORS TRANSACTIONS INVOLVING POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH. REPORTS ON SUCH TRANSACTIONS ARE MADE TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AS NECESSARY.		FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES 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 ORGANIZATION 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 ORGANIZATION PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF 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 ORGANIZATION'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 TWO TO THREE YEARS. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 19 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 ORGANIZATION'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 BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S CEO, PRESIDENT AND COO, SENIOR VICE PRESIDENT AND CFO, SENIOR VICE PRESIDENT AND CIO, SENIOR VICE PRESIDENTS AND CORPORATE VICE PRESIDENTS. THE PROCESS WAS LAST UNDERTAKEN DURING 2012 FOR ALL POSITIONS LISTED.		FORM 990, PART VI, SECTION B, LINE 15
PROVISION OF GOVERNING DOCS, COI POLICY AND FINANCIALS TO PUBLIC THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC.		FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION HAD INDIVIDUAL MEMBERS, KNOWN AS TRUSTEES, WHOSE GOVERNANCE AUTHORITY WAS LIMITED TO THE ANNUAL ELECTION/RATIFICATION OF THE ORGANIZATION'S TRUSTEES AND DIRECTORS; AND THE APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS. DUE TO THEIR LIMITED AUTHORITY, THE ORGANIZATION'S TRUSTEES HAVE NOT BEEN COUNTED AS VOTING MEMBERS OF THE GOVERNING BODY IN RESPONSE TO PART VI, LINES 1A AND 1B.	VOTING MEMBERS OF THE GOVERNING BODY	FORM 990, PT VI, LINES 1A AND B
THE ORGANIZATION HAD A WRITTEN POLICY FOR DOCUMENT RETENTION AND DESTRUCTION WHICH WAS APPROVED BY MANAGEMENT.	DOCUMENT RETENTION POLICY	FORM 990, PART VI, LINE 14
THE ORGANIZATION HAD A WRITTEN POLICY REQUIRING EVALUATION OF ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW. THIS POLICY WAS APPROVED BY MANAGEMENT. THE ORGANIZATION ALSO TOOK STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.	JOINT VENTURE POLICY	FORM 990, PART VI, LINE 16B
CAPITAL DISTRIBUTION FROM SUBS 75,500,000. DEEMED DISTRIBUTION FROM CFC NOT ON BOOKS -5,604,613. UNFUNDED PENSION LIABILITY -104,085,911. PARTNERSHIP INCOME TAX > BOOK -114,322. RECLASS OF INTERCOMPANY BALANCES TO EQUITY 76,136,986. SUBPART F INCOME NOT ON BOOKS -1,988,832. TRANSFER OF PHC INVESTMENTS TO SHC 22,421,095.	CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HOSPITALS	1
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	1
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	1
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	1
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	LN9_MORETHAN30PCTCON	SENTARA HEALTHCARE	1
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	1
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I	SENTARA HEALTHCARE	1
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	1
ROCKINGHAM MEMORIAL HOSPITAL
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	540506331	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	1
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	LN9_MORETHAN30PCTCON	ROCKINGHAM MEMORIAL HOSPITAL	1
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVEST/MGT SVCS FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11A - I	MARTHA JEFFERSON HOSPITAL	1
MARTHA JEFFERSON HOSPITAL FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	300041113	FUNDRAISING	VA	501(C)(3)	11A - I	MARTHA JEFFERSON HOSPITAL	1
MARTHA JEFFERSON HOSPITAL
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	540261840	HEALTH CARE	VA	501(C)(3)	LN3_HOSPITALCOOPINSE	SENTARA HEALTHCARE	1

Form990 Schedule R Part III Form990ScheduleRPartIII (25 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	SVI	EXCLUDED	-6722	226149	0	0	0.40000
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	SH	EXCLUDED	-3361	113079	0	0	0.20000
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA	SH	RELATED	65275	3467614	0	0	0.58320
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL STE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA	SH	RELATED	1127752	2459108	0	0	0.52410
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	SH	RELATED	736406	2919038	0	0	0.45000
VA BEACH AMBULATORY SERVICE CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	CHS	RELATED	81822	324338	0	0	0.05000
AMER HEALTH EVAL CTR-WMSBG LLC
739 THIMBLE SHOALS STE 105	NEWPORT NEWS	VA	23606	263761741	HEALTH CARE	VA	SVI	UNRELATED		-53127	0	0	0.35000
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA	SH	RELATED	675367	4557151	0	0	0.50000
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VIRGINIA BEACH	VA	23462	200942600	HEALTH CARE	VA	SVI	UNRELATED	495833	177112	0	0	0.33330
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR STE 180	VIRGINIA BEACH	VA	23462	204024074	CONSULTING	VA	SVI	UNRELATED	597446	455498	0	0	0.39600
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	SH	UNRELATED	195513	1173022	0	0	0.25000
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	SE	UNRELATED	195513	1173022	0	0	0.25000
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA	SH	RELATED	587766	1014427	0	0	0.53370
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	SE	RELATED	-85683	303285	0	0	0.70000
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD STE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	PHC	RELATED	449286	2766518	0	0	0.50000
CAREPLEX WEST LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	202738977	RENTAL RE	WI	SVI	UNRELATED	60112	6071964	1	0	0.57160
PORT WARWICK II LLC
18000 WEST SARAH LANE STE 250	BROOKFIELD	WI	53045	202739075	RENTAL RE	WI	SVI	UNRELATED	99285	4863806	1	0	1.00000
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA	SH	RELATED	136676	93256	0	0	0.40000
CAREPLEX ORTHOPAEDIC ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA	SH	RELATED	1767796	2709257	0	0	0.50000
PORT WARWICK III LLC
18000 WEST SARAH LANE STE 250	BROOKFIELD	WI	53045	611499371	RENTAL RE	WI	SVI	UNRELATED	128103	3225635	1	0	1.00000
MARTHA JEFFERSON OSC LLC
595 MARTHA JEFFERSON DR	CHARLOTTESVILLE	VA	22911	113656095	HEALTH CARE	VA	MJH	RELATED	592017		0	0
VALIANCE HEALTH LLC
3190 PEOPLES DRIVE	HARRISONBURG	VA	22801	541866081	HEALTH CARE	VA	RMH	RELATED	-113775	224274	0	0	0.33340
PHYSICAL THERAPY ACACLLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	HEALTH CARE	VA	MJME	UNRELATED	139932	283760	0	0	0.50000
NORTHERN VIRGINIA HOME CARE LLC
601 SOUTH CARLIN SPRINGS RD	ARLINGTON	VA	22204	453940053	HOME CARE	VA	SE	RELATED	-175949	109583	0	0	0.51000
MNS SUPPLY CHAIN NETWORK LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	454235238	GPO	DE	SHC	RELATED	-125	24875	0	0	0.33330

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Share Of Total IncomeShareOfTotalIncome	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA	SENTARA HEALTHCARE	C	2649218	1.00000	1
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA	SENTARA HOLDINGS INC	C	61941399	1.00000	1	19635618
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA	SENTARA HEALTH PLANS INC	C	2529184	1.00000	1	11844
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA	SENTARA HEALTH PLANS INC	C	41258189	1.00000	1	94442344
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA	SENTARA HEALTH PLANS INC	C	4841036	1.00000	1	35033548
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA	SENTARA HOLDINGS INC	C	8744929	1.00000	1	14677973
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA	SENTARA MEDICAL GROUP	C	1732450	1.00000	1	5698767
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA	SENTARA HOLDINGS INC	C	2032244	1.00000	1
SENTARA OBICI MED MGT SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA	SEN OBICI PROF CTR	C	2142	1.00000	1
POTOMAC VENTURES CORP
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	541441420	PHARMACY	VA	POTOMAC HOSPITAL CORP	C	3001416	1.00000	1	575919
ROCKINGHAM HEALTH SERVICES INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	541721387	CONTRACTING SVCS	VA	ROCKINGHAM MEMORIAL HOSPITAL	C		1.00000	1
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SVCS	VA	MARTHA JEFFERSON HOSPITAL	C	411472	1.00000	1	3187961
BAY PRIMEX INSURANCE COMPANY LTD
				980704114	INSURANCE		SENTARA HEALTHCARE	C	72519669	1.00000	1	11971146	PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	1	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (41 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MPB INC
B	38999424	CORP BOOKS/REC
MPB INC
K	106445	CORP BOOKS/REC
MPB INC
L	1246136	CORP BOOKS/REC
MPB INC
O	78604	CORP BOOKS/REC
OBICI ASC
Q	155550	CORP BOOKS/REC
OPTIMA HEALTH PLAN
S	60000000	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
B	72297761	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
C	335709	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
L	958589	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
O	894908	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
S	22421095	CORP BOOKS/REC
PRINCESS ANNE ASC
Q	216783	CORP BOOKS/REC
SENTARA ENTERPRISES
C	2598424	CORP BOOKS/REC
SENTARA ENTERPRISES
L	3779273	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
L	7539994	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
M	4653026	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
O	911721	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
Q	20518940	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
S	995654	CORP BOOKS/REC
SENTARA HOLDINGS INC
F	15500000	CORP BOOKS/REC
SENTARA HOSPITALS
C	247702878	CORP BOOKS/REC
SENTARA HOSPITALS
L	50042642	CORP BOOKS/REC
SENTARA HOSPITALS
M	353896	CORP BOOKS/REC
SENTARA HOSPITALS
N	518859	CORP BOOKS/REC
SENTARA HOSPITALS
P	149133	CORP BOOKS/REC
SENTARA HOSPITALS
Q	68584	CORP BOOKS/REC
SENTARA LIFE CARE CORP
C	6454797	CORP BOOKS/REC
SENTARA LIFE CARE CORP
L	2724970	CORP BOOKS/REC
SENTARA MEDICAL GROUP
B	49265310	CORP BOOKS/REC
SENTARA MEDICAL GROUP
C	842278	CORP BOOKS/REC
SENTARA MEDICAL GROUP
L	2372891	CORP BOOKS/REC
SENTARA MEDICAL GROUP
O	66330	CORP BOOKS/REC
SENTARA MEDICAL GROUP
Q	314565	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
A	7785328	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
D	155277727	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
L	5230691	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
Q	99185735	CORP BOOKS/REC
SENTARA PRINCESS ANNE HOSPITAL
S	10384437	CORP BOOKS/REC
ST LUKES PROPERTIES LLC
Q	57620	CORP BOOKS/REC
BAY PRIMEX INSURANCE COMPANY LTD
S	5604613	CORP BOOKS/REC
SENTARA VENTURES INC
O	79455	CORP BOOKS/REC

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Explanation	DURING 2012, THE PRIMARY OBLIGATIONS OF $370,795,000 IN CERTAIN BOND DEBT OF SOME OF THE ORGANIZATION'S 501(C)(3) TAX EXEMPT SUBSIDIARIES WERE NOTE SUBSTITUTED AND TRANSFERRED TO THE ORGANIZATION UNDER ITS MASTER TRUST INDENTURE, WITH FUNDING AGREEMENTS AND AMENDMENTS TO INCLUDE THESE SUBSIDIARIES AS AFFILIATE MEMBERS TO THE SENTARA OBLIGATED GROUP. AS A RESULT, THE BOND DEBT THAT IS NOW A LIABILITY ON THE ORGANIZATION'S BALANCE SHEET HAS BEEN REPORTED ON THE ORGANIZATION'S FORM 990 SCHEDULE K. IT IS UNCLEAR FROM THE FORM 990 SCHEDULE R INSTRUCTIONS WHETHER TRANSACTIONS RELATED TO THE TRANSFER OF BOND DEBT SHOULD BE REPORTED IN SCHEDULE R PART V; THEREFORE, SUCH TRANSACTIONS HAVE NOT BEEN REPORTED. THE ORGANIZATION AND ITS SUBSIDIARIES PARTICIPATE IN CASH MANAGEMENT ARRANGEMENTS WHEREBY ALL CASH OPERATING ACCOUNTS ARE SWEPT INTO OR FUNDED BY A MASTER OVERNIGHT INVESTMENT ACCOUNT ON A DAILY BASIS, IN ORDER TO MAINTAIN A $0 BALANCE IN ALL OPERATING ACCOUNTS AND MAXIMIZE INVESTMENT EARNINGS. THE DAILY TRANSFERS OF CASH, WHICH RESULT FROM THIS CONSOLIDATED CASH ARRANGEMENT, HAVE NOT BEEN REPORTED ON SCHEDULE R PART V.	Explanation