MARTHA JEFFERSON HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MARTHA JEFFERSON HOSPITAL (EIN 54-0261840)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201343199349305999
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 H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T14:16:21-06:00	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	540261840	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MART	NameControl
Phone	4346548198	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	J MICHAEL BURRIS	Name
Title	VICE PRESIDENT & CFO	Title
Phone	4346547000	Phone
Date Signed	2013-11-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES HADEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	256447109	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MARTHAJEFFERSON.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1929	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	IMPROVE HLTH STATUS OF COMMUNITY BY MAINTAINING, ENHANCING & RESTORING PERSONAL HEALTH & WELL BEING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1932	TotalNbrEmployees
Total Nbr Volunteers	776	TotalNbrVolunteers
Total Gross UBI	173930	TotalGrossUBI
Net Unrelated Business Txbl Income	4005	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1236902	ContributionsGrantsPriorYear
Contributions Grants Current Year	4772454	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	57103337	ProgramServiceRevenuePriorYear
Program Service Revenue CY	243570836	ProgramServiceRevenueCY
Investment Income Prior Year	-204219	InvestmentIncomePriorYear
Investment Income Current Year	73085	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1699242	OtherRevenuePriorYear
Other Revenue Current Year	5268607	OtherRevenueCurrentYear
Total Revenue Prior Year	59835262	TotalRevenuePriorYear
Total Revenue Current Year	253684982	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	296750	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	230270	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	27557791	SalariesEtcPriorYear
Salaries Etc Current Year	115884794	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	29755508	OtherExpensePriorYear
Other Expenses Current Year	121844456	OtherExpensesCurrentYear
Total Expenses Prior Year	57610049	TotalExpensesPriorYear
Total Expenses Current Year	237959520	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2225213	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15725462	RevenuesLessExpensesCY
Total Assets BOY	311992531	TotalAssetsBOY
Total Assets EOY	290055872	TotalAssetsEOY
Total Liabilities BOY	356561584	TotalLiabilitiesBOY
Total Liabilities EOY	327246905	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-44569053	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-37191033	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AND SET THE STANDARD FOR CLINICAL QUALITY AND PERSONALIZED HEALTHCARE SERVICES. IT IS DEDICATED TO PROVIDING THE BEST CLINICAL QUALITY WHILE MAINTAINING EXTRAORDINARY CUSTOMER SERVICE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	209305457	Expense
Grants	230270	Grants
Revenue	244593678	Revenue
Description	AT THE HEART OF MARTHA JEFFERSON'S MISSION AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL IS OUR ROLE AND RESPONSIBILITY TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. MARTHA JEFFERSON IS ENTRUSTED WITH RESOURCES AND SKILLS THAT CAN HELP THE PEOPLE OF OUR COMMUNITY ACHIEVE AND MAINTAIN THEIR BEST POSSIBLE HEALTH. THE HOSPITAL'S BOARD OF TRUSTEES IN 2012 REAFFIRMED THE FOLLOWING COMMITMENTS THAT ARE FUNDAMENTAL TO OUR ABILITY TO MEET THESE CHALLENGES: AS AN INTEGRAL PART OF THE STRATEGIC PLANNING PROCESS, THE MISSION OF MARTHA JEFFERSON HOSPITAL WILL BE REVIEWED ALONG WITH SPECIFIC INITIATIVES, GOALS AND OBJECTIVES TO CONSIDER INCORPORATING SPECIFIC STATEMENTS AIMED AT HELPING TO RESOLVE COMMUNITY PROBLEMS ADVERSELY AFFECTING THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. MARTHA JEFFERSON WILL CONDUCT, OR GAIN ACCESS TO, COMMUNITY-NEEDS ASSESSMENTS TO IDENTIFY PROBLEMS ADVERSELY AFFECTING OUR COMMUNITIES' HEALTH STATUS. MARTHA JEFFERSON WILL REGULARLY INVENTORY HOSPITAL-SPONSORED AND COMMUNITY PROGRAMS WORKING TO MEET THE IDENTIFIED NEEDS OF MEDICALLY UNDERSERVED OR DISADVANTAGED POPULATIONS. AS APPROPRIATE, THESE PROGRAMS WILL BE TRACKED AND EVALUATED FOR THEIR IMPACT ON IDENTIFIED HEALTH STATUS ISSUES. MARTHA JEFFERSON WILL REGULARLY ASSESS ITS ABILITY TO COMMIT RESOURCES, FINANCIAL AND HUMAN, TOWARD HELPING MEET IDENTIFIED NEEDS. ACCESS TO HEALTHCARE: MARTHA JEFFERSON ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR HEALTHCARE SERVICES. THE HOSPITAL ASSISTS PATIENTS WITH FINANCIAL NEEDS THROUGH THE MARTHA JEFFERSON HEALTHTRUST, A PROGRAM THAT PROVIDES A SLIDING FEE SCALE FOR HOSPITAL PATIENTS WHO QUALIFY BASED ON FAMILY INCOME UP TO 300 PERCENT OF POVERTY LEVEL. FINANCIAL ASSISTANCE IS BASED ON A REVIEW OF THE PATIENT'S FINANCIAL CIRCUMSTANCES UPON ADMISSION OR THE SERVICE DATE. BECAUSE MARTHA JEFFERSON DOES NOT PURSUE COLLECTION OF THE AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF PATIENT SERVICE REVENUES. MARTHA JEFFERSON DEFINES CHARITY CARE AS CARE FOR WHICH COLLECTION IS NOT ATTEMPTED (I.E. INDIGENT CARE) AND OPERATING COSTS FOR SERVICES RENDERED FOR MEDICAID PATIENTS THAT ARE IN EXCESS OF REIMBURSEMENT FROM STATE AGENCIES. THE PERCENTAGE OF PATIENTS RECEIVING SOME FORM OF CHARITY ASSISTANCE 19.91%. ADDITIONAL CHARITY CARE INFORMATION IS PROVIDED ON SCHEDULE H. IN ADDITION TO PROVIDING UNCOMPENSATED CARE, MARTHA JEFFERSON HAS ESTABLISHED SPECIAL ACCOUNTS TO PROVIDE FREE DIAGNOSTIC SERVICES FOR PATIENTS REFERRED BY THE CHARLOTTESVILLE FREE CLINIC AND THE FREE CLINIC OF GREENE COUNTY. THROUGHOUT THE YEAR, COMMUNITY HEALTH SCREENINGS AND REDUCED-FEE SERVICES PROVIDED OTHER MEANS OF ACCESS TO HEALTHCARE FOR PEOPLE ACROSS CENTRAL VIRGINIA. PHYSICIANS EMPLOYED BY MARTHA JEFFERSON HOSPITAL HAVE OFFICES THROUGHOUT CHARLOTTESVILLE AND IN SEVEN SURROUNDING COUNTIES INCLUDING ALBEMARLE, BUCKINGHAM, LOUISA, MADISON, GREENE, FLUVANNA AND NELSON, WHICH PROVIDE ACCESS TO HEALTHCARE IN MANY RURAL AREAS WITHOUT REGARD TO ONE'S ABILITY TO PAY. DURING 2012, THE MEDICAL STAFF CONSISTED OF JUST OVER 400 PHYSICIANS REPRESENTING 35 MEDICAL SPECIALTIES. MARTHA JEFFERSON HOSPITAL ALSO OPERATES AN EMERGENCY DEPARTMENT, WHICH IS STAFFED 24-HOURS A DAY/7 DAYS A WEEK BY BOARD-CERTIFIED PHYSICIANS AND SPECIALLY TRAINED NURSES AND SUPPORT STAFF. ADDITIONALLY, THE HOSPITAL OPERATES A FREE-STANDING EMERGENCY DEPARTMENT. DURING THE PERIOD OF JANUARY 1, 2012 - DECEMBER 31, 2012, MARTHA JEFFERSON HOSPITAL SERVED THE COMMUNITY BY WAY OF 11,049 INPATIENT ADMISSIONS; 221,546 OUTPATIENT ACCOUNTS; 52,633 EMERGENCY DEPARTMENT VISITS; 6,688 OPERATING ROOM VISITS; AND 166,838 PHYSICIAN OFFICE VISITS. IN ADDITION, MARTHA JEFFERSON OFFERED OR SUPPORTED MANY PROGRAMS AND SERVICES IN OUR COMMUNITY, WHICH ARE DETAILED BELOW.EDUCATIONAL PROGRAMS: AN IMPORTANT PART OF OUR COMMUNITY OUTREACH IS CENTERED ON EDUCATIONAL PROGRAMS AND TRAINING. WHEN A FAMILY IS PREPARING TO DELIVER A BABY AT MARTHA JEFFERSON, SIBLING TOURS, BREASTFEEDING CLASSES AND PEDIATRIC CPR ARE OFFERED AS WELL AS CLASSES CENTERED ON PREPARING FOR CHILDBIRTH AND BECOMING A PARENT. ONCE THE BABY HAS BEEN DELIVERED HOWEVER, THE EDUCATION DOESN'T STOP. A BRUNCH IS HELD DAILY FOR NEW FAMILIES BEFORE THEY ARE DISCHARGED. DURING THIS TIME FAMILIES LEARN HOW TO CALM THEIR CRYING BABY, THE DANGERS OF SUDDEN INFANT DEATH SYNDROME AND HOW TO GET A BIG BROTHER OR SISTER WARMED UP TO THE IDEA OF SHARING MOM AND DAD. OTHER EDUCATIONAL CLASS OFFERINGS AT MARTHA JEFFERSON INCLUDE; POSTOPERATIVE BREAST REHABILITATION, PREPARING FOR A HYSTERECTOMY, POST-HYSTERECTOMY REHAB, ADVANCED MEDICAL PLANNING, STRESS MANAGEMENT, UNDERSTANDING VASCULAR DISEASE, CARDIAC REHABILITATION AND PULMONARY REHABILITATION.CONTINUED IN PROGRAM SERVICE TWO	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	CONTINUED FROM PROGRAM SERVICE ONESCHOOL PROGRAMS: MARTHA JEFFERSON HOSPITAL UNDERSTANDS MANY OF THE HEALTH DECISIONS WE MAKE AS ADULTS ARE A RESULT OF THE SITUATIONS WE EXPERIENCE AS CHILDREN. THROUGH OUR SCHOOL PROGRAMS WE ARE ABLE TO TEACH CHILDREN AND LEAVE AN IMPRESSION THAT WILL HOPEFULLY STAY WITH THEM AS THEY GROW UP.IN OUR ELEMENTARY SCHOOL OUTREACH, AN EMPLOYEE OF MARTHA JEFFERSON ENGAGES STUDENTS IN THEIR CLASSROOM IN LESSONS ON HEALTH AND WELLNESS THAT DIRECTLY RELATE TO THE VIRGINIA STANDARDS OF LEARNING TEST. PROFESSIONAL EDUCATION SUPPORT: AS A WAY TO PROVIDE CONTINUED PROFESSIONAL EDUCATION, MARTHA JEFFERSON SUPPORTS THE PIEDMONT VIRGINIA COMMUNITY COLLEGE SONOGRAPHY PROGRAM AND PROVIDES CLINICAL PLACEMENTS FOR NURSING STUDENTS OF UNIVER5ITY OF VIRGINIA, JAMES MADISON UNIVERSITY, PIEDMONT VIRGINIA COMMUNITY COLLEGE, BLUE RIDGE COMMUNITY COLLEGE, BRYANT AND STRATTON SCHOOL OF NURSING, WALDEN UNIVERSITY AND GERMANNA COMMUNITY COLLEGE.HOSPITAL SERVICES: MARTHA JEFFERSON HOSPITAL OFFERS MANY PROGRAMS THAT HELP PATIENTS BOTH GET ACCLIMATED WITH OUR SYSTEM, AND ALSO NAVIGATE THE HOSPITAL AS NEEDS ARISE.HEALTH CONNECTION, OUR PHYSICIAN REFERRAL, PATIENT EDUCATION AND INFORMATION SERVICE TAKES 120 CALLS ON A DAILY BASIS. THEY'RE ABLE TO HELP NEW MEMBERS OF THE COMMUNITY FIND A PHYSICIAN, ENROLL PEOPLE IN THE VARIOUS CLASSES THE HOSPITAL OFFERS AND PROVIDE SUPPORT FOR SPECIFIC MEDICAL NEEDS.FOR PEOPLE UNDERGOING CANCER TREATMENTS AT MARTHA JEFFERSON HOSPITAL, WE PROVIDE A CANCER CARE CENTER. THE CENTER SERVES AS A RESOURCE FOR PATIENTS FROM THE MOMENT THEY ARE DIAGNOSED THROUGH THEIR ENTIRE LINE OF INTERACTIONS AT THE HOSPITAL, AND IN MANY CASES EVEN CONTINUES AFTER THEY ARE ARE NO LONGER COMING FOR VISITS. STAFF MEMBERS ARE DEDICATED TO HELPING PATIENTS DEAL WITH THE EMOTIONS THAT GO ALONG WITH BEING DIAGNOSED WITH CANCER, FITTING THEM WITH COMPLIMENTARY WIGS AND SCARVES TO USE DURING TREATMENT AND JUST BEING FRIENDS THROUGHOUT THE PROCESS.MARTHA JEFFERSON HOSPITAL ALSO OFFERS A PALLIATIVE CARE PROGRAM. WHEN A PERSON IS FACING A SERIOUS OR ADVANCING ILLNESS, THE ACCOMPANYING PHYSICAL, EMOTIONAL AND SPIRITUAL ISSUES CAN DRAMATICALLY AFFECT THE EXPERIENCE AND OFTEN QUALITY OF LIFE FOR PATIENTS AND LOVED ONES. OVER THE PAST FIVE YEARS MORE THAN 1,000 LOCAL FAMILIES HAVE BENEFITTED FROM CONSULTATIONS BY A MULTIDISCIPLINARY TEAM PROVIDING PALLIATIVE CARE AT MARTHA JEFFERSON HOSPITAL. THE CAREGIVERS FOCUS ON DELIVERING A UNIQUE COMBINATION OF SPECIAL EXPERTISE IN PAIN AND SYMPTOM MANAGEMENT AND COORDINATE CARE AMONG A MULTIPLICITY OF PHYSICIANS INVOLVED WHEN AN INDIVIDUAL IS SERIOUSLY ILL AND DEDICATE THE TIME NEEDED FOR PATIENT-FAMILY COMMUNICATION ABOUT GOALS OF CARE AND THE EMOTIONAL AND SPIRITUAL STRUGGLES THAT OFTEN ACCOMPANY A LIFE-CHANGING ILLNESS. IN ADDITION TO THE ABOVE MENTIONED PROGRAMS, MARTHA JEFFERSON HOSPITAL ALSO OFFERS THE FOLLOWING: CHAPLAINCY PROGRAM, PATIENT ADVOCATE PROGRAM, WEBSITE WITH INTEGRATED HEALTH INFORMATION (WWW.MARTHAJEFFERSON.ORG), A HEALTH SOURCE LIBRARY AND A WOMEN'S MIDLIFE RESOURCE CENTER. MARTHA JEFFERSON HOSPITAL HELD 'UNWANTED MEDICATION TAKE BACK DAY' WHICH WAS A DRIVE-THROUGH EVENT ALLOWING ANY AND ALL IN OUR COMMUNITY TO DROP OFF UNWANTED MEDICATIONS AND MEDICAL SHARPS FOR PROPER DISPOSAL.COMMUNITY EVENTS AND HEALTH SCREENINGS: HEALTH SCREENINGS ARE AN IMPORTANT SERVICE OFFERED BY MARTHA JEFFERSON. THE FOLLOWING SCREENINGS ARE HELD ANNUALLY: SKIN CANCER SCREENING, BREAST HEALTH SCREENING, DIABETES SCREENING.IN ADDITION TO THE SCREENING EVENTS, WE ALSO HOST EVENTS FOR THE COMMUNITY THAT PROMOTE WELLNESS. EACH SPRING THE CELEBRATION OF LIFE IS HELD FOR CANCER PATIENTS, SURVIVORS AND THEIR FAMILIES. THE AFTERNOON IS FILLED WITH FOOD, SALSA DANCING, GAMES AND MUSIC AND PROVIDES A CHANCE FOR MEMBERS OF THE COMMUNITY TO CELEBRATE THEIR LIFE. WE ALSO HOLD FOOD AND SHOE DRIVES TO HELP PROVIDE MUCH NEEDED ITEMS TO PEOPLE IN OUR COMMUNITY. ANNUALLY, WE HOST THE MJ8K RUN AND WALK TO BENEFIT COMMUNITY EDUCATION SERVICES AND MARTHA'S MARKET, WHICH HELPS FUND CANCER SERVICES AND SUPPORT WELLNESS INITIATIVES.NUTRITION PROGRAMS: AS HEALTHCARE PROVIDERS, OUR GOAL IS TO KEEP THE MEMBERS OF OUR COMMUNITY HEALTHY AND FEELING WELL. AT MARTHA JEFFERSON HOSPITAL WE OFFER A VARIETY OF PROGRAMS THAT ALLOW PEOPLE ACCESS TO INFORMATION THAT THEN HELPS THEM MAKE EDUCATED NUTRITION CHOICES.FOR STARTERS, ONE OF OUR REGISTERED DIETICIANS TAKES LEARNING ON LOCATION THROUGH OUR SUPERMARKET SMARTS CLASSES. THROUGH A PARTNERSHIP WITH GIANT FOOD, PEOPLE ARE ABLE TO GET HANDS-ON EXPERIENCE WHEN IT COMES TO MAKING HEALTHY DECISIONS AT THE GROCERY. WE ALSO PROVIDE HEART HEALTHY NUTRITION, DIABETES NUTRITION AND NUTRITION TIPS FOR INDIVIDUALS WITH CANCER.IN ADDITION TO OUR CLASSES, MARTHA JEFFERSON HAS A PRESENCE ACROSS THE LOCAL MEDIA AIRWAVES. NUTRITION TIPS AND TIMELY INFORMATION IS GIVEN BY ONE OF OUR REGISTERED DIETICIANS THROUGH DAILY RADIO SPOTS, A WEEKLY TELEVISION SEGMENT, AND VARIOUS PRINT OPPORTUNITIES.SUPPORT GROUPS: MARTHA JEFFERSON HOSPITAL OFFERS SUPPORT GROUPS OF A WIDE VARIETY TO OUR PATIENTS AND MEMBERS OF THE COMMUNITY. GROUPS MEET ON A REGULAR BASIS AND HELP PROVIDE A SAFE COMMUNITY WHERE PEOPLE CAN SHARE STORIES, REFLECT ON THEIR EXPERIENCES, AND GAIN KNOWLEDGE FROM WHAT OTHERS ARE GOING THROUGH. THE FOLLOWING ARE JUST SOME OF THE TOPICS WE OFFER: WELCOME TO MOTHERHOOD, BREAST CANCER SUPPORT, FAMILY CANCER SUPPORT, HODGKIN'S AND LYMPHOMA SUPPORT, CARDIAC REHAB SUPPORT AND SLEEP APNEA SUPPORT.PROGRAM SUPPORT/UNDERWRITING: MARTHA JEFFERSON PROVIDES MEDICAL IMAGING, LABORATORY SERVICE AND OUTPATIENT DIAGNOSTIC SERVICE ACCESS TO THE CLIENTS OF THE CHARLOTTESVILLE FREE CLINIC (CFC) AND GREENE FREE CLINIC (GFC). THIS ACCESS SUPPORTS PRIMARY CARE SERVICES FOR THE WORKING UNINSURED MEMBERS OF OUR COMMUNITIES. THE HOSPITAL IS ALSO DEDICATED TO SUPPORTING HEADSTART WHICH FOCUSES ON CHILD DENTAL SERVICES AND GIVES IN-KIND DONATIONS TO THE WOMEN'S INITIATIVE, PACEM (PEOPLE AND CONGREGATIONS ENGAGED IN MINISTRY) AND EMT TRAINING THROUGH THE THOMAS JEFFERSON EMERGENCY MEDICAL COUNCIL.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	209305457	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	0	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	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
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	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	166	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1932	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	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
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	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	0	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	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	J MICHAEL BURRIS CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4346547304	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 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	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM L ACHENBACH
BOARD MEMBER	2.00	3.00	X	0	0	0
LILLIAN R BEVIER
BOARD MEMBER	2.00	1.00	X	0	0	0
PETER BROOKS
CHAIR	2.50		X	0	0	0	X
DR GREGORY DOULL
BOARD MEMBER	2.00		X	0	0	0
EARNEST EDWARDS
BOARD MEMBER	2.00		X	0	0	0
RICHARD GILLIAM
BOARD MEMBER	2.00		X	0	0	0
CAROL B HURT
BOARD MEMBER	2.00		X	0	0	0
DR JOHN LIGUSH
BOARD MEMBER	2.00		X	0	0	0
E RAY MURPHY
BOARD MEMBER	2.00	1.00	X	0	0	0
BRUCE MURRAY
BOARD MEMBER	2.00		X	0	0	0
DAVID G SUTTON
BOARD MEMBER	2.00		X	0	0	0
DAVID L BERND
BOARD MEMBER	2.00	52.00	X	0	4981854	326749
HOWARD P KERN
VICE CHAIR	2.00	50.00	X	0	3731697	722594	X
KENNETH M KRAKAUR
BOARD MEMBER	2.00	47.00	X	0	979254	84563
JAMES E HADEN
PRESIDENT (NON-VOTING)	50.00	15.00		666375	0	132476	X
ELLIOT H KUIDA
SECRETARY (NON-VOTING)	63.00	3.00		332130	0	33287	X
J MICHAEL BURRIS
TREASURER (NON-VOTING)	32.00	38.20		275312	0	89965	X
AMELIA S BLACK
VP, CHIEF NURSE EXECUTIVE	65.00			232989	0	33868		X
MARIJO LECKER
VP, CLINICAL SUPPORT SVS/I	65.00			259824	0	34904		X
RONALD J COTTRELL
VP, PLANNING, MKTG, CORP D	65.00			241631	0	70950		X
FINLAY M ASHBY
VP, MEDICAL AFFAIRS	65.00			237507	0	30162		X
SUSAN CABELL MAINS
VP, HR, RETAIL, COMPLIANCE	65.00			236729	0	111542		X
RAY R MISHLER
VP, DEVELOPMENT	25.00	40.00		195441	0	76606		X
DEBORAH L THEXTON
FINANCE DIRECTOR	60.00	5.00		164996	0	13627		X
JOHN Z EDWARDS
PHYSICIAN	40.00			495764	0	34158			X
ROBERT S PRITCHARD
PHYSICIAN	40.00			435861	0	34109			X
SANDEEP TEJA
PHYSICIAN	40.00			510250	0	25559			X
JACOB N YOUNG
PHYSICIAN	40.00			696966	0	32660			X
STEPHEN B GUNTHER
PHYSICIAN	40.00			506105	0	23866			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5487880	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9692805	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1911645	TotalOtherCompensation
Number Individuals GT100 K	145	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
NIELSEN BUILDERS
3588 EARLY ROAD	HARRISONBURG	VA	22801	CONSTRUCTION	4441476
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	LAB SERVICES	1541284
INSCRIBE LLC
966-C HOUSTON NORTHCUTT BLVD	MT PLEASANT	SC	29464	TRANSCRIPTION SERVICE	839490
HANDCRAFT LINEN SERVICES
1501 ROSENEATH ROAD	RICHMOND	VA	232304431	LAUNDRY SERVICES	801611
MA MORTENSON COMPANY
17975 WEST SARAH LANE	BROOKFIELD	WI	53045	CONSTRUCTION	705421

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	37	NumberOfContractorsGT100K
Fundraising Events	237478	FundraisingEvents
Government Grants	756000	GovernmentGrants
All Other Contributions	3778976	AllOtherContributions
Noncash Contributions	1636218	NoncashContributions
Total Contributions	4772454	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICES	Description
Business Code	621500	BusinessCode
Total Revenue Column	243570836	TotalRevenueColumn
Related Or Exempt Function Income	243468921	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	101915	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	243570836	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	214945	TotalRevenueColumn
Unrelated Business Revenue	72015	UnrelatedBusinessRevenue
Exclusion	$142,930	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	116436	TotalRevenueColumn
Exclusion	$116,436	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	770461	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	266997	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	503464	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	503464	TotalRevenueColumn
Exclusion	$503,464	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2078349	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2336645	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-258296	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-258296	TotalRevenueColumn
Exclusion	-$258,296	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	208574	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	237478	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	158485	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	50089	TotalRevenueColumn
Exclusion	$50,089	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA & GIFT SHOP	722210	2207131	$2,207,131
OTHER REVENUE	900099	1942134	$68,750	1873384
CFC RETURN OF CAPITAL	524298	1314416	$1,314,416

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-748627	TotalRevenueColumn
Related Or Exempt Function Income	-748627	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	4715054	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	253684982	TotalRevenueColumn
Related Or Exempt Function Income	244593678	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	173930	UnrelatedBusinessRevenue
Exclusion	$4,144,920	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	230270	Total
Program Services	230270	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3470321	Total
Management And General	3470321	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	86289700	Total
Program Services	82386230	ProgramServices
Management And General	3903470	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4605766	Total
Program Services	4431785	ProgramServices
Management And General	173981	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15156918	Total
Program Services	13958129	ProgramServices
Management And General	1198789	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6362089	Total
Program Services	5920568	ProgramServices
Management And General	441521	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1080734	Total
Program Services	1080734	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1202396	Total
Program Services	6797	ProgramServices
Management And General	1195599	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	264541	Total
Program Services	115806	ProgramServices
Management And General	148735	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18313129	Total
Program Services	14876519	ProgramServices
Management And General	3436610	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	586851	Total
Program Services	550223	ProgramServices
Management And General	36628	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6057722	Total
Program Services	5419742	ProgramServices
Management And General	637980	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5847081	Total
Program Services	4529556	ProgramServices
Management And General	1317525	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6428863	Total
Program Services	6431054	ProgramServices
Management And General	-2191	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	300919	Total
Program Services	234543	ProgramServices
Management And General	66376	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	155370	Total
Program Services	109083	ProgramServices
Management And General	46287	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9592349	Total
Management And General	9592349	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11499457	Total
Program Services	10578583	ProgramServices
Management And General	920874	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1864245	Total
Program Services	1068722	ProgramServices
Management And General	795523	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	39146064	39143055	3009
PROV FOR BAD DEBT	14046161	14054044	-7883
EQUIPMENT MAINTENANCE	3476318	3295140	181178
DUES & SUBSCRIPTIONS	762560	381488	381072

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1219696	Total
Program Services	503386	ProgramServices
Management And General	716310	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	237959520	Total
Program Services	209305457	ProgramServices
Management And General	28654063	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11859110	BOY
EOY	33933901	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25786923	BOY
EOY	26746200	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2045081	BOY
EOY	2393877	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3866675	BOY
EOY	3780756	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2482311	BOY
EOY	2844072	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	208343222	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	16577765	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	186735980	BOY
EOY	191765457	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	58295786	BOY
EOY	5797882	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	20920665	BOY
EOY	22793727	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	311992531	BOY
EOY	290055872	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	51347841	BOY
EOY	36845384	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	227278962	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	77934781	BOY
EOY	290401521	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	356561584	BOY
EOY	327246905	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-49704697	BOY
EOY	-42680255	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4181078	BOY
EOY	4376401	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	954566	BOY
EOY	1112821	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-44569053	BOY
EOY	-37191033	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	311992531	BOY
EOY	290055872	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15725462	ReconcilationRevenueExpenses
Reconcilation Other Changes	-8347442	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	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

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	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$120	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	120	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:	Identifier
Return Reference	PART I-A, LINE 1:	ReturnReference
Explanation	THE ORGANIZATION ENGAGED IN DIRECT CONTACT WITH LEGISLATORS AT A LEGISLATIVE CONFERENCE.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29368803	BeginningOfYearBalance
Investment Earnings Or Losses	2784380	InvestmentEarningsOrLosses
Other Expenditures	-3245421	OtherExpenditures
End Of Year Balance	28907762	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29368803	BeginningOfYearBalance
End Of Year Balance	29368803	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Contributions	29368803	Contributions
End Of Year Balance	29368803	EndOfYearBalance

Field	Value	IRS element (for citing)
Term Endowment EOY Balance	1.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31569529	OtherCostOrOtherBasis
Book Value	31569529	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	115011780	OtherCostOrOtherBasis
Depreciation	3122296	Depreciation
Book Value	111889484	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1329038	OtherCostOrOtherBasis
Depreciation	17325	Depreciation
Book Value	1311713	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	57877522	OtherCostOrOtherBasis
Depreciation	13111835	Depreciation
Book Value	44765687	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2555353	OtherCostOrOtherBasis
Depreciation	326309	Depreciation
Book Value	2229044	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	191765457	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
MISCELLANEOUS ACCOUNTS RECEIVABLE	5250735
DEPOSITS	1506463
OTHER ASSETS	6392981
ASSETS HELD FOR SALE	9292060
DUE FROM AFFILIATE	351488

Field	Value	IRS element (for citing)
Total Book Value Other Assets	22793727	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
CLAIMS ACCRUAL	$500,000
PENSION LIABILITY	$10,056,742
CAPITAL LEASE OBLIGATIONS	$1,113,378
LONG TERM LIABILITIES	$7,756,678
IBNR LIABILITY	$4,435,853
DUE TO AFFILIATES	$266,538,870

Field	Value	IRS element (for citing)
Total Of Amounts	290401521	TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided
CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	JOINT VENTURE AGREEMENT WITH VIRGINIA SOLUTIONS SPC, LTD - INSURANCE CAPTIVE THAT UNDERWRITES HOSPITAL AND PHYSICIAN LIABILITY AND WORKERS COMPENSATION POLICIES FOR ITS MEMBER HOSPITALS. THE HOSPITAL HAD A 16.67% OWNERSHIP INTEREST IN THE CAPTIVE AS OF 1/1/2012. AS OF 12/31/12, THE HOSPITAL HAD A 0% OWNERSHIP INTEREST.
EUROPE	0	0	PROGRAM SERVICE INVESTMENTS	AT 1/1/2012 MARTHA JEFFERSON HOSPITAL HAD FUNDS HELD BY A BANK BASED IN EUROPE. IN 2012 MARTHA JEFFERSON'S PARENT COMPANY, SENTARA HEALTHCARE, ASSUMED RESPONSIBILITY FOR THOSE FUNDS. AS OF 12/31/2012, THE HOSPITAL HAD NO EUROPEAN INVESTMENTS.

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	0	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	0	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	MARTHA'S MARKET	NameOfEvent1
Gross Receipts Event1	409926	GrossReceiptsEvent1
Charitable Contributions Event1	208507	CharitableContributionsEvent1
Gross Revenue Event1	201419	GrossRevenueEvent1
Rent Facility Costs Event1	38858	RentFacilityCostsEvent1
Other Direct Expenses Event1	117330	OtherDirectExpensesEvent1
Name Of Event2	IN THE PINK	NameOfEvent2
Gross Receipts Event2	34306	GrossReceiptsEvent2
Charitable Contributions Event2	28951	CharitableContributionsEvent2
Gross Revenue Event2	5355	GrossRevenueEvent2
Other Direct Expenses Event2	2042	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	1820	GrossReceiptsOtherEvents
Charitable Contrib Other Events	20	CharitableContribOtherEvents
Gross Revenue Other Events	1800	GrossRevenueOtherEvents
Other Direct Expenses Other Events	255	OtherDirectExpensesOtherEvents
Gross Receipts Total	446052	GrossReceiptsTotal
Charitable Contributions Total	237478	CharitableContributionsTotal
Gross Revenue Total Events	208574	GrossRevenueTotalEvents
Rent Facility Costs Total Events	38858	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	119627	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	158485	DirectExpenseSummaryEvents
Net Income Summary	50089	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Tailored To Ind Hospitals	X	PolicyTailoredToIndHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7762788	TotalCommunityBenefitExpense
Net Community Benefit Expense	7762788	NetCommunityBenefitExpense
Percent Of Total Expense	0.03460	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11580955	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6478825	DirectOffsettingRevenue
Net Community Benefit Expense	5102130	NetCommunityBenefitExpense
Percent Of Total Expense	0.02270	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7	TotalCommunityBenefitExpense
Net Community Benefit Expense	7	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19343750	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6478825	DirectOffsettingRevenue
Net Community Benefit Expense	12864925	NetCommunityBenefitExpense
Percent Of Total Expense	0.05730	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	831305	TotalCommunityBenefitExpense
Net Community Benefit Expense	831305	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	534796	TotalCommunityBenefitExpense
Direct Offsetting Revenue	193036	DirectOffsettingRevenue
Net Community Benefit Expense	341760	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20042617	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9505795	DirectOffsettingRevenue
Net Community Benefit Expense	10536822	NetCommunityBenefitExpense
Percent Of Total Expense	0.04700	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	274398	TotalCommunityBenefitExpense
Net Community Benefit Expense	274398	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21683116	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9698831	DirectOffsettingRevenue
Net Community Benefit Expense	11984285	NetCommunityBenefitExpense
Percent Of Total Expense	0.05340	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41026866	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16177656	DirectOffsettingRevenue
Net Community Benefit Expense	24849210	NetCommunityBenefitExpense
Percent Of Total Expense	0.11070	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	8608	TotalCommunityBuildingExpense
Net Community Building Expense	8608	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	8608	TotalCommunityBuildingExpense
Net Community Building Expense	8608	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$14,046,161	BadDebtExpenseAmount
Amount Attributable To	3319940	AmountAttributableTo
Amount Reimbursed By Medicare	62913331	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	76248174	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13334843	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	FREESTANDING AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
MARTHA JEFFERSON HOSPITAL
1	500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	X	X	X
MARTHA JEFFERSON OUTPATIENT SURGERY CENT
2	595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	X			AMBULATORY SURGERY CENTER

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	State RegulationStateRegulation	Attached To InvoicesAttachedToInvoices	No Emergency CareNoEmergencyCare	Used Other MethodUsedOtherMethod
MARTHA JEFFERSON HOSPITAL
1	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	0
MARTHA JEFFERSON OUTPATIENT SURGERY CENT
2	1	1	100.000000000000	1	300.000000000000	1	X		X	X	X	X	1	1			X	1	0			X		0		1	0	X	X	X	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	21	NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
MARTHA JEFFERSON OUTPATIENT CARE CENTER
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	DIAGNOSTIC CENTER
MARTHA JEFFERSON HEALTH SERVICES
3263 PROFFIT ROAD	CHARLOTTESVILLE	VA	22902	DIAGNOSTIC CENTER
MJ SURGICAL ASSOCIATES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MARTHA JEFFERSON SLEEP CENTER
1793 RICHMOND ROAD	CHARLOTTESVILLE	VA	22911	DIAGNOSTIC CENTER
FOREST LAKES FAMILY MEDICINE
3263 PROFFIT ROAD SUITE 101	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MJ ORTHOPAEDICS
310 OLD IVY WAY SUITE 202	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC
GREENE FAMILY MEDICINE
140 STONERIDGE DRIVE S SUITE 100	RUCKERSVILLE	VA	229683096	PHYSICIAN CLINIC
CROZET FAMILY MEDICINE
1646 PARK RIDGE DRIVE	CROZET	VA	229323155	PHYSICIAN CLINIC
BLUE RIDGE INTERNAL MEDICINE
310 OLD IVY WAY SUITE 201	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC
PALMYRA MEDICAL ASSOCIATES
17 CENTRE COURT	PALMYRA	VA	229632330	PHYSICIAN CLINIC
MADISON FAMILY MEDICINE
2503 SOUTH SEMINOLE TRAIL	MADISON	VA	227272690	PHYSICIAN CLINIC
AFTON FAMILY MEDICINE
10950 ROCKFISH VALLEY HWY	AFTON	VA	229203203	PHYSICIAN CLINIC
MJ INTERNAL MEDICINE
590 PETER JEFFERSON PARKWAY SUITE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC	100
BUCKINGHAM FAMILY MEDICINE
65 BRICKYARD ROAD	DILLWYN	VA	229360030	PHYSICIAN CLINIC
MJ MEDICAL ONCOLOGY ASSOCIATES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MJH IVF LAB
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	FERTILITY LABORATORY
WOUND CARE AT MARTHA JEFFERSON
1490 PANTOPS MOUNTAIN PLACE	CHARLOTTESVILLE	VA	22911	WOUND CENTER
MJ SPRING CREEK
29 JEFFERSON COURT	GORDONSVILLE	VA	22942	PHYSICIAN CLINIC
MJ AESTHETIC & RECONSTRUCTIVE SURGERY
600 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	229118837	PHYSICIAN CLINIC
THE SOMETHING SPECIAL SHOP
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	DME
MARTHA JEFFERSON NEUROSCIENCES
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTHCARE, EIN 52-1271901, THE ORGANIZATION'S 501(C)(3) SOLE MEMBER.
PART I, LINE 7: A COMBINATION OF A RATIO OF COSTS TO CHARGES AND A COST ACCOUNTING PROCESS WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF PAY) WAS USED TO DETERMINE ALL AMOUNTS REPORTED ON LINE 7.
PART I, LINE 7G: INCLUDES PRIMARY CARE PRACTICES COSTS OF $10,536,822.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE SUBTRACTED FROM THE DENOMINATOR WHEN CALCULATING COLUMN F PERCENTAGES IS $14,046,161.
PART II: WE OFFER A VARIETY OF COMMUNITY BUILDING ACTIVITIES INCLUDING THOSE DESIGNED TO HELP MEET THE BASIC NEEDS OF OUR COMMUNITY SUCH AS FOOD DRIVES AND OUR SHOES FOR THE HOMELESS ANNUAL CAMPAIGN. WE OFFER AN ANNUAL CELEBRATION OF LIFE EVENT FOR CANCER SURVIVORS TO GIVE THEM THE OPPORTUNITY TO INTERACT WITH THE PHYSICIANS AND STAFF WHO WERE RESPONSIBLE FOR THEIR CARE. WE HAVE HAD FOUR ANNUAL UNWANTED MEDICATION AND SHARPS DROP-OFF EVENTS. WE HAVE STEADILY INCREASED THE AMOUNT OF MEDICATIONS AND SHARPS WE ARE TAKING OUT OF HOMES IN OUR COMMUNITY AT EACH EVENT.
PART III, LINE 4: SEE PAGES 18-19 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES BAD DEBT.
PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE THE MEDICARE COSTS REPORTED ON LINE 6. MEDICARE MARGINS HAVE BEEN DECLINING AT THE SAME TIME THAT HOSPITALS HAVE BEEN ENGAGED IN CONCERTED EFFORTS TO IMPROVE EFFICIENCY, WHICH POINTS TO THE FACT THAT THE LOSSES ARE MOST LIKELY THE RESULT OF INADEQUATE REIMBURSEMENT BY THE FEDERAL GOVERNMENT, THUS, SHOULD BE INCLUDED IN COMMUNITY BENEFIT.
PART III, LINE 9B: COLLECTION PRACTICES ARE GEARED TOWARDS PATIENTS THAT HAVE A HIGH PROBABILITY OF BEING ABLE TO PAY FOR SERVICES BASED ON INCOME LEVEL AND INELIGIBILITY FOR CHARITY PROGRAMS. IT IS THE POLICY OF MARTHA JEFFERSON HOSPITAL TO REVIEW ACCOUNTS TO ENSURE ALL POSSIBLE METHODS OF PAYMENT HAVE BEEN EXHAUSTED, I.E. MEDICAL ASSISTANCE, FINANCIAL ASSISTANCE, PAYMENT PLANS AND SELF-PAY DISCOUNTS, PRIOR TO AN ACCOUNT BEING DEEMED AS "BAD DEBT". THE ORGANIZATION USES OUTSIDE COLLECTION AGENCIES ON A PRIMARY PLACEMENT BASIS. THE ORGANIZATION DETERMINES WHICH PATIENTS ARE SENT TO OUTSIDE AGENCIES AND GUIDES THE AGENCIES IN PERFORMING REASONABLE COLLECTION EFFORTS.
PART V, SECTION B, LINE 20D: SERVICES ELIGIBLE UNDER THE OUTPATIENT SURGERY CENTER'S FINANCIAL ASSISTANCE POLICY WERE MADE AVAILABLE TO PATIENTS ON A SLIDING FEE SCALE, IN ACCORDANCE WITH FINANCIAL NEED, AS DETERMINED WITH REFERENCE TO FEDERAL POVERTY GUIDELINES (FPG) IN EFFECT AT THE TIME OF THE DETERMINATION.THE BASIS FOR THE AMOUNTS THE HOSPITAL CHARGED ITS PATIENTS WHO QUALIFIED FOR FINANCIAL ASSISTANCE IS SUMMARIZED AS FOLLOWS:-ALL PATIENTS WHOSE INCOME WAS AT OR BELOW 100% OF THE FPG WERE ELIGIBLE TO RECEIVE FREE CARE.-PATIENTS WHOSE INCOME WAS ABOVE 100% BUT NOT MORE THAN 150% OF THE FPG WERE ELIGIBLE TO RECEIVE SERVICES AT A 75% DISCOUNT.-PATIENTS WHOSE INCOME WAS ABOVE 150% BUT NOT MORE THAN 200% OF THE FPG WERE ELIGIBLE TO RECEIVE SERVICES AT A 50% DISCOUNT.-PATIENTS WHOSE INCOME WAS ABOVE 200% BUT NOT MORE THAN 300% OF THE FPG WERE ELIGIBLE TO RECEIVE SERVICES AT A 25% DISCOUNT.	MARTHA JEFFERSON OUTPATIENT SURGERY CENT
PART V, SECTION B, LINE 21: AS OUTLINED IN PART V LINE 20D, THE FACILITY'S 2012 FINANCIAL ASSISTANCE POLICY INCLUDED FREE CARE TO ALL PATIENTS WHOSE INCOME WAS AT OR BELOW 100% OF THE FPG, AND DISCOUNTED CARE TO ALL OTHER FAP-ELIGIBLE PATIENTS BASED ON A SLIDING FEE SCALE. THE SLIDING FEE SCALE WAS DESIGNED TO BROADEN THE NUMBER OF UNINSURED PATIENTS ELIGIBLE FOR DISCOUNTED CARE YET FOSTER PATIENT PARTICIPATION IN THE COST OF CARE AT HIGHER INCOME LEVELS. THE ORGANIZATION BELIEVES THAT SUCH AN APPROACH WAS IN LINE WITH THE CONGRESSIONAL INTENT BEHIND IRC SEC 501(R)(4)(A). HOWEVER, AS SOME DISCOUNTS OFFERED UNDER THE SLIDING FEE SCALE DID NOT MEET THE "AMOUNTS GENERALLY BILLED" ("AGB") STANDARD SET BY THE JOINT COMMITTEE ON TAXATION IN ITS MARCH 21, 2010 REPORT, AND THE FACILITY DID NOT ADOPT AN AGB COMPUTATION METHOD OUTLINED IN IRS PROPOSED REGULATIONS ISSUED JUNE 26, 2012, THE ORGANIZATION ANSWERED "YES" TO THIS QUESTION.	MARTHA JEFFERSON OUTPATIENT SURGERY CENT
PART VI, LINE 2: MARTHA JEFFERSON WAS INVITED BY THE THOMAS JEFFERSON HEALTH DISTRICT TO PARTICIPATE ON THE STEERING COMMITTEE OF THE CITY OF CHARLOTTESVILLE/ALBEMARLE COUNTY COMMUNITY HEALTH STATUS ASSESSMENT. THE STEERING COMMITTEE WAS INCLUSIVE, WITH REPRESENTATIVES FROM ALL LOCAL AGENCIES AND ORGANIZATIONS THAT IMPACT THE OVERALL HEALTH OF OUR COMMUNITY. THE PURPOSE OF COMMUNITY HEALTH STATUS ASSESSMENT WAS TO ANSWER THREE MAIN QUESTIONS: 1) WHO COMPRISES THE COMMUNITY, AND WHAT DO THE COMMUNITY MEMBERS BRING TO THE TABLE? 2) WHAT ARE THE STRENGTHS AND RISK FACTORS IN THE COMMUNITY THAT CONTRIBUTE TO HEALTH? 3) WHAT IS THE STATUS OF THE COMMUNITY?THIS ASSESSMENT WAS PUBLISHED IN 2008 AND CAN BE FOUND ON THE THOMAS JEFFERSON HEALTH DISTRICT'S WEBSITE LOCATED AT WWW.VDH.STATE.VA.US/LHD/THOMASJEFFERSON.WE ARE CURRENTLY PLANNING A SIMILAR COLLABORATIVE EFFORT TO MEET THE REQUIREMENTS FOR A NEW ASSESSMENT BY OCTOBER 2013.
PART VI, LINE 3: THE HOSPITAL PROVIDES PAMPHLETS AT REGISTRATION AREAS, PAYMENT AREAS AND WAITING ROOMS DESCRIBING THE HOSPITAL'S BILLING PROCESS AND FINANCIAL ASSISTANCE. IN ADDITION, INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE DISCUSSING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE FULL FINANCIAL ASSISTANCE POLICY, AS WELL AS INFORMATION ON THE APPLICATION PROCESS. FINANCIAL COUNSELORS AT THE HOSPITAL MAY REACH OUT TO PATIENTS TO DETERMINE IF THEY WOULD LIKE TO APPLY FOR ASSISTANCE, WHICH APPLICATION MAY BE MADE PRIOR TO, DURING OR SUBSEQUENT TO RECEIVING SERVICES.
PART VI, LINE 4: MARTHA JEFFERSON HOSPITAL SERVES THE THOMAS JEFFERSON AREA PLANNING DISTRICT (PD10), INCLUDING THE CITY OF CHARLOTTESVILLE, AND THE COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON, ALL OF WHICH ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THIS DISTRICT INCLUDES URBAN, RURAL AND SUBURBAN GEOGRAPHIC AREAS. PD10 CONSISTS OF APPROXIMATELY 230,000 PEOPLE (U.S. CENSUS BUREAU 2009), WITH ALBEMARLE COUNTY BY FAR THE MOST HIGHLY POPULATED AREA, DISTANTLY FOLLOWED BY THE CITY OF CHARLOTTESVILLE AND THE OTHER COUNTIES. IN GENERAL, THE PLANNING DISTRICT IS GROWING IN POPULATION, WITH AN INCREASE OF OVER 30,000 PEOPLE FROM 2000-2009 (U.S. CENSUS BUREAU 2009). APPROXIMATELY 75 PERCENT OF CITY RESIDENTS AND 90 PERCENT OF ALBEMARLE COUNTY RESIDENTS LIVE ABOVE THE FEDERAL POVERTY LEVEL, WITH CHILDREN BEING THE MOST AFFECTED GROUP BY AGE OF PERSONS LIVING IN POVERTY. WHILE ABOUT 10 PERCENT OF CITY HOUSEHOLDS RECEIVE ASSISTANCE THROUGH FOOD STAMPS, OVER 50 PERCENT OF CITY SCHOOL CHILDREN QUALIFY FOR FREE OR REDUCED-COST LUNCH PROGRAMS (2008 CITY OF CHARLOTTESVILLE/ALBEMARLE COUNTY COMMUNITY HEALTH STATUS ASSESSMENT). MEDICAID AND SELF PAY PATIENTS COMPRISE APPROXIMATELY 10% OF THE HOSPITAL'S PATIENTS. THE COMMUNITY IS SERVED BY TWO HOSPITALS.
PART VI, LINE 5: MARTHA JEFFERSON FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH WORKPLACE HEALTHY INITIATIVES, AN OPEN MEDICAL STAFF, BOARDS OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS, CHARITY CARE POLICIES AND OUTREACH, AND USE OF SURPLUS FUND DISPERSAL. WORKFORCE DEVELOPMENT PROGRAMS CONTINUE AS DOES OUR SUPPORT OF ORGANIZATIONS CHAMPIONING CHILD DENTAL, INDIGENT PRESCRIPTION DRUG, COMMUNITY MENTAL HEALTH SERVICES AND FREE CLINIC ACCESS EFFORTS.MARTHA JEFFERSON HOSPITAL STAFF SERVE ON COMMITTEES AND BOARDS RELATED TO COMMUNITY HEALTH INCLUDING THE CHARLOTTESVILLE FREE CLINIC, JEFFERSON AREA BOARD FOR AGING, THE SENIOR CENTER, THE CHARLOTTESVILLE OBESITY TASK FORCE, HOSPICE OF THE PIEDMONT, AND THE WOMEN'S INITIATIVE. PARTNERSHIPS ARE IMPORTANT TO US. WE PARTNER WITH ORGANIZATIONS THAT HAVE A TRACK RECORD OF IMPROVING HEALTH IN OUR COMMUNITY INCLUDING BUT NOT LIMITED TO THE CHARLOTTESVILLE FREE CLINIC, GREENE FREE CLINIC, CHARLOTTESVILLE/ALBEMARLE RESCUE SQUAD, THE UNITED WAY, AND THE WOMEN'S INITIATIVE (MENTAL HEALTH SERVICES). WE MAXIMIZE OUR REACH THROUGH FINANCIAL AND IN-KIND DONATIONS TO ORGANIZATIONS SUCH AS THE CHARLOTTESVILLE CITY SCHOOLS, HOSPICE OF THE PIEDMONT, JEFFERSON AREA BOARD FOR AGING AND HEAD START PROGRAMS IN SEVERAL SURROUNDING COUNTIES. OUR PARTNERSHIPS HELP BUILD AND STRENGTHEN EXISTING PROGRAMS, AS WELL AS LEADING TO THE DEVELOPMENT OF NEW PROGRAMS. OUR PARTNERSHIPS WITH OTHER NON-PROFITS IN THE COMMUNITY ALSO HELP US STAY ABREAST OF COMMUNITY NEEDS.MARTHA JEFFERSON HOSPITAL WELCOMES AND ENCOURAGES SIGNIFICANT COMMUNITY INVOLVEMENT THROUGH THE ESTABLISHMENT OF NUMEROUS GOVERNING COMMITTEES AND A COMMUNITY LEADERSHIP COUNCIL. THERE ARE 100 COMMUNITY MEMBERS ANNUALLY INVOLVED DIRECTLY WITH THESE COMMITTEES.MARTHA JEFFERSON HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF TO ALL WHO SEEK PRIVILEGES HERE. THERE ARE OVER 450 PHYSICIANS AND ALLIED STAFF ON THE MARTHA JEFFERSON HOSPITAL MEDICAL STAFF.MARTHA JEFFERSON HOSPITAL UTILIZES SURPLUS FUNDS TO PURCHASE MEDICAL EQUIPMENT AND FACILITIES DESIGNED TO MEET THE NEEDS OF THE COMMUNITY IT SERVES.
PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA, A NOT-FOR-PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 10 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA, TWO IN THE BLUE RIDGE REGION, AND ONE IN SOUTH CENTRAL VIRGINIA, ADVANCED IMAGING CENTERS, NURSING AND ASSISTED LIVING CENTERS, OUTPATIENT CAMPUSES, TWO HOME HEALTH AND HOSPICE AGENCIES, A 3,680-PROVIDE MEDICAL STAFF, AND THREE MEDICAL GROUPS WITH 618 PROVIDERS.THE ORGANIZATION'S AFFILIATION WITH SENTARA ENHANCES ITS ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS, AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S BLUE RIDGE REGION COMMUNITY. COMBINED, THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HEALTH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN CANCER SOCIETY
1445 E RIO ROAD SUITE 104	CHARLOTTESVILLE	VA	22901	131788491	501(C)(3)	6650	DENTAL SERVICES
CHARLOTTESVILLE CITY SCHOOLS & SOCIAL SERVICES
1562 DAIRY ROAD	CHARLOTTESVILLE	VA	22903	546001203	501(C)(3)	9120	RX RELIEF PROGRAM
CHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DRIVE 200	CHARLOTTESVILLE	VA	22903	541610405	501(C)(3)	25000	BRIGHT STARS PROGRAM, DEPT OF SOCIAL SERVICES, PRESCHOOL NETWORK
COUNTY OF ALBEMARLE
401 MCINTIRE ROAD	CHARLOTTESVILLE	VA	22902	546001102		20000	COMMUNITY HEALTH
PIEDMONT VIRGINIA COMMUNITY COLLEGE
501 COLLEGE DRIVE	CHARLOTTESVILLE	VA	22902	541268264	501(C)(3)	50000	COMMUNITY HEALTH
THE WOMEN'S INITIATIVE
1101 EAST HIGH STREET STE A	CHARLOTTESVILLE	VA	22902	205913090	501(C)(3)	30000	DENTAL SERVICES FOR UNDERSERVED CHILDREN
THOMAS JEFFERSON EMS COUNCIL
2205 FONTAINE AVENUE SUITE 303	CHARLOTTESVILLE	VA	22903	541897455	501(C)(3)	60000	COMMUNITY HEALTH
UNITED WAY
806 EAST HIGH STREET	CHARLOTTESVILLE	VA	22902	540505882	501(C)(3)	15600	MENTAL HEALTH SERVICES
(no name)
							COMMUNITY HEALTH
(no name)
							COMMUNITY HEALTH
(no name)
							COMMUNITY HEALTH

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

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: MARTHA JEFFERSON HOSPITAL DONATES FUNDS IN FURTHERANCE OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY MAINTAINING, ENHANCING AND RESTORING PERSONAL HEALTH AND WELL BEING. ASSISTANCE IS GIVEN BASED ON DIRECTION FROM THE BOARD OF DIRECTORS AND COMMUNITY NEED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	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 (18 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
BOARD MEMBER	0	1088008	0	1480853	0	2412993	0	307098	0	19651	0	5308603	0	451083
HOWARD P KERN
VICE CHAIR	0	745300	0	876468	0	2109929	0	707467	0	15127	0	4454291	0	1341894
KENNETH M KRAKAUR
BOARD MEMBER	0	439315	0	451965	0	87974	0	69660	0	14903	0	1063817	0	59037
JAMES E HADEN
PRESIDENT (NON-VOTING)	477392	0	180000	0	8983	0	111409	0	21067	0	798851	0	0	0
ELLIOT H KUIDA
SECRETARY (NON-VOTING)	267212	0	63804	0	1114	0	17500	0	15787	0	365417	0	0	0
J MICHAEL BURRIS
TREASURER (NON-VOTING)	221476	0	53836	0	0	0	70229	0	19736	0	365277	0	0	0
AMELIA S BLACK
VP, CHIEF NURSE EXECUTIVE	188946	0	42261	0	1782	0	16309	0	17559	0	266857	0	0	0
MARIJO LECKER
VP, CLINICAL SUPPORT SVS/I	209432	0	48006	0	2386	0	17500	0	17404	0	294728	0	0	0
RONALD J COTTRELL
VP, PLANNING, MKTG, CORP D	193688	0	47434	0	509	0	51299	0	19651	0	312581	0	0	0
FINLAY M ASHBY
VP, MEDICAL AFFAIRS	193842	0	43665	0	0	0	16625	0	13537	0	267669	0	0	0
SUSAN CABELL MAINS
VP, HR, RETAIL, COMPLIANCE	187545	0	43675	0	5509	0	92942	0	18600	0	348271	0	0	0
RAY R MISHLER
VP, DEVELOPMENT	159169	0	34949	0	1323	0	58172	0	18434	0	272047	0	0	0
DEBORAH L THEXTON
FINANCE DIRECTOR	143777	0	21219	0	0	0	11550	0	2077	0	178623	0	0	0
JOHN Z EDWARDS
PHYSICIAN	450764	0	45000	0	0	0	17500	0	16658	0	529922	0	0	0
ROBERT S PRITCHARD
PHYSICIAN	385861	0	50000	0	0	0	17500	0	16609	0	469970	0	0	0
SANDEEP TEJA
PHYSICIAN	475250	0	35000	0	0	0	17500	0	8059	0	535809	0	0	0
JACOB N YOUNG
PHYSICIAN	636966	0	60000	0	0	0	17500	0	15160	0	729626	0	0	0
STEPHEN B GUNTHER
PHYSICIAN	481105	0	25000	0	0	0	7500	0	16366	0	529971	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	THE INDICATED BENEFITS ARE PROVIDED TO CERTAIN SENIOR EXECUTIVES OF THE ORGANIZATION AS PART OF OVERALL COMPENSATION PACKAGES AND ARE CONSIDERED IN EVALUATING THE REASONABLENESS OF COMPENSATION (SEE FORM 990, PART VI, LINE 15, FOR A DESCRIPTION OF THE PROCESS USED TO DETERMINE EXECUTIVE COMPENSATION). COUNTRY CLUB MEMBERSHIP FEES AND DUES: PROVIDED FOR CEO, COO AND VICE PRESIDENT, DEVELOPMENT ONLY. SOCIAL CLUB DUES PAID ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE ALLOCATED BETWEEN BUSINESS AND PERSONAL USE, THE PERSONAL USE OF WHICH IS TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PERSONAL SERVICES: FINANCIAL PLANNING - THE CEO RECEIVES ANNUAL PAYMENTS UP TO $4,000, VICE PRESIDENTS RECEIVE UP TO $2,500 EVERY FOUR YEARS AT THE DISCRETION OF THE PRESIDENT/CEO. FINANCIAL PLANNING (I.E. PERSONAL SERVICES) EXPENSES PAID BY OR ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES.
PART I, LINE 7	THE MANAGEMENT AND SENIOR MANAGEMENT INCENTIVE PLANS RECOGNIZE INDIVIDUALS BASED ON SPECIFIC CRITERIA AND DEFINED ORGANIZATION PERFORMANCE STANDARDS. THOSE PLANS ARE NOT ANNUALLY GUARANTEED AND IMPLEMENTATION WILL DEPEND ON ORGANIZATION-WIDE PERFORMANCE. IF ORGANIZATION-WIDE GOALS ARE NOT MET, THE PRESIDENT/CEO WILL HAVE THE DISCRETION TO DETERMINE ANY VARIATIONS TO THE PLAN.
PART III	HOWARD KERN PARTICIPATES IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND PARTICIPATES 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 AND HOWARD KERN PARTICIPATE IN THE SENTARA OPTION PLAN FOR EXECUTIVES. THIS PLAN IS UNRELATED TO "EQUITY" OF THE EMPLOYER. PARTICIPATION IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. VESTING IS DETERMINED BY THE GOVERNING BOARD OF SENTARA HEALTHCARE AND IS SEPARATELY STATED IN EACH PARTICIPANT'S OPTION AGREEMENT. THERE WERE NO OPTIONS GRANTED AFTER 2002. 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, AND KENNETH KRAKAUR PARTICIPATE IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2012, DAVID BERND, HOWARD KERN, AND KENNETH KRAKAUR RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN OF $221,782, $495,665, AND $73,122, RESPECTIVELY. THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN(B)(III) OF SCHEUDULE J, PART II.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MARTHA JEFFERSON PHYSICIAN HOSPITAL ORGANIZATION INC
SEE BELOW	162669	ACCOUNTING SERVICE	0
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC
SEE BELOW	278287	RENT AND CLEANING SERVICE	0
ETHAN R MURPHY
FAMILY MEMBER OF BOARD MEMBER E. RAY MURPHY	19511	EMPLOYMENT	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	PART IV (B)	Identifier
Explanation	TRANSACTIONS WITH INTERESTED PERSONS - BOARD/OFFICER/KEY EMPLOYEE OVERLAP WITH TAXABLE ENTITIESBOARD MEMBER CAROL HURT AND OFFICERS JAMES HADEN AND J. MICHAEL BURRIS ALSO SERVE AS BOARD MEMBERS AND/OR OFFICERS OF MARTHA JEFFERSON PHYSICIAN HOSPITAL ORGANIZATION, INC., A JOINT VENTURE OF THE ORGANIZATION.BOARD MEMBERS LILLIAN BEVIER AND PETER BROOKS, OFFICER J. MICHAEL BURRIS, AND KEY EMPLOYEE RONALD COTTRELL SERVE AS BOARD MEMBERS OF MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, LLC, A JOINT VENTURE OF THE ORGANIZATION.DIRECTORS/OFFICERS/KEY EMPLOYEES OF THE ORGANIZATION MAY ALSO SERVE AS DIRECTORS/OFFICERS/KEY EMPLOYEES OF RELATED TAXABLE ENTITIES WITHIN THE SENTARA HEALTHCARE SYSTEM. SEE FORM 990 SCHEDULE R FOR A LISTING OF TRANSACTIONS THE ORGANIZATION HAD WITH THESE RELATED TAXABLE ENTITIES.	Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	13	NumberOfContributions
Noncash Contribs Rptd F990	43700	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	12	NumberOfContributions
Noncash Contribs Rptd F990	180333	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenues

Real Estate Residential RealEstateResidential

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1390700	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	GIFTS IN KIND	Description
Number Of Contributions	147	NumberOfContributions
Noncash Contribs Rptd F990	21485	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE OF DONATED PROPERTY	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAS AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. DAVID BERND AND HOWARD KERN HAVE A BUSINESS RELATIONSHIP THROUGH COMMON OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	SENTARA HEALTHCARE, A 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF MARTHA JEFFERSON HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	BOARD CANDIDATES IDENTIFIED BY THE ORGANIZATION'S NOMINATION COMMITTEE MUST BE RATIFIED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, PRIOR TO ELECTION.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS 501(C)(3) SOLE MEMBER, SENTARA HEALTHCARE: APPROVAL OR ADOPTION OF ANY PLAN OR MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; OR ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF LONG-RANGE AND STRATEGIC PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; TRANSACTIONS WITH INTERESTED PERSONS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; AND THE COMMENCEMENT OR SETTLEMENT OF LITIGATION. SENTARA HEALTHCARE HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE HOSPITAL AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE ANNUAL AUDITED FINANCIALS OF MARTHA JEFFERSON HOSPITAL ARE REVIEWED BY SENTARA HEALTHCARE IN ADDITION TO THE MARTHA JEFFERSON HOSPITAL BOARD'S REVIEW. PRIOR TO FILING THE FORM 990 WITH THE IRS, IT IS REVIEWED BY THE FINANCE TEAM, INCLUDING THE CHIEF FINANCIAL OFFICER. IT IS ALSO REVIEWED BY SENTARA HEALTHCARE'S TAX DIRECTOR. MARTHA JEFFERSON HOSPITAL WILL SUBMIT THE INTERNAL REVENUE SERVICE FORM 990 FOR THE PRECEDING FISCAL YEAR TO THE CEO EVALUATION COMMITTEE OF THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS IN THE RESPECTIVE MEETING FOLLOWING THE FILING OF THE FORM 990. IN ADDITION, THE FORM 990 WILL BE PROVIDED TO THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS AT THE MEETING FOLLOWING THE FILING OF THE FORM 990. MARTHA JEFFERSON HOSPITAL WILL ALSO ADVISE BOARD MEMBERS OF THE WEBSITE ADDRESS AT WHICH THE FILED FORM 990 WILL BE POSTED (WWW.GUIDESTAR.ORG/990).
FORM 990, PART VI, SECTION B, LINE 12C	MARTHA JEFFERSON HOSPITAL'S CONFLICT OF INTEREST POLICY IS ADMINISTERED BY THE CORPORATE COMPLIANCE OFFICER. ON AN ANNUAL BASIS ALL DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES, MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES AND OTHER EMPLOYEES COMPLETE A DETAILED CONFLICT OF INTEREST QUESTIONNAIRE DISCLOSING ANY REPORTABLE ACTIVITIES AND INVESTMENTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IN ADDITION, ALL PERSONS LISTED ABOVE ARE ANNUALLY PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY. IF CHANGES TO PERSONNEL OCCUR BETWEEN ANNUAL COMPLETION OF THE CONFLICT OF INTEREST QUESTIONNAIRE, NEW PERSONNEL ARE ALSO REQUIRED TO COMPLETE THE QUESTIONNAIRE. ALL DISCLOSURE STATEMENTS ARE REVIEWED FOR REPORTABLE TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION HAS AN ESTABLISHED CEO EVALUATION COMMITTEE MADE UP OF HOSPITAL BOARD MEMBERS AND COMMITTEE MEMBERS. ON AN ANNUAL BASIS, A THIRD PARTY COMPENSATION CONSULTING FIRM PROVIDES AN INDEPENDENT REVIEW AND ANALYSIS OF BASE AND TOTAL COMPENSATION AND EXECUTIVE PERQUISITES USING MARKET COMPARABILITY DATA. THE CONSULTING FIRM RENDERS AN OPINION ON THE FAIR MARKET VALUE OF COMPENSATION PAID AND BENEFITS PROVIDED WITH RESPECT TO THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THE PROCESS IS FOLLOWED FOR THE FOLLOWING POSITIONS: CEO, VICE PRESIDENTS, EMPLOYED PHYSICIANS. VICE CHAIRMAN: THE VICE CHAIRMAN ALSO SERVES AS THE COO/PRESIDENT OF THE SENTARA HEALTHCARE SYSTEM ("SENTARA"). SENTARA 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. FORM 990, PART VI, SECTION B, LINE 16B AT DECEMBER 31, 2012 MARTHA JEFFERSON HOSPITAL DID NOT HAVE A SPECIFIC JOINT VENTURE POLICY. ANY PROPOSED JOINT VENTURE PARTICIPATION IS EVALUATED WITHIN THE CONTEXT OF THE ADMINISTRATIVE POLICY ENTITLED "AUTHORITY TO COMMIT AND EXPEND FUNDS". THIS POLICY DEPICTS THE TYPES AND LEVELS OF EXPENDITURES AND COMMITMENTS THAT MANAGEMENT CAN UNDERTAKE. ALL PROPOSED JOINT VENTURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL TO ENSURE COMPLIANCE WITH THE APPROPRIATE FEDERAL, STATE AND REGULATORY LAW. ANY JOINT VENTURE PARTICIPATION MUST BE EVALUATED AND APPROVED BY THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS. A SPECIFIC JOINT VENTURE PARTICIPATION POLICY IS CURRENTLY IN PROCESS OF DEVELOPMENT.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	TRANSFER FROM MJH FOUNDATION 2,088,915. INCREASE IN ADDITIONAL MINIMUM PENSION LIABILITY -8,791,389. NET UNREALIZED GAINS ON CHARITABLE TRUSTS 116,852. FAIR MARKET VALUE ADJ -35,402. NET PLEDGE ACTIVITY 17,828. DEEMED DISTRIBUTION FROM CFC NOT ON BOOKS -1,314,416. INTEREST RATE SWAP -429,830.	CHANGES IN NET ASSETS OR FUND BALANCES:
STATEMENT PURSUANT TO SECTION 1.351-3(A)	MARTHA JEFFERSON HOSPITAL, TRANSFERRED CASH WITH AN AGGREGATE FAIR MARKET VALUE AND A BASIS OF $602,135 TO VIRGINIA SOLUTION SPC, LTD (FEIN: 98-0507760) ON VARIOUS DATES. DETAILS AVAILABLE UPON REQUEST. NO PRIVATE LETTER RULINGS WERE ISSUED BY THE INTERNAL REVENUE SERVICE IN CONNECTION WITH THE SECTION 351 EXCHANGE.	MARTHA JEFFERSON HOSPITAL, 54-0261840, A SIGNIFICANT TRANSFEROR:
FORM 5471:	VIRGINIA SOLUTIONS SPC, LTD. DECEMBER 31, 2012 EIN #98-0507760 ADDITIONAL FILING REQUIREMENTS FOR CATEGORY 3 FILERS: 1. THE AMOUNT AND TYPE OF ANY INDEBTEDNESS THE FOREIGN CORPORATION HAS WITH THE RELATED PERSONS DESCRIBED IN REGULATIONS SECTION 1.6046-1(B)(II). N/A-THERE IS NO INDEBTEDNESS BETWEEN VIRGINIA SOLUTION SPC, LTD. AND RELATED PARTIES. 2. THE NAME, ADDRESS, IDENTIFYING NUMBER AND NUMBER OF SHARES SUBSCRIBED TO BY EACH SUBSCRIBER TO THE FOREIGN CORPORATION'S STOCK. N/A-THERE ARE CURRENTLY NO SUBSCRIPTIONS FOR ANY OF VIRGINIA SOLUTION SPC, LTD. STOCK.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON MEDICAL GROUP LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Field	Value	IRS element (for citing)
EIN	261126956	EIN
Primary Activities	PHYSICIAN PRACTICES	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	34280932	TotalIncome
EOY Assets	3576339	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON HOSPITAL	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MARTHA JEFFERSON HEALTH SERVICES CORPORATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401355	COMMUNITY HEALTHCARE	VA	501(C)(3)	11 TYPE I	N/A	0
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVESTMENT & MANAGEMENT SERVICES FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11 TYPE I		1	MARTHA JEFFERSON HOSPITAL
MARTHA JEFFERSON HOSPITAL FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	300041113	FUNDRAISING	VA	501(C)(3)	11 TYPE I		1	MARTHA JEFFERSON HOSPITAL
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	7	N/A	0
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HOSPITALS
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HEALTHCARE
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	9		1	SENTARA HEALTHCARE
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	9		1	SENTARA HEALTHCARE
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)			1	SENTARA ENTERPRISES
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I		1	SENTARA HEALTHCARE
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HEALTHCARE
ROCKINGHAM MEMORIAL HOSPITAL
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	540506331	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HEALTHCARE
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	9		1	ROCKINGHAM MEMORIAL HOSPITAL
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	9		1	SENTARA HEALTHCARE

Form990 Schedule R Part III Form990ScheduleRPartIII (22 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	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC
595 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	113656095	OUTPATIENT SURGERY CENTER	VA	MARTHA JEFFERSON HOSPITAL	RELATED	592017	0	1
PHYSICAL THERAPY ACAC LLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	PHYSICAL THERAPY	VA	MARTHA JEFFERSON MEDICAL ENTERPRISES INC	UNRELATED	139932	0	0	283760	0.50000
MANAGEMENT SERVICES
814 GREENBRIER CIR	CHESAPEAKE	VA	23320	541365012	HEALTH MANAGEMENT SERVICES	VA								N/A
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	REAL ESTATE RENTAL	VA								N/A
PRINCESS ANNE AMB SURG CENTER
1975 GLENN MITCHELL DRIVE	VA BEACH	VA	23456	204920880	HEALTH CARE	VA								N/A
VA BEACH AMBULATORY SURG CENTER
1700 WILL O WISP DR	VA BEACH	VA	23454	541448218	HEALTH CARE	VA								N/A
AMER HEALTH EVAL CTR - WMSBG
PO BOX 3508	WILLIAMSBURG	VA	23187	263761741	HEALTH CARE	VA								N/A
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DR	NORFOLK	VA	23502	201338518	HEALTH CARE	VA								N/A
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VA BEACH	VA	23502	200942600	HEALTH CARE	VA								N/A
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR	VA BEACH	VA	23462	204024074	CONSULTING	VA								N/A
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIR	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA								N/A
CAREPLEX ORTHO ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA								N/A
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA								N/A
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA								N/A
POTOMAC INOVA HEALCARE ALLIANCE LLC
8110 GATEHOUSE ROAD	FALLS CHURCH	VA	22042	541802733	HEALTH CARE	VA								N/A
CAREPLEX WEST LLC
18000 W SARAH LANE	BROOKFIELD	WI	53045	202738977	RENTAL RE	WI								N/A
PORT WARWICK II LLC
18000 W SARAH LANE	BROOKFIELD	WI	53045	202739075	RENTAL RE	WI								N/A
ORTHOPAEDIC HOSPITAL MGT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA								N/A
PORT WARWICK III LLC
18000 W SARAH LANE	BROOKFIELD	WI	53045	611499371	RENTAL RE	WI								N/A
VALIANCE HEALTH LLC
3190 PEOPLES DR	HARRISONBURG	VA	22801	541866081	HEALTH CARE	VA								N/A
NORTHERN VIRGINIA HOME CARE LLC
601 SOUTH CARLIN SPRINGS RD	ARLINGTON	VA	22204	453940053	HOME CARE	VA								N/A
MNS SUPPLY CHAIN NETWORK LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	454235238	GPO	DE								N/A

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 Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SERVICE	VA	MARTHA JEFFERSON HOSPITAL	C	3187961	411472	1.00000	1
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA		C				1	N/A
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA		C				1	N/A
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA		C				1	N/A
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA		C				1	N/A
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA		C				1	N/A
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA		C				1	N/A
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA		C				1	N/A
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA		C				1	N/A
SENTARA OBICI MED MGT SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA		C				1	N/A
ROCKINGHAM HEALTH SERVICES INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	541721387	CONTRACTING SERVICES	VA		C				1	N/A
POTOMAC VENTURES CORP
2300 OPITZ BLVD	WOODBRIDGE	VA	22191	541441420	PHARMACY	VA		C				1	N/A
BAY PRIMEX INSURANCE COMPANY LTD
				980704114	INSURANCE			C				1	N/A	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	0	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	0	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	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MARTHA JEFFERSON MEDICAL ENTERPRISES
A	72015	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
D	2493877	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
Q	282877	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
M	2328325	CORP BOOKS/RECORDS
MJH FOUNDATION
Q	179132	CORP BOOKS/RECORDS
MJH FOUNDATION
S	2088915	CORP BOOKS/RECORDS
MJH FOUNDATION
C	379891	CORP BOOKS/RECORDS
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER
A	278287	CORP BOOKS/RECORDS
SENTARA ENTERPRISES
M	221110	CORP BOOKS/RECORDS
OPTIMA HEALTH PLAN
L	7273983	CORP BOOKS/RECORDS
ROCKINGHAM MEMORIAL HOSPITAL
O	86000	CORP BOOKS/RECORDS
SENTARA HEALTH PLANS
M	442547	CORP BOOKS/RECORDS
SENTARA HEALTH PLANS
L	3082176	CORP BOOKS/RECORDS