2011-12-13T08:17:00-08:00 2010-12-31 990 2010-01-01 541547408 SENTARA HOSPITALS SENT 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 ROBERT BROERMANN 2011-12-13 2010 2016-02-24 21:20:13Z X HOWARD P KERN 6015 POPLAR HALL DRIVE NORFOLK VA 23502 1783438046 false false X WWW.SENTARA.COM/SENTARA/HOSPITALSFACILITIES X 1990 VA AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH the establishment and operation of one or more nonprofit hospitals and related health and medical programs for the care of the sick and injured. 4 0 11952 2382 26149703 2932967 1833159 2714461 1701446368 1770562235 641877 2073865 5164692 5749174 1709086096 1781099735 21268511 12787841 0 707997523 711807099 0 0 860301531 910827818 1589567565 1635422758 119518531 145676977 1282230403 1292778813 299041404 155562569 983188999 1137216244 AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH the establishment and operation of one or more nonprofit hospitals and related health and medical programs for the care of the sick and injured; the operation of nonprofit schools for the education and training of nurses and other personnel necessary or desirable in providing health care; the promotion of health; the carrying on of scientific medical research in the public interest; and the carrying on of any other activities which further or advance the general health and welfare of the communities served by the organization. false false 1360999506 12787841 1748458393 SENTARA HOSPITALS PROVIDES ACUTE AND TERTIARY INPATIENT AND OUTPATIENT MEDICAL SERVICES THROUGH THE OPERATION OF SEVEN HOSPITALS IN THE COMMUNITY--SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA CAREPLEX HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA BAYSIDE HOSPITAL, SENTARA OBICI HOSPITAL AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. THE SEVEN HOSPITALS COMBINED OFFER 1,752 HOSPITAL BEDS FOR TERTIARY AND ACUTE CARE AND PROVIDED 832,187 ADJUSTED PATIENT DAYS OF CARE DURING 2010. SERVICES INCLUDE DAILY ROUTINE NURSING, WELLNESS PROGRAMS, LEVEL I AND II TRAUMA SERVICES, NIGHTINGALE AIR AMBULANCE, CARDIAC CATHERIZATION, ANGIOGRAPHY, NEONATAL INTENSIVE CARE, COMMUNITY EDUCATION PROGRAMS FOR THE DISADVANTAGED, AND VARIOUS OTHER COMMUNITY ACTIVITIES. SENTARA HOSPITALS ALSO PROVIDES MEDICAL EDUCATION PROGRAMMING IN CONJUNCTION WITH THE EASTERN VIRGINIA MEDICAL AUTHORITY OFFERING SPECIALTY SERVICES SUCH AS CARDIOLOGY, IN-VITRO FERTILIZATION AND UROLOGY.THE HOSPITAL PROVIDES FREE COMMUNITY HEALTH SCREENINGS AND HEALTH EDUCATION THROUGHOUT HAMPTON ROADS. COSTS INCURRED FOR THESE ACTIVITIES ARE NOT SPECIFICALLY ACCUMULATED, BUT INCLUDE SALARIES AND OTHER OPERATING EXPENSES.SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2010. 1360999506 true true false false false false false false false true true false false true true true false true false false true false false false false false true false true true true false false false false false false false false false true true false false false false true true true true true false true 1183 0 true 11952 true true true false false false false false false false false false 0 false false false false false false false false false false false X 4 0 true false false false true true true true true false false false true true true true true false true true true false VA X CORPORATE OFFICERS 7574557020 6015 POPLAR HALL DR NORFOLK VA 23502 TIMOTHY S JENNINGS 40.00 X 235154 0 80056 THOMAS THAMES 40.00 X 348757 0 63261 TERESA L EDWARDS 40.00 X 361183 0 75072 SYLVIA RICHENDOLLAR 40.00 X 245717 0 143381 STEPHEN PORTER 40.00 X 344009 0 98446 ROSEMARY C CHECK 40.00 X 126093 283709 57125 ROBERT W HOEFER 40.00 X 238667 0 57459 ROBERT LEE GRAVES 40.00 X 639730 0 105165 ROBERT BROERMANN 4.00 X X 0 1063115 241687 RAYMOND G TROIANO 40.00 X 409321 0 94579 PAUL D CHIDESTER MD 40.00 X 349401 0 56437 MICHAEL V GENTRY 40.00 X 645670 0 122388 MEGAN R PERRY 0.00 X 0 445776 139543 MARY LUCAS BLUNT 40.00 X 847464 0 154326 MARK A SZALWINSKI 40.00 X 498744 0 184260 LYNNETTE HOLDER 40.00 X 183887 23985 70083 LOIS KERCHER 40.00 X 200736 0 50880 KURT HOFELICH 40.00 X 264881 0 94589 KENNETH M KRAKAUR 5.00 X 0 929277 132253 JOSEPH T BUTZ 40.00 X 289160 0 44097 JENNIFER A BURROWS 40.00 X 280256 0 46728 HOWARD P KERN 4.00 X X 0 1431118 733973 GRACE R HINES 4.00 X 0 337112 158271 GENEMARIE W MCGEE 40.00 X 225602 0 103952 GENE H BURKE 40.00 X 429543 0 156143 GAIL P HEAGEN 0.00 X 0 170070 81613 DEBRA ANN FLORES 40.00 X 370443 0 101795 DAVID LEVIN 40.00 X 392915 0 63867 DAVID L BERND 4.00 X X 0 3444338 669144 BERTRAM S REESE 40.00 X 773142 0 173627 ARTHUR D GREENE 40.00 X 343468 13738 63748 9043943 8142238 4417948 469 true true false PHILIPS MEDICAL SYSTEMS PO BOX 100355 ATLANTA GA 303840355 MEDICAL SYS SUPPORT 3734179 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 160266 MOBILE AL 36625 FOOD & FACIL. MGMT, 11115213 MASTERPLAN INC 21540 PLUMMER STREET CHATSWORTH CA 91311 MEDICAL SYS SUPPORT 11297235 CHAMBERLIN EDMONDS & ASSOC INC PO BOX 572490 MURRAY UT 841572490 REV RECOVERY SERVICE 3217541 ATLANTIC ANESTHESIA INC 134 BUSINESS PARK DRIVE VIRGINIA BEACH VA 23462 MEDICAL PROF SVS 6494348 160 104265 2610196 18583 2714461 PREMIUM & CAP REVENUE 900099 2686491 2686491 PATIENT SERVICE REVENUE 900099 904497065 904497065 PATIENT SERVICE REVENUE 900099 829074465 829099709 -25244 OUTSIDE LAB SERVICES 621500 22200562 22200562 OTHER PROG. SVCS. 900099 9892273 9892273 2211379 2211379 1770562235 2093444 2093444 0 0 1268772 41503 1227269 1227269 -30953 1258222 2206793 70436 2100571 196237 106222 -125801 -19579 -19579 0 0 0 MISC. SERVICES 900099 3660742 3660742 INCOME FROM S CORP 900099 235445 235445 CONVENIENCE STORE 900099 303742 303742 321976 71476 109151 141349 4521905 1781099735 1748458393 26149703 3777178 12657413 12657413 130428 130428 0 0 7045000 5776900 1268100 678833 556644 122189 574212962 470854629 103358333 41164483 33754876 7409607 46113666 37813206 8300460 42592155 34925567 7666588 14344864 11762788 2582076 763055 625705 137350 10500 8610 1890 0 0 0 110720951 108442211 2278740 1167356 957232 210124 408908252 335304767 73603485 18235012 14952710 3282302 0 30014927 24612240 5402687 1186062 972571 213491 0 238786 195805 42981 13239362 10856277 2383085 0 107564646 88203010 19361636 10771646 8832750 1938896 UNRELATED BUSINESS INCOME TAX 2111038 1731051 379987 PURCHASED & CONTRACTED SVCS. 11172790 9161688 2011102 OTHER EXPENSES 39295066 32221954 7073112 ORGANIZATION DUES 1178096 966039 212057 BAD DEBT EXPENSE 139376745 114288931 25087814 528664 433504 95160 1635422758 1360999506 274423252 0 12991696 12561047 0 0 194496237 201328411 0 0 546946 343778 31207934 32655963 12600641 10948945 2071345797 1212470444 798285485 858875353 13698568 5656991 0 0 21753478 21603478 196649418 148804847 1282230403 1292778813 31995942 46853800 2564316 1845526 42666667 37693333 1231947 966796 220582532 68203114 299041404 155562569 X 972450891 1127839942 8761221 7467214 1976887 1909088 983188999 1137216244 1282230403 1292778813 X 145676977 8350268 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10738107 3808369 251120 124184 5297110 9376302 12174468 5982663 1125939 149625 8395338 10738107 19435770 3089194 212128 158685 10403939 12174468 0.20360 0.79640 false false false 5967319 39924870 45892189 531709679 227273351 304436328 22182508 11905847 10276661 1252073978 956596299 295477679 219487443 16694947 202792496 858875353 INVESTMENT IN AFFILIATES 16491249 DUE FROM AFFILIATES 132191657 BOND ISSUANCE COSTS 121941 148804847 OTHER LONG TERM LIABILITIES 54282699 OTHER CURRENT LIABILITIES 11672107 DUE TO AFFILIATES 1312129 DUE TO 3RD PARTY PAYORS 936179 68203114 Part X Part X : FIN48 Footnote A reconciliation of the organization's beginning and ending liabilities for unrecognized tax benefits, which is included in other long-term liabilities in the organization's balance sheet, is as follows:Liability at beginning of year $1,010,552Additions based on current year tax positions 0Additions for tax positions of prior years 28,554Reductions for tax positions of prior years (419,000) $ 620,106As of December 31, 2010, the tax years ending December 31, 2007 through December 31, 2010 remain subject to examination by federal and state authorities. Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances PARTNERSHIP INCOME NOT ON BOOKS $1021957 BOOK RECLASS OF INTERCO ACCT BALANCES TO EQUITY $10032459 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Temporarily restricted contributions are to specific purpose funds or plant expansion funds. Specific purpose funds include general benefit funds such as bioterrorism response, Nightingale air ambulance, and the school of nursing gift fund. Other specific purpose funds are for scholarships, Education/research/symposium, cancer/oncology, and cardiac. Plant expansion funds include funds for general building, burn unit and cancer institute.Permanently restricted funds consist of income provisions for scholarships and educational resources for the school of nursing, to benefit cardiac education and research, and to support studies by the Cardiovascular Research Institute surgeons and cardiologists. Central America 0 0 Program Services Disaster Relief 15208 15208 15208 X false false false false false false Additional Supplemental Information THE ORGANIZATION PROVIDED MEDICAL SUPPLIES TO A U.S. VOLUNTEER GROUP FOR USE IN DISASTER RELIEF EFFORTS IN THE SPECIFIED REGION. THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO ACCOUNT FOR EXPENDITURES LISTED IN PART I, LINE 3, COLUMN (f). true true X true X true X 600.000000000 true true true false true true 79266847 79266847 0.05270 155595745 133706388 21889357 0.01460 234862592 133706388 101156204 0.06730 4127901 4127901 0.00270 27050245 9971029 17079216 0.01140 25837250 14721290 11115960 0.00740 977183 977183 0.00060 57992579 24692319 33300260 0.02210 292855171 158398707 134456464 0.08940 2558 2558 8360 8360 23454 23454 34372 34372 true 39787249 11880103 469791293 509382314 -39591021 X true true ORTHO HOSP MGT LLC ORTHO MGT SVCS 0.40000 0.60000 PET INSTITUTE OF HAMPTON RD MEDICAL SERVICES 0.13750 0.45000 OBICI REAL EST HOLDING CO REAL ESTATE RENTAL 0.56000 0.44000 CANCER CENTERS OF VA LLC EQUIPMENT LEASING 0.50000 0.50000 VA BEACH AMB SURG CTR OUTPATIENT SURGERY CENTER 0.45000 0.45000 SENTARA OBICI AMB SURG CTR OUTPATIENT SURGERY CENTER 0.50000 0.50000 PRINCESS ANNE AMB SURG MGT OUTPATIENT SURGERY CENTER 0.53320 0.46680 15 15 SENTARA OBICI AMB SURG CTR

2750 GODWIN BLVD SUFFOLK VA 23434

X AMBULATORY SURGERY CENTER 14 PRINCESS ANNE AMB SURG CTR

1975 GLENN MITCHELL DRIVE VA BEACH VA 23456

X AMBULATORY SURGERY CENTER 13 VA BEACH AMB SURG CTR

1700 WILL-O-WISP DRIVE VA BEACH VA 23454

X AMBULATORY SURGERY CENTER 12 GEDDY OUTPATIENT CTR AT SWRMC

400 SENTARA CIRCLE WILLIAMSBURG VA 23188

X AMBULATORY SURGERY CENTER 11 SENTARA BELLEHARBOUR

3920A BRIDGE ROAD SUFFOLK VA 23454

X X 10 SENTARA PORT WARWICK

1031 LOFTIS BLVD NEWPORT NEWS VA 23606

X X AMBULATORY SURGERY CENTER 9 SENTARA PRINCESS ANNE

1925 GLENN MITCHELL DRIVE VA BEACH VA 23456

X X 8 SENTARA LEIGH HOSP AMB SRG CTR

838 KEMPSVILLE ROAD NORFOLK VA 23502

X AMBULATORY SURGERY CENTER 7 SENTARA BAYSIDE HOSPITAL

800 INDEPENDENCE BLVD VA BEACH VA 23455

X X X X 6 SENTARA OBICI HOSPITAL

2800 GODWIN BLVD SUFFOLK VA 23434

X X X X 5 SENTARA WMSBG REG MED CTR

100 SENTARA CIRCLE WILLIAMSBURG VA 23188

X X X 4 SENTARA CAREPLEX HOSPITAL

3000 COLISEUM DRIVE HAMPTON VA 23666

X X X 3 SENTARA LEIGH HOSPITAL

830 KEMPSVILLE ROAD NORFOLK VA 23502

X X X X 2 SENTARA VA BEACH GEN HOSP

1060 FIRST COLONIAL ROAD VA BEACH VA 23454

X X X X 1 SENTARA NORFOLK GENERAL HOSP

600 GRESHAM DRIVE NORFOLK VA 23507

X X X X X SENTARA OBICI AMB SURG CTR 15 PRINCESS ANNE AMB SURG CTR 14 VA BEACH AMB SURG CTR 13 GEDDY OUTPATIENT CTR AT SWRMC 12 SENTARA BELLEHARBOUR 11 SENTARA PORT WARWICK 10 SENTARA PRINCESS ANNE 9 SENTARA LEIGH HOSP AMB SRG CTR 8 SENTARA BAYSIDE HOSPITAL 7 SENTARA OBICI HOSPITAL 6 SENTARA WMSBG REG MED CTR 5 SENTARA CAREPLEX HOSPITAL 4 SENTARA LEIGH HOSPITAL 3 SENTARA VA BEACH GEN HOSP 2 SENTARA NORFOLK GENERAL HOSP 1 40 Sentara Obici MammographyDiagnostic Center

913 S Church Street Smithfield VA 23430

Breast Diagnostic Center Sentara Cytogenetics Lab

1701 Will O Wisp Drive Suite 1E Virginia Beach VA 23454

Other Outpatient Site Sentara St Lukes - Smithfield Therapy Center

20209 Sentara Way Suite 102 Carrollton VA 23314

Rehabilitation Center The Lake Wright Center

5900-B Lake Wright Drive Norfolk VA 23502

Other Outpatient Site Sentara Laboratory Services St Lukes

5659 Parkway Drive Suite 100 Gloucester VA 23061

Lab Services Sentara Fort Norfolk Comprehensive Breast Center

301 Riverview Avenue Suite 830 Norfolk VA 23510

Breast Diagnostic Center Sentara Greenbrier HealthPlex Battlefield Therapy Center

713 Volvo Parkway Chesapeake VA 23320

Rehabilitation Center Gloucester Imaging Center

5659 Parkway Drive Suite 130 Gloucester VA 23061

Imaging Center Sentara Port Warwick Physical Therapy and Wound Care

11803 Jefferson Avenue Suite 125 Newport News VA 23606

Rehabilitation Center Sentara Mobile Mammography

880 Kempsville Road Norfolk VA 23502

Mobile Mammography Sentara Wakefield Physical Therapy

103 Railroad Avenue Wakefield VA 23888

Rehabilitation Center Sentara Grassfield Therapy Center

1001 Scenic Parkway Suite 101 Chesapeake VA 23323

Rehabilitation Center AIC FORT NORFOLK

301 RIVERVIEW AVE STE 830 Norfolk VA 23510

Imaging Center Sentara Mathews Physical Therapy

10758 Buckley Hall Road Mathews VA 23109

Rehabilitation Center Comprehensive Pain Management Center

400 Gresham Drive 712 Norfolk VA 23501

Pain Mgt. Center Sentara Coliseum Therapy Center CarePlex West

4001 Coliseum Drive Suite 200 Hampton VA 23666

Rehabilitation Center Sentara Indian River Therapy Center

5660 Indian River Road Suite 121 Virginia Beach VA 23464

Rehabilitation Center Sentara Obici Physical Therapy - Suffolk YMCA

Route 10/Godwin Blvd Suffolk VA 23434

Rehabilitation Center Sentara Battlefield Therapy Center

713 Volvo Parkway Suite 101 Chesapeake VA 23320

Rehabilitation Center Sentara Great Bridge Therapy Center

633 Battlefield Boulevard South Chesapeake VA 23322

Rehabilitation Center Ambulatory Care Clinic

130 Colley Avenue Norfolk Norfolk VA 23507

Other Outpatient Site Sentara Hand Therapy Center

420 North Center Drive Suite 100 norfolk VA 23502

Rehabilitation Center Sentara Norfolk General Day Rehabilitation Center

890 Kempsville Road Norfolk VA 23502

Rehabilitation Center Sentara CarePlex Therapy Center

4000 Coliseum Drive Suite 120 Hampton VA 23666

Rehabilitation Center CarePlex Medical Arts Sleep Lab

4000 Coliseum Drive Suite 350 Hampton VA 23666

Sleep Disorder Center Sentara Smithfield Physical Therapy

913 South Church Street Smithfield VA 23430

Rehabilitation Center Sentara Bayside Therapy Center

816 Independence Blvd Suite 3F Virginia Beach VA 23455

Rehabilitation Center Sentara Princess Anne Therapy Center

1950 Glenn Mitchell Dr Suite 210 Virginia Beach VA 23456

Rehabilitation Center Sentara Leigh Therapy Center

6315 North Center Drive Building 20 Norfolk VA 23502

Rehabilitation Center SWRMC Outpatient Physical Therapy

5301 Longhill Road Williamsburg VA 23188

Rehabilitation Center SWRMC Outpatient Rehabilitation Services

YMCA Building 301 Sentara Circle Williamsburg VA 23188

Rehabilitation Center Sentara Therapy Center of Ghent

400 - B West 21st Street Norfolk VA 23517

Rehabilitation Center Sentara Hilltop Therapy Center

1725 Laskin Road Suite 535 Virginia Beach VA 23454

Rehabilitation Center Sentara Virginia Beach General Hospital Pain Management Unit

1080 First Colonial Road Suite 201 Virginia Beach VA 23454

Pain Mgt. Center Sentara Leigh Comprehensive Breast Center

880 Kempsville Road Ste 1200 Norfolk VA 23502

Breast Diagnostic Center Greenbrier Diagnostic Center

713 Volvo Parkway Chesapeake VA 23320

Diagnostic Center Port Warwick Medical Arts

11803 Jefferson Avenue Newport News VA 23606

Other Outpatient Site Port Warwick-Vascular Ctr & Comprehensive Breast Ctr

1051 Loftis Blvd Suite 200 Newport News VA 23606

Diagnostic Centers Advanced Imaging Center - Leigh

890 Kempsville Road Norfolk VA 23502

Imaging Center Advanced Imaging Center -1st Col

1080 First Colonial Road Suite 101 Virginia Beach VA 23454

Imaging Center Part VI - Additional Information Part I Line 3bThe organization uses a sliding scale to provide discounted care to uninsured low income individuals, up to 600% of FPG. Uninsured individuals over 600% of FPG receive a 20% discount.Part I Line 7g$113,249 of the amount reported in column (e) is attributable to physician clinics. Part VI - Affilated Health Care System Roles and Promotion Sentara Healthcare, the organization's 501(c)(3) sole member, provides a number of programs to promote the health of the communities it serves, in addition to those identified for the organization. See Form 990 Part III Schedule O disclosure for further information on the services and facilities provided by the Sentara Healthcare System. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The organization's governing body is elected annually by the organization's sole member, Sentara Healthcare, a 501(c) tax-exempt organization, whose community-based board is comprised of a majority of members who are neither employees nor contractors of Sentara Healthcare, nor family members thereof.Generally, medical staff membership is open to all care providers who may qualify. The organization's surplus funds are used for improvements in patient care, provision of services to the uninsured and underinsured, medical education, and community programs. Part VI - Community Building Activities Coalition building - The organization participated in both the Coalition to Promote Advance Directives and the Senior Services Coalition. The Coalition to Promote Advance Directives engaged in planning activities to make advance care planning more effective for all members of the communities of Eastern Virginia. The Senior Services Coalition used grant funding to create a Community Action Plan on Aging for Greater Williamsburg, a ten-year plan to make Williamsburg a more livable community for seniors. Workforce development - High school students with an interest in health care careers have the opportunity to shadow and observe "a day in the life" of the organization's physicians. Students learn what type of education requirements they will need in order to enter the various health care professions and leave with a new awareness and respect for these professions. In addition, the Lamplight program specifically highlights careers in nursing, providing shadowing opportunities to area middle and high school students who are interested in nursing careers.Other - Employees of the organization participated in the United Way Day of Caring, which included Meals On Wheels deliveries; height, weight and vision screenings at a local elementary school; and various maintenance projects for other 501(c)(3) tax exempt organizations in the community. Part VI - Community Information Sentara Hospitals serves residents of over 30 cities and counties in southeastern Virginia and northeastern North Carolina. The area includes the Virginia Beach-Norfolk-Newport News, VA-NC Metropolitan Statistical Area and surrounding rural communities. The area is bordered to the east by the Atlantic Ocean and is noted for its waterways, including the Chesapeake Bay, Currituck Sound, and York, James and Elizabeth Rivers.The 2010 population of the organization's service area is 1,958,982 (source: Claritas) and is projected to grow by 2.4% over the next five years, compared to a projected U.S. growth rate of 4.1%. Currently approximately 12.4% of the population is age 65+, compared to 13.2% for the U.S. This age group is growing in size and is projected to comprise 13.8% of the organization's service area population in 2015.In terms of the racial and ethnic composition, 58.3% of the service area's population is white non-Hispanic; this compares to 64.7% nationwide. 31.0% of the area's population is black non-Hispanic; the U.S. comparison is 12.1%. The Hispanic ethnic group accounts for 4.9% of the population of the service area, compared to 15.8% nationwide. Other groups account for 5.8% within the service area and 7.4% nationally.Of the organization's service area adults, 87.4% have at least a high school level of education, compared to the 84.7% nationally. In 2010, the MSA's unemployment rate was 6.8%, compared to 9.3% nationally. Notably, about 5.7% of the area's workforce is employed in the Armed Forces.The average household income in the organization's service area is $70,173 compared to the U.S. household average of $71,071. 19.4% of the organization's service households have an annual income of $25,000 or less, compared to 22.3% of U.S. households. The 2010 Federal Poverty Guidelines for a family of three at 200% is $36,620. It is estimated that approximately 30% of the area's families meet this guideline. For 29 of the 32 cities and counties within the organization's service area, all or parts of the municipalities are designated as MUA (medically underserved area) or MUP (medically underserved population). Part VI - Patient Education of Eligibility for Assistance Financial assistance brochures and other information are posted at each point of service. A toll-free number is given to patients to reach customer service representatives during the business day for questions or concerns. Financial assistance programs are also published on the organization's website and included on the statements provided to patients. The organization employs financial counselors who are available to help patients complete applications for Medicaid or other government payment assistance programs, or apply for care under the organization's charity care policy, if applicable. The organization also employs an external firm to assist in the eligibility process. Part VI - Needs Assessment The organization assesses the health care needs of its community through these means:Annual analysis of area sociodemographic and health status data - The analysis focuses on identification of health care needs for health service planning. This analysis is utilized for orientation of Board members and senior hospital and medical staff leaders and is incorporated into the organization's strategic plans.Incorporation of health care needs assessments in the organization's tactical plans, i.e., facility plans, service line plans, etc. - In addition to the annual sociodemographic and health status data, additional information is obtained and analyzed.Review of health care needs assessments and data developed by community partners (such as state health departments and local health districts) and regional agencies (such as the planning council or planning district commission) - This information is incorporated into the organization's plans.Participation in collaborative health planning and needs assessment activities such as those sponsored by local health districts (MAPP - Mobilizing for Action through Planning and Partnerships) and other organizations such as United Way and Access Partnership - Information gathered through these activities is incorporated into the organization's planning.Information and input from patients and care providers - Patient characteristics and trends are reviewed to assist in identifying new community needs. Input from patients and care providers is sought and cycled into the assessment phase of projects.Other - Other means of assessment include the use of focus groups and surveys. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Collection practices are geared towards patients that have a high probability of being able to pay for services based on income level, credit rating, verifiable assets and ineligibility for charity programs. Efforts are made to exclude patients that do not have the ability to pay from the organization's collection practices. The organization performs internal precollection and bad debt collection functions and uses outside collection agencies on a second placement basis. The organization determines which patients are sent to outside agencies and guides the agencies in performing reasonable collection efforts. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Worksheet B in the instructions was used to compute the amount reported on line 6. Part III, Line 4 - Bad Debt Expense Worksheet A in the instructions was used to compute the amount reported on line 2.In computing line 3, the organization conservatively estimates that 30% of the remaining accounts would qualify for charity assistance if sufficient data was available. This estimate is based on credit reporting data purchased from Equifax. This data provides credit score, income prediction data and numerous lines of credit and asset data. For unresponsive patients, the organization uses the estimated income, marital status, asset information and credit line data to determine whether the patient would qualify for charity based on a projected income of 200% of the Federal Poverty Guidelines with little to no asset data. This information is not all inclusive for all unresponsive patients that could qualify as dependent information is not readily available. The organization's financial statements do not include a footnote describing bad debt expense. The financial statements account for bad debt by reserving 100% of the A/R debit and credit balances over 120 days. Bad debt expense is reported net of any discounts or collections on accounts that were previously written-off (i.e.: Bad debt write-offs - discounts - payments received). Part I, Line 7 - Explanation of Costing Methodology Part I Line 7A cost-to-charge ratio, calculated using Worksheet 2, was used to calculate costs reported in the table. Part I, Line 6a - Related Organization Community Benefit Report The organization's community benefit report is contained in a system-wide report prepared by Sentara Healthcare, the organization's 501(c)(3) sole member. true TIDEWATER EMER MED SER 6353 CENTER DR BUILDING 8 101 NORFOLK VA 23502 540977032 501(C)(3) 25400 0 DONATION/SPONSORSHIP SENTARA MEDICAL GROUP 6015 POPLAR HALL DRIVE NORFOLK VA 23502 541217184 501(C)(3) 0 266000 EHR SUBSIDIES SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK VA 23502 521271901 501(C)(3) 11260596 0 OVERHEAD ALLOCATIONS PENINSULA METROPOLITAN YMCA 101 LONG GREEN BLVD YORKTOWN VA 23693 540524905 501(C)(3) 13399 0 DONATION/SPONSORSHIP PEN EMR MEDICAL SER 5222 GEORGE WASHINGTON MEMORIAL HWY GLOUCESTER VA 23061 541064500 501(C)(3) 25000 0 DONATION/SPONSORSHIP OLDE TOWNE MEDICAL CENTER 5249 OLDE TOWNE RD WILLIAMSBURG VA 23188 541663905 501(C)(3) 100050 0 COMMUNITY HEALTH SUPPORT EASTERN VA MEDICAL SCHOOL PO Box 1980 NORFOLK VA 23501 237053208 501(C)(3) 895632 0 INDIGENT CARE 7 0 SCHOLARSHIPS 176 130428 Grantmaker's Description of How Grants are Used AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTHCARE, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM.THE ORGANIZATION ALSO DONATES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS WITH A SIMILAR MISSION OF PROVIDING AND PROMOTING HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. SUCH ORGANIZATIONS ALSO HAVE COMMUNITY BOARDS WHICH OVERSEE THE PROPER EXPENDITURES OF SUCH FUNDS.THE ORGANIZATION'S COLLEGE OF HEALTH SCIENCES, AS WELL AS SENTARA OBICI HOSPITAL'S SCHOOL OF PRACTICAL NURSING, AWARD SCHOLARSHIPS TO STUDENTS ON AN ON-GOING BASIS BASED ON NEED AND MERIT. RECIPIENTS ARE SELECTED FROM QUALIFIED APPLICANTS ACCORDING TO PRESCRIBED GUIDELINES. ALL SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS, AND THEIR USE IS MONITORED BY SCHOOL PERSONNEL. X X X X X true true X X X X true true false false false false false true false false TIMOTHY S JENNINGS 169900 64133 1121 62995 17061 315210 17861 THOMAS THAMES 247737 100003 1017 45329 17932 412018 40451 TERESA L EDWARDS 256757 73857 30569 58950 16122 436255 4517 SYLVIA RICHENDOLLAR 156942 80878 7897 131825 11556 389098 24814 STEPHEN PORTER 233616 95603 14790 79222 19224 442455 38218 ROSEMARY C CHECK 30058 67632 27563 62016 68472 154061 14597 32844 2980 6704 143670 323257 22940 51616 ROBERT W HOEFER 167508 70303 856 38346 19113 296126 24735 ROBERT LEE GRAVES 282359 200515 156856 86168 18997 744895 168067 ROBERT BROERMANN 540744 501389 20982 213639 28048 1304802 215688 RAYMOND G TROIANO 279023 106145 24153 75590 18989 503900 44223 PAUL D CHIDESTER MD 265704 83128 569 39079 17358 405838 13551 MICHAEL V GENTRY 366637 177105 101928 108866 13522 768058 18346 734 MEGAN R PERRY 281573 124761 39442 120826 18717 585319 36513 MARY LUCAS BLUNT 337838 318608 191018 133934 20392 1001790 190525 MARK A SZALWINSKI 300216 179485 19043 157992 26268 683004 53400 2136 LYNNETTE HOLDER 112606 14687 66207 8636 5074 662 45098 5883 16898 2204 245883 32072 25085 3272 LOIS KERCHER 123010 76626 1100 43810 7070 251616 29694 KURT HOFELICH 180386 69290 15205 78052 16537 359470 24525 KENNETH M KRAKAUR 425528 395520 108229 110469 21784 1061530 185786 JOSEPH T BUTZ 205771 82816 573 29641 14456 333257 7228 JENNIFER A BURROWS 183704 95983 569 36784 9944 326984 26511 HOWARD P KERN 674814 729038 27266 714210 19763 2165091 322495 GRACE R HINES 218466 95391 23255 142668 15603 495383 34654 GENEMARIE W MCGEE 160797 64540 265 86947 17005 329554 GENE H BURKE 286143 139241 4159 137747 18396 585686 45536 GAIL P HEAGEN 170070 81613 251683 DEBRA ANN FLORES 239108 112275 19060 93804 7991 472238 38218 DAVID LEVIN 276253 114153 2509 55172 8695 456782 38199 DAVID L BERND 994709 1306738 1142891 643792 25352 4113482 634843 BERTRAM S REESE 341306 356782 75054 150156 23471 946769 136406 ARTHUR D GREENE 251476 10059 80176 3207 11816 472 46915 1876 14382 575 404765 16189 16150 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above During 2010, the organization made non-fixed payments of compensation under the following incentive programs:Annual incentive program - Executives and senior leaders are eligible for annual awards based on system and individual performance. Both system and individual scores are determined after year-end, at which point awards may be paid and reported as compensation. Target and maximum opportunities vary by level. Top Hat- Within the annual incentive program, executives and senior leaders may receive additional incentive pay to reward exceptional individual performance.Long term incentive program - Executives and senior leaders are eligible for long-term incentive awards based on achieving system mission and strategic imperatives and values in the areas of financial performance, patient safety, clinical quality, and other key metrics over 3-year periods. Award opportunities vary by level. Prior to 2009, a new cycle began every other year. Awards were made in two installments with the first payment occurring within 90 days of the end of the performance period and the second payment, equal to the first payment plus interest, paid one year later. In 2010, the second payment associated with the 2006-2008 cycle was paid. Effective in 2009, the plan design was changed so that a new 3-year cycle begins each year. For Form 990 purposes, estimated annual earnings under each active cycle are reported as deferred compensation in the year earned; and actual earnings for each 3-year cycle are reported as incentive compensation in the year paid. Ecare incentive - An incentive to the select individuals for their roles in the successful implementation and operation of Sentara's electronic medical care system. Individual incentive levels vary by position.Key Contributor Awards - Rewards exceptional individuals or teams for significant contribution and results as recognized by business units. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. The indicated benefits are provided to certain executives of the organization as part of overall compensation packages which comply with the organization's obligation to pay no more than reasonable compensation.Companion travel and 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. Social club dues paid on behalf of the organization's 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. In limited circumstances, housing allowances are provided for temporary housing in connection with recruitment or retention of executives or key employees and are treated as additional taxable compensation and reported on Form W-2 as taxable wages. The organization also provides gross-up payments to senior executives on taxable dental and medical premiums paid, thereby creating additional compensation which is reported on Form W-2 as taxable wages. VHA SEE PART V 485434 HEALTHCARE SOLUTIONS false ST LUKES SEE PART V 7996804 CIP TRANSFER false ST LUKES SEE PART V 340502 RENT EXPENSE false HAMPTON ROADS LITHOTRIPSY SEE PART V 1000167 MEDICAL SERVICES false GLOUCESTER MEDICAL ARTS SEE PART V 174037 RENT EXPENSE false JULIE L PORTER SEE PART V 91441 EMPLOYMENT false SENTARA OBICI AMB SURGERY LLC SEE PART V 569959 SUPPLIES false SENTARA OBICI AMB SURGERY LLC SEE PART V 53164 CIP LOAN INTEREST false SENTARA OBICI AMB SURGERY LLC SEE PART V 818715 CIP LOAN PAYOFF false KAREN RICHENDOLLAR SEE PART V 38212 EMPLOYMENT false CANCER CENTERS OF VIRGINIA LLC SEE PART V 1684345 LEASED EMPLOYEES false CANCER CENTERS OF VIRGINIA LLC SEE PART V 3599543 EQUIP LEASE false RADIOLOGY SVS OF HAMPTON RDS LLC SEE PART V 1045046 REBATES false RADIOLOGY SVS OF HAMPTON RDS LLC SEE PART V 4132980 RADIOLOGY SRVCS false VA BEACH AMB SURG CENTER SEE PART V 120178 INVENTORY false PRINCESS ANNE AMB SURG MGT LLC SEE PART V 1035168 SUPPLIES false OPACCI LLC SEE PART V 722346 RENT EXPENSE false CAREPLEX WEST LLC SEE PART V 154259 RENT EXPENSE false PORT WARWICK III LLC SEE PART V 171905 RENT EXPENSE false PORT WARWICK II LLC SEE PART V 968781 RENT EXPENSE false LINDA RICHENDOLLAR SEE PART V 80932 EMPLOYMENT false MELISSA J HOEFER SEE PART V 93644 EMPLOYMENT false KATHERINE M HINES SEE PART V 79964 EMPLOYMENT false DEAN J BRUMMET SEE PART V 108778 EMPLOYMENT false TRANSACTIONS WITH INTERESTED PERSONSSCHEDULE L, PART IVDean J. Brummet is A family member of Key Employee Jennifer Burrows. Katherine M. Hines is A family member of Officer Grace Hines. Melissa J. Hoefer is A family member of Former officer Robert W. Hoefer. Julie L. Porter is A family member of Key Employee Stephen Porter. Karen and Linda Richendollar are family members of Key Employee Sylvia Richendollar. DIRECTOR KENNETH KRAKAUR IS A BOARD MEMBER OF PORT WARWICK II, LLC, PORT WARWICK III, LLC, OPACC I, LLC, AND GLOUCESTER MEDICAL ARTS, LLC, ALL JOINT VENTURES OF SENTARA VENTURES, INC., A TAXABLE AFFILIATE.DIRECTOR KENNETH KRAKAUR AND KEY EMPLOYEE MARK SZALWINSKI ARE BOARD MEMBERS OF CAREPLEX WEST, LLC, A JOINT VENTURE OF SENTARA VENTURES, INC., A TAXABLE AFFILIATE.KEY EMPLOYEE STEPHEN PORTER IS A BOARD MEMBER OF PRINCESS ANNE AMBULATORY SURGERY MANAGEMENT, LLC, A JOINT VENTURE OF THE ORGANIZATION.KEY EMPLOYEE RAYMOND TROIANO, M.D. IS A BOARD MEMBER OF VIRGINIA BEACH AMBULATORY SURGERY CENTER, A JOINT VENTURE OF THE ORGANIZATION.KEY EMPLOYEE MARK SZALWINSKI AND FORMER OFFICER KURT HOEFLICH ARE BOARD MEMBERS OF SENTARA OBICI AMBULATORY SURGERY, LLC, A JOINT VENTURE OF THE ORGANIZATION.KEY EMPLOYEE RAYMOND TROIANO IS A BOARD MEMBER OF RADIOLOGY SERVICES OF HAMPTON ROADS, LLC, A JOINT VENTURE OF BOTH THE ORGANIZATION AND SENTARA ENTERPRISES, A 501(C)(3) AFFILIATE.DIRECTOR AND OFFICER HOWARD KERN AND DIRECTOR KENNETH KRAKAUR ARE BOARD MEMBERS OF CANCER CENTERS OF VIRGINIA,LLC, A JOINT VENTURE OF THE ORGANIZATION.OFFICER AND DIRECTOR ROBERT BROERMANN IS A BOARD MEMBER OF HR LITHOTRIPSY, LLC, A JOINT VENTURE OF THE ORGANIZATION.KEY EMPLOYEE MARK SZALWINSKI AND FORMER OFFICER KURT HOFELICH ARE BOARD MEMBERS OF ST LUKES PROPERTIES, LLC, A JOINT VENTURE OF THE ORGANIZATION.DIRECTOR AND OFFICER HOWARD KERN IS A BOARD MEMBER OF VHA, AN ENTITY UNRELATED TO THE ORGANIZATION.The organization pays various expenses, such as health premiums and utilities, on behalf of its joint ventures, for which it is later reimbursed. For Schedule L purposes, expense reimbursements were not considered "business transactions" and accordingly, have not been reported.Directors/trustees/officers/key employees of the organization may also serve as directors/trustees/officers of related taxable entities within the Sentara Healthcare System. See Schedule R for a listing of transactions the organization had with these related taxable entities. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)VI. COMMITMENT TO THE COMMUNITYSENTARA'S BEDROCK INSTITUTION WAS FOUNDED IN 1888 IN NORFOLK AS A 25-BED RETREAT FOR THE SICK. TODAY'S ORGANIZATION IS TRULY AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES PATIENTS WITH A COHESIVE AND INTERLOCKING NETWORK OF CAREGIVING THAT SPANS FROM BIRTH THROUGH THE END OF LIFE. AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, SENTARA CONTINUOUSLY REINVESTS IN THE COMMUNITY--WITH THE PURCHASE OF THE MOST MEDICALLY ADVANCED TECHNOLOGY; IN NEW, STATE-OF-THE-ART HEALTHCARE FACILITIES; WITH TRAINING MEDICAL PROFESSIONALS AND WITH PROVIDING THE HIGHEST QUALITY HEALTHCARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IT'S NOT JUST OUR MISSION, IT'S OUR COMMITMENT TO THE COMMUNITY. A. THE SENTARA HEALTH FOUNDATIONTHE SENTARA HEALTH FOUNDATION WAS ESTABLISHED IN 1998 TO IMPROVE HEALTH AND QUALITY OF LIFE THROUGHOUT SOUTHEASTERN VIRGINIA AND NORTH CAROLINA, AND TO FURTHER DEMONSTRATE THE SENTARA NOT-FOR-PROFIT MISSION. THE FOUNDATION HAS TOUCHED THE LIVES OF MANY VIRGINIA RESIDENTS FROM THE EASTERN SHORE TO GREATER HAMPTON ROADS THROUGH GRANTS SUPPORTING COMMUNITY PROGRAMS. SPECIFICALLY, IT HAS AWARDED OVER $8 MILLION IN GRANTS ($629,500 in 2010). PROGRAMS INCLUDE MOBILE DENTAL CARE, PRENATAL SUPPORT, MEDICATION ASSISTANCE AND REDUCED-COST PRIMARY CARE. THE FOUNDATION ALSO SPONSORS COMMUNITY EVENTS, SUCH AS THE SUSAN G. KOMEN TIDEWATER RACE FOR THE CURE, THE AMERICAN HEART ASSOCIATION HEART GALA AND HEART WALK AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE. THE FOUNDATION'S CHARGE IS TO IDENTIFY COMMUNITY HEALTH-RELATED NEEDS AND ENABLE SOLUTIONS, WITH A PRIMARY FOCUS ON ACCESS TO BASIC HEALTH CARE SERVICES, IMPROVED PREGNANCY OUTCOMES, COALITION BUILDING AND SERVICES FOR FRAIL AND AT-RISK ELDERLY. B. IN SUPPORT OF THE COMMUNITYLED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS, SENTARA PROUDLY PROVIDES CARE TO ALL, AND REINVESTS IN THE COMMUNITY IN NUMEROUS WAYS. 1. CONTRIBUTIONSEACH YEAR, SENTARA PROVIDES MILLIONS OF DOLLARS IN BENEFITS TO THE COMMUNITY. IN 2010, SENTARA REINVESTED APPROXIMATELY $179.4 MILLION INTO THE COMMUNITIES IT SERVES. THAT EQUALS MORE THAN $490,000 FOR EACH DAY IN 2010. THE MAJORITY OF THAT--$162.5 MILLION--WENT TOWARD UNCOMPENSATED PATIENT CARE SERVICES, SERVING 178,000 UNINSURED AND UNDERINSURED PATIENTS IN 2010. THAT BREAKS DOWN TO PROVIDING APPROXIMATELY 488 PEOPLE EACH DAY WITH FREE SERVICES. SENTARA INVESTED ANOTHER $14.7 MILLION IN HEALTH CARE TEACHING PROGRAMS TO ENSURE A QUALIFIED POOL OF PHYSICIANS AND NURSES. OVER $2.2 MILLION WENT TOWARD LOCAL COMMUNITY PROGRAMS, WHICH EXTENDED HEALTH EVENTS AND HEALTH SCREENINGS TO MORE THAN 39,000 INDIVIDUALS IN 2010. IN ADDITION, SENTARA EMPLOYEES PROVIDE ANNUAL CONTRIBUTIONS TO THE UNITED WAY, AND NUMEROUS EMPLOYEES VOLUNTEER FOR "WORK CREWS" AT UNITED WAY AGENCIES FOR THE ANNUAL DAY OF CARING. SENTARA IS COMMITTED TO PROVIDING QUALITY HEALTH CARE TO ALL, REGARDLESS OF ABILITY TO PAY. UNDER SENTARA'S CHARITY CARE POLICIES, PATIENTS MEETING CERTAIN FINANCIAL CRITERIA RECEIVE CARE WITHOUT CHARGE OR WITH A SIGNIFICANT DISCOUNT. PATIENTS WITH FAMILY INCOMES AT LESS THAN 200% OF THE FEDERAL POVERTY LEVEL RECEIVE CARE WITHOUT CHARGE. PATIENTS WITH FAMILY INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL RECEIVE SIGNIFICANT SLIDING DISCOUNTS. IN 2010, SENTARA COVERED BILLS FOR OVER 178,000 PATIENTS WHO COULD NOT PAY THEIR MOUNTING MEDICAL EXPENSES.2. MEDICALLY UNDERSERVEDSENTARA MEDICAL GROUP'S PHYSICIANS AND MEDICAL STAFF VOLUNTEER THOUSANDS OF HOURS TO EASTERN VIRGINIA MEDICAL SCHOOL, AREA FREE CLINICS, COMMUNITY EDUCATION AND CIVIC AND CHARITABLE PROGRAMS. SENTARA'S PRIORITY IS TO OPEN DOORS OF ACCESS TO BASIC HEALTH CARE THAT MANY AMERICANS TAKE FOR GRANTED. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)SERVING A POPULATION OF MORE THAN 200,000, THE HOSPITAL ADMITS MORE THAN 15,500 INPATIENTS ANNUALLY AND DELIVERS CLOSE TO 1,750 BABIES EACH YEAR. IN ADDITION, RMH AVERAGES MORE THAN 18,000 SURGICAL PROCEDURES ANNUALLY, WHILE THE RMH HAHN CENTER PROVIDES MORE THAN 16,000 CANCER TREATMENTS PER YEAR AND THE RMH EMERGENCY DEPARTMENT TREATS MORE THAN 70,000 PATIENTS PER YEAR. SIGNATURE SERVICES INCLUDE A COMPREHENSIVE HEART AND VASCULAR CENTER, FAMILY BIRTHPLACE, CENTER FOR SLEEP MEDICINE, IMAGING SERVICES, BEHAVIORAL HEALTH SERVICES, WOMEN'S CENTER, AND WELLNESS CENTER. THE RMH MEDICAL GROUP EMPLOYS 77 PHYSICIANS IN 13 SPECIALTIES. THE RMH MEDICAL STAFF HAS 289 PHYSICIANS IN 40 SPECIALTIES. THE AFFILIATION WAS FINALIZED IN MAY OF 2011. 2. MARTHA JEFFERSON HOSPITALIN SEPTEMBER 2010, MARTHA JEFFERSON HOSPITAL (MJH) SIGNED A LETTER OF INTENT TO AFFILIATE WITH SENTARA HEALTHCARE. MJH IS A 176-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN CHARLOTTESVILLE, VA, THAT SHARES THE SAME MISSION AS SENTARA TO STRIVE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. TOGETHER THEY WILL CONTINUE PROVIDING PERSONALIZED HEALTH CARE TO THE RESIDENTS OF CHARLOTTESVILLE AND CENTRAL VIRGINIA. THE HOSPITAL ADMITS MORE THAN 11,000 INPATIENTS AND TREATS MORE THAN 214,000 OUTPATIENTS ANNUALLY, AND DELIVERS CLOSE TO 1,800 BABIES EACH YEAR. IN ADDITION, MJH PERFORMS MORE THAN 2,700 INPATIENT AND MORE THAN 3,600 OUTPATIENT SURGICAL PROCEDURES ANNUALLY, WHILE THE EMERGENCY DEPARTMENT TREATS MORE THAN 48,700 PATIENTS PER YEAR. MAJOR SERVICES INCLUDE A CANCER CARE CENTER, DIGESTIVE CARE CENTER, CARDIOLOGY CARE CENTER, ORTHOPAEDICS INCLUDING SPINE SURGERY & JOINT REPLACEMENT SURGERY, WEIGHT LOSS SURGERY, STROKE CENTER SURGERY, THORACIC SURGERY, VASCULAR MEDICINE & SURGERY, AND A WOMEN'S HEALTH CENTER. MJH EMPLOYS 1,600 STAFF MEMBERS, INCLUDING 470 PHYSICIANS REPRESENTING MORE THAN 40 SPECIALTIES. MJH WILL BE THE TENTH HOSPITAL IN THE SENTARA HEALTHCARE SYSTEM OF NOT-FOR-PROFIT HOSPITALS. THE ATTRIBUTES OF THE COMBINED SYSTEMS WILL BETTER POSITION THE HOSPITAL TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY THROUGH UTILIZATION OF TECHNOLOGIES AND INTEGRATED INFORMATION SYSTEMS WHILE ADDRESSING HEALTHCARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIROMENT. THE AFFILIATION WAS FINALIZED JUNE 1, 2011. III. CONSTANTLY LOOKING AHEADKNOWING HOW IMPORTANT IT IS TO KEEP UP WITH THE CHANGING TIMES, SENTARA CONSTANTLY SEEKS WAYS TO EXPAND AND ENHANCE ITS SERVICES. IT'S WHY WE AGGRESSIVELY RECRUIT PHYSICIANS AND STAFF WITH EXCEPTIONAL SKILLS AND STANDARDS. IT MEANS PURSUING RESEARCH AND CLINICAL TRIALS, SO THE LATEST METHODS WILL BE AVAILABLE TO OUR PATIENTS FIRST. SENTARA HAS A COMMITMENT TO GROW AS ONE OF THE NATION'S LEADING HEALTHCARE ORGANIZATIONS BY CREATING INNOVATIVE SYSTEMS OF CARE THAT HELP PEOPLE ACHIEVE AND MAINTAIN THEIR BEST POSSIBLE STATE OF HEALTH. WE FOCUS, PLAN AND ACT ON OUR COMMITMENT TO OUR COMMUNITY MISSION, TO OUR CUSTOMERS AND TO THE HIGHEST QUALITY STANDARDS OF HEALTHCARE TO ACHIEVE OUR VISION FOR THE FUTURE. A. EXPANSION OF SERVICE AREAS MEDICAL TRANSPORT, THE PREMIER COMMERCIAL EMS AGENCY AND AMBULANCE TRANSPORT SERVICE IN SOUTHEASTERN VIRGINIA, WITH ITS HOME OFFICE LOCATED IN VIRGINIA BEACH, VA, EXPANDED TO CHARLOTTESVILLE AND PETERSBURG, VA IN 2008, TO CHRISTIANBURG AND ROANOKE, VA IN 2009 AND TO THE PRINCE WILLIAM AREA IN 2010. MEDICAL TRANSPORT IS DEDICATED TO SERVING ITS PATIENTS WITH OUTSTANDING CUSTOMER SERVICE UTILIZING THE LARGEST FLEET OF AMBULANCES IN THE STATE OF VIRGINIA. SENTARA HOME CARE HAS BEEN BRINGING HIGH QUALITY HEALTHCARE HOME TO OUR PATIENTS SINCE 1982. TODAY, SENTARA HOME CARE SERVES PATIENTS THROUGHOUT MOST OF VIRGINIA AND BEYOND INCLUDING HAMPTON ROADS, RICHMOND, AND SEVERAL NORTHEASTERN NORTH CAROLINA COUNTIES. IN 2008 HOME CARE'S SERVICE AREA GREW TO INCLUDE CHARLOTTESVILLE AND COVINGTON, VA, AND IN 2009 IT EXPANDED EVEN FURTHER INTO BATH COUNTY IN WESTERN VIRGINIA. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)SENTARA SUPPORTS AND OPERATES UNCOMPENSATED CARE CLINICS THROUGHOUT THE REGION SUCH AS THE SENTARA AMBULATORY CARE CENTER (ACC). THE ACC IS A COLLABORATIVE EFFORT WITH EASTERN VIRGINIA MEDICAL SCHOOL AND IS LOCATED NEAR SENTARA NORFOLK GENERAL HOSPITAL. IT FEATURES AN APPOINTED SIDE, WHICH FUNCTIONS JUST LIKE A DOCTOR'S OFFICE AND A SAME-DAY "WALK-IN" SERVICE SIDE FOR MORE PRESSING AND IMMEDIATE HEALTH CONCERNS. THE APPOINTED SIDE OFFERS A HOST OF CLINICS AVAILABLE ON A ROTATING BASIS THROUGHOUT THE WEEK. THE WALK-IN SIDE FUNCTIONS LIKE AN URGENT CARE CENTER. C. IN SUPPORT OF EDUCATIONAS PART OF OUR COMMITMENT TO PROVIDE THE LATEST IN HEALTH INFORMATION, SENTARA OFFERS EXPLOREHEALTH WITH SENTARA, AN EDUCATIONAL PROGRAM THAT EXPLORES MEDICAL BREAKTHROUGHS, INNOVATIVE TREATMENT OPTIONS AND CONTEMPORARY HEALTH ISSUES IN OUR COMMUNITY. D. IN SUPPORT OF COMMUNITY HEALTH INITIATIVES1. SENTARA COMMUNITY HEALTH AND PREVENTIONAS PART OF SENTARA'S COMMITMENT TO PREVENTIVE HEALTH MEASURES, SENTARA PRESENTS SPECIAL COMMUNITY INITIATIVES THAT ARE DESIGNED TO EDUCATE THE COMMUNITY ABOUT ISSUES AFFECTING HEALTH. SENTARA PROMOTES INFORMATION CAMPAIGNS SUCH AS:--EATING FOR LIFE, AN AWARD-WINNING NUTRITION AND HEALTHY EATING PROGRAM--KNOW YOUR NUMBERS, A CARDIOVASCULAR RISK REDUCTION AND HEALTH IMPROVEMENT PROGRAM--WALK-ABOUT WITH HEALTHY EDGE, A WALKING PROGRAM THAT ENCOURAGES WALKING FOR CARDIOVASCULAR HEALTH--GET OFF YOUR BUTT: STAY SMOKELESS FOR LIFE, A SMOKING CESSATION PROGRAM--HEALTHY HEART PROGRAM, A CARDIOVASCULAR DISEASE REDUCTION PROGRAM--SENTARA LIVING, A COMPREHENSIVE WELLNESS PROGRAM FOR SENIORS --SENTARA'S MOBILE MAMMOGRAPHY UNIT VISITS NUMEROUS WORK SITES EVERY YEAR TO ENCOURAGE WELLNESS. --CAMP LIGHTHOUSE, A GRIEF CAMP FOR KIDS AGES 5-16 WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE. 2. TOBACCO FREE ENVIRONMENTSHOSPITALS SEE THE EFFECTS OF TOBACCO EVERY DAY IN HEART DISEASE, RESPIRATORY AILMENTS AND CANCERS. IN RESPONSE SENTARA HAS IMPLEMENTED ITS TOBACCO FREE ENVIRONMENT (TFE) CAMPAIGN. NO ONE IS ALLOWED TO SMOKE, CHEW OR DIP ANYWHERE ON CAMPUS, NOT EVEN IN CARS. THE GOAL IS NOT JUST TO AVOID THE AESTHETIC AND HEALTH ISSUES OF SECOND-HAND SMOKE, BUT TO PUT SENTARA'S MISSION INTO PRACTICE BY ENCOURAGING AND HELPING STAFF, PATIENTS AND VISITORS TO QUIT THIS HABIT. AS OF JANUARY 1, 2010, ALL SENTARA FACILITIES SYSTEM-WIDE HAVE ADOPTED THE TOBACCO FREE ENVIRONMENT INITIATIVES, WITH THE EXCEPTION OF SENTARA POTOMAC HOSPITAL WHICH WILL BE TOBACCO FREE IN 2011. IN ADDITION, SENTARA HEALTHCARE HAS EARNED THE AMERICAN CANCER SOCIETY "EXCELLENCE IN THE WORKPLACE TOBACCO CONTROL" AWARD FOR ITS EFFORTS. VII. OPTIMA HEALTH PLANA. IMPROVING HEALTHOPERATING WITH THE SAME MISSION IN MIND--TO IMPROVE HEALTH EVERYDAY--IS SENTARA'S HEALTH PLAN, OPTIMA HEALTH. WITH MORE THAN 25 YEARS OF HEALTH INSURANCE EXPERIENCE, OPTIMA HEALTH PROVIDES HEALTH PLAN COVERAGE TO MORE THAN 415,000 MEMBERS THROUGHOUT THE STATE. OUR QUALITY PROVIDER NETWORK FEATURES MORE THAN 15,000 PROVIDERS INCLUDING SPECIALISTS, PRIMARY CARE PHYSICIANS AND HOSPITALS ACROSS VIRGINIA. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)OPTIMA OFFERS ASSISTANCE IN REDUCING HEALTH RISKS, IMPROVING HEALTH AND PREVENTING DISEASE. THIS IS ACCOMPLISHED THROUGH HEALTH SCREENINGS, DIRECT MAILINGS AND COMMUNITY PARTNERSHIPS. EFFORTS FOR "AT RISK" POPULATIONS INCLUDE SPECIFIC INTERVENTIONS TO INCREASE PRENATAL CARE, CANCER SCREENINGS, IMMUNIZATIONS AND PREVENTIVE HEALTH VISITS WITH PHYSICIANS. OPTIMA ALSO OFFERS PREVENTION PROGRAMS TO REDUCE HEALTH RISKS THAT CONTRIBUTE TO CARDIOVASCULAR AND RESPIRATORY DISEASE. B. SUPPORTING THE COMMUNITYIN PARTNERSHIP WITH THE NORFOLK DEPARTMENT OF NEIGHBORHOOD & LEISURE SERVICES, OPTIMA ALSO SPONSORS A GIRLS COMMUNITY BASKETBALL PROGRAM WHICH SERVES MORE THAN 1,400 AT-RISK MIDDLE SCHOOL GIRLS THROUGHOUT VIRGINIA. THIS PROGRAM COMBINES HEALTH EDUCATION WITH SPORTS TO PROMOTE HEALTHY LIFESTYLE DECISIONS. PARTICIPANTS MUST ATTEND MANDATORY HEALTH EDUCATION CLASSES BEFORE GAMES, AS WELL AS PARTICIPATE IN PROGRAMS ON TOPICS SUCH AS CARDIOVASCULAR HEALTH, ASTHMA, DIABETES, HEALTHY EATING, AVOIDING TOBACCO AND DRUGS AND SEXUAL HEALTH. THIS PROGRAM WAS AWARDED THE 2008 COMMUNITY LEADERSHIP AWARD FROM AMERICA'S HEALTH INSURANCE PLANS (AHIP). C. ACCREDITATION AND AWARDSTHE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) HAS RECOGNIZED OUR QUEST FOR EXCELLENCE BY AWARDING OUR COMMERCIAL HMO AND MEDICAID HMO PRODUCTS WITH AN "EXCELLENT" ACCREDITATION STATUS. THIS RATING HAS BEEN MAINTAINED SINCE 1998, A CLAIM NO OTHER HEALTH PLAN IN THE REGION CAN MAKE. OPTIMA HEALTH RECEIVED AN A+ RATING FROM THE STREET (WEISS RATINGS, INC) FOR FINANCIAL SOUNDNESS, RECOGNIZING ITS ABILITY TO WITHSTAND SEVERE ECONOMIC ADVERSITY AND SHOWING EXCEPTIONAL FINANCIAL STRENGTH. THESTREET.COM IS THE NATION'S LEADING INDEPENDENT PROVIDER OF RATINGS AND ANALYSES OF FINANCIAL SERVICE COMPANIES, MUTUAL FUNDS, AND STOCKS. THE RATING RECOGNIZES OPTIMA HEALTH AS AN OUTSTANDING INSURER OFFERING EXCELLENT FINANCIAL STABILITY FOR ITS CUSTOMERS, VENDORS, AND EMPLOYEES. FEWER THAN FIVE PERCENT OF THE NATION'S HMO'S AND HEALTH INSURERS MEET THESTREET.COM RATING'S CRITERIA FOR EXCEPTIONAL FINANCIAL STRENGTH. WHILE OFFERING PROGRAMS TO PREVENT DISEASE AND HELP FAMILIES STAY WELL, OPTIMA STANDS OUT THROUGH SENTARA'S PASSION FOR HEALTH AND SERVICE EXCELLENCE. OPTIMA HEALTH WAS NAMED THE 2006/2007 CUSTOMER CARE AWARD WINNER FOR THE STATE OF VIRGINIA BY THE NATIONAL RESEARCH CORPORATION. AT SENTARA HEALTHCARE OUR MISSION IS TO IMPROVE HEALTH EVERYDAY. FROM OUR DEDICATION TO QUALITY TO OUR COMMITMENT TO THE COMMUNITY WE STRIVE TO FULFILL THIS MISSION FOR THE OVER TWO MILLION HAMPTON ROADS RESIDENTS AND THE OVER 370,000 NORTHERN VIRGINIA RESIDENTS WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)G. SENTARA LEIGH TOWERAT THE END OF 2010, THE CERTIFICATE OF PUBLIC NEED FILED BY SENTARA HEALTHCARE TO BUILD A FIVE STORY STATE-OF-THE-ART REPLACEMENT BED TOWER AT SENTARA LEIGH HOSPITAL WAS APPROVED. WITH BOOMING VOLUMES IN ORTHOPAEDICS, GYNECOLOGY AND GENERAL SURGERY AND MULTI-MILLION DOLLAR IMPROVEMENTS UNDERWAY TO THE EMERGENCY DEPARTMENT, OPERATING ROOMS AND STERILE SUPPORT AREAS, SENTARA LEIGH IS COMPLETING THE PACKAGE BY CONSTRUCTING A NEW TOWER TO SERVE THE FUTURE NEEDS OF ITS MANY PATIENTS FROM NORFOLK, VIRGINIA BEACH AND CHESAPEAKE. GROUNDBREAKING IS EXPECTED IN THE FALL OF 2011. V. SENTARA QUALITY & PATIENT SAFETY DISTINCTIONSA. MEASURING QUALITY HEALTHCARESINCE OUR HEALTH SYSTEM'S EARLIEST YEARS, MORE THAN 120 YEARS AGO, WE HAVE BELIEVED THE COMMUNITY DESERVES HEALTHCARE THAT IS MEASURABLY BETTER. SENTARA'S GOAL IS TO LEAD THE INDUSTRY TO ACHIEVE TOP 10 PERCENT PERFORMANCE WHEREVER NATIONAL BENCHMARKS EXIST. THESE RESULTS ARE THE MEASURES THAT CAN BE EXAMINED THROUGHOUT OUR ORGANIZATION.1. TOP 100 INTEGRATED HEALTHCARE NETWORKSENTARA HAS CONSISTENTLY RANKED AMONG THE NATION'S TOP INTEGRATED HEALTHCARE NETWORKS AS PUBLISHED IN MODERN HEALTHCARE'S FACT-BASED RANKING. THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY TO BE AMONG THE NATION'S TOP 10 FOR ALL 14 YEARS OF THE SURVEY, SENTARA HAS LANDED AT NUMBER ONE IN 2001 AND AGAIN IN 2010. THE STUDY, PUBLISHED ANNUALLY, HIGHLIGHTS THE TOP 100 INTEGRATED HEALTH CARE NETWORKS ACROSS THE NATION AS SELECTED BY SDI, A HEALTH INFORMATION COMPANY. 2. USING TECHNOLOGY TO IMPROVE CARESENTARA NORFOLK GENERAL HOSPITAL WAS NAMED AS ONE OF THE NATION'S MOST WIRED HOSPITALS DURING 2010, ACCORDING TO THE RESULTS OF THE 2010 MOST WIRED SURVEY AND BENCHMARKING STUDY. THE "MOST WIRED" HOSPITALS USE COMPUTERS TO ENABLE PHYSICIANS TO CHECK OR ORDER PATIENT TESTS AND ENTER MEDICATION ORDERS ELECTRONICALLY, AND TO ENABLE PATIENTS TO PERFORM BILLING FUNCTIONS VIA COMPUTER. HOSPITALS ARE NAMED TO THE LIST BASED ON HOW THEY USE TECHNOLOGY TO ADDRESS SAFETY AND QUALITY, CUSTOMER SERVICE, BUSINESS PROCESSES, WORKFORCE AND PUBLIC HEALTH AND SAFETY. AMONG THE REASONS SENTARA NORFOLK GENERAL HOSPITAL WAS INCLUDED ON THE LIST WAS ITS INVESTMENT IN THE ELECTRONIC MEDICAL RECORD SYSTEM, SENTARA ECARE. IN 2010, SENTARA HEALTHCARE WAS ALSO HONORED AS A RECIPIENT OF THE 2010 HIMSS (HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY) DAVIES AWARD. HIMSS ANALYTICS, A COMPANY THAT COLLECTS AND ANALYZES HEALTHCARE DATA RELATED TO ITS PROCESSES AND ENVIRONMENTS, RECOGNIZES HEALTHCARE ORGANIZATIONS FOR SUCCESSFUL IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY SYSTEMS, SUCH AS SENTARA ECARE, AS WELL AS A PROVEN ABILITY TO DERIVE VALUE IN THE FORM OF IMPROVED PATIENT CARE. SENTARA HEALTHCARE WAS HONORED WITH ITS STAGE 7 AWARD, A NATIONAL RECOGNITION WHICH REPRESENTS ATTAINMENT OF THE HIGHEST LEVEL OF ELECTRONIC MEDICAL RECORD ADOPTION MODEL-SM (EMRAM). WITH THIS AWARD, SENTARA JOINS A SELECT GROUP OF HEALTH SYSTEMS ACROSS THE COUNTRY TO HAVE ATTAINED THIS LEVEL OF ELECTRONIC MEDICAL RECORD IMPLEMENTATION. 3. AWARD-WINING CARDIAC CARESENTARA HEART HOSPITAL IS A COMPREHENSIVE NETWORK OF PROVIDERS, FACILITIES AND SERVICES WORKING TOGETHER TO ENSURE THE HIGHEST LEVEL OF CARDIAC CARE TO PATIENTS THROUGHOUT THE REGION. IT IS A REGIONAL AND NATIONAL LEADER IN CARDIAC CARE. FOR THE 11TH YEAR, SENTARA HEART HOSPITAL/SENTARA NORFOLK GENERAL HOSPITAL RANKED AMONG THE NATION'S BEST HEART PROGRAMS IN U.S. NEWS & WORLD REPORT'S 2010-2011 BEST HOSPITALS ISSUE. LISTED 43RD IN THE RANKING, SENTARA POSTS A MORTALITY SCORE THAT IS BETTER THAN FIVE OF THE TOP 10 PROGRAMS ON THE LIST. SENTARA REMAINS THE ONLY HEART PROGRAM IN THE REGION AND ONLY ONE OF TWO HOSPITALS IN VIRGINIA TO BE RANKED BY U.S. NEWS & WORLD REPORT. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)B. EXPANSION OF EDUCATIONAL SERVICES IN ADDITION TO EXPANDING OUR SERVICE AREA, SENTARA HAS ALSO EXPANDED ITS EDUCATIONAL SERVICES. THE SENTARA SCHOOL OF HEALTH PROFESSIONALS HAS CHANGED ITS NAME TO THE SENTARA COLLEGE OF HEALTH SCIENCES (SCHS) TO COINCIDE WITH APPROVAL TO OFFER A BACCALAUREATE DEGREE IN NURSING. THIS IS A BIG STEP IN PRESTIGE FOR THE SCHOOL, WHICH WILL QUALIFY GRADUATES TO APPLY FOR AN ADVANCED DEGREE PROGRAM SHOULD THEY WANT TO OBTAIN A MASTER OF SCIENCE DEGREE IN NURSING. SCHS WILL CONTINUE TO OFFER PROGRAMS IN TECHNICAL SUPPORT POSITIONS AS WELL. IV. BUILDING FOR THE FUTUREDELIVERING SUPERIOR OUTCOMES FOR OUR PATIENTS IS SENTARA'S FOREMOST GOAL. TO ASSURE THIS, WE SEEK WAYS TO EXPAND AND ENHANCE OUR SERVICES. THE NEXT DECADE WILL BE CHARACTERIZED BY INSPIRING GROWTH AND CHANGE--ALL DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND OUR PATIENTS. A. SENTARA LAKE RIDGECONSTRUCTION WILL BEGIN IN AUGUST 2011 ON SENTARA LAKE RIDGE-AN INNOVATIVE AND MODERN OUTPATIENT CAMPUS THAT WILL OFFER CONVENIENT, HIGH QUALITY MEDICAL SERVICES AND A PATIENT-FOCUSED EXPERIENCE. SENTARA LAKE RIDGE IS SENTARA HEALTHCARE'S FIRST OUTPATIENT FACILITY IN NORTHERN VIRGINIA TO PROVIDE 24-HOUR EMERGENCY CARE, AND ADVANCED IMAGING BY BOARD-CERTIFIED PHYSICIANS AND LABORATORY SERVICES. THE 43,500 SQUARE-FOOT FACILITY IS EXPECTED TO OPEN IN SPRING 2012. B. SENTARA PRINCESS ANNE HOSPITALIN PARTNERSHIP WITH BON SECOURS VIRGINIA, CONSTRUCTION BEGAN ON SENTARA PRINCESS ANNE HOSPITAL IN 2008. THE 5-STORY ACUTE CARE HOSPITAL OPENED ITS DOORS IN AUGUST, 2011. SOUTHERN VIRGINIA BEACH RESIDENTS HAVE ACCESS TO A STATE-OF-THE-ART ACUTE CARE HOSPITAL BUILT FOR THE FUTURE. THIS 330,400-SQUARE-FOOT HOSPITAL WILL COMPLEMENT THE CONVENIENT OUTPATIENT SERVICES ALREADY BEING PROVIDED AT SENTARA PRINCESS ANNE HEALTH CAMPUS. CURRENTLY LICENSED FOR 154 BEDS, THIS HOSPITAL WILL OFFER COMPREHENSIVE SURGICAL PROCEDURES, INTENSIVE CARE, ADVANCED CARDIAC CARE, AND A DEDICATED FAMILY MATERNITY CENTER. C. NEW PATIENT WING AT SENTARA OBICITHE ADDITION OF A NEW WING TO SENTARA OBICI HOSPITAL WAS COMPLETED IN JUNE OF 2010. THE NEW THREE-STORY, 63,480 SQUARE-FOOT WING INCLUDES ALL PRIVATE BEDS SERVING ORTHOPAEDIC, MEDICAL AND SURGICAL PATIENTS, AND WILL INCREASE THE HOSPITAL'S BED CAPACITY TO 168 BEDS. THE GOAL IS TO IMPROVE CARE AND ACCESS FOR SENTARA OBICI HOSPITAL PATIENTS AND THE SURROUNDING COMMUNITY, WHICH IS EXPECTED TO GROW 10 PERCENT BETWEEN 2009 AND 2014.D. ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEXSENTARA CAREPLEX HOSPITAL ALSO BEGAN AN EXPANSION IN 2008, DEDICATED EXCLUSIVELY TO ORTHOPAEDIC SERVICES. THE ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEX, WHICH OPENED IN JULY 2010, IS THE AREA'S FIRST DEDICATED ORTHOPAEDIC HOSPITAL, TAKING SPECIALIZED ORTHOPAEDIC CARE TO A NEW LEVEL. THE 55,000 SQUARE-FOOT, TWO-STORY FACILITY PROVIDES PATIENTS ACCESS TO THE FULL CONTINUUM OF ORTHOPAEDIC SERVICES, FROM THE PRE-OPERATIVE PHASE AND SURGERY TO REHABILITATION AND HOME CARE SERVICES. E. SENTARA ST. LUKE'SIN OCTOBER 2008, CONSTRUCTION BEGAN ON A NEW CAMPUS AT SENTARA SAINT LUKE'S, AN OUTPATIENT HEALTH CAMPUS LOCATED IN ISLE OF WIGHT COUNTY. FIRST TO OPEN IN 2010 WAS A TWO-STORY, 52,000 SQUARE-FOOT MEDICAL OFFICE BUILDING THAT FEATURES AN URGENT CARE CENTER, AN ADVANCED IMAGING CENTER, LABORATORY SERVICES, AND PHYSICAL THERAPY SERVICES. IT ALSO HOUSES SEVERAL PRIMARY CARE AND SPECIALTY PHYSICIANS. F. SECOND PACE LOCATIONA SECOND LOCATION FOR THE PACE PROGRAM OPERATED BY SENTARA LIFE CARE CORPORATION, SENTARA'S LONG-TERM CARE DIVISION, OPENED IN PORTSMOUTH, VA IN MARCH OF 2010. PACE, OR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, IS AN ADULT DAY CARE PROGRAM THAT IS A NURSING HOME ALTERNATIVE. THE FIRST OF ITS KIND IN VIRGINIA, THE PROGRAM IS A PREPAID HEALTH PLAN THAT PROVIDES TOTAL CARE FOR PARTICIPANTS, INCLUDING COMPREHENSIVE MEDICAL AND REHABILITATIVE SERVICES, IN-HOME SERVICES AND TRANSPORTATION. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)4. OUTSTANDING CANCER CARETHE SENTARA CANCER NETWORK WAS AWARDED AN OUTSTANDING ACHIEVEMENT AWARD FOR 2009 FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. ONLY 18 PERCENT OF 432 PROGRAMS SURVEYED DURING THE YEAR RECEIVED OUTSTANDING ACHIEVEMENT AWARDS-BASED ON FACTORS SUCH AS LEADERSHIP, RESEARCH AND QUALITY IMPROVEMENT. THE ACCREDITED PORTION OF THE SENTARA CANCER NETWORK INCLUDES SENTARA NORFOLK GENERAL HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. SENTARA LEIGH HOSPITAL WAS ADDED IN 2010. IN ADDITION, SENTARA POTOMAC HOSPITAL EARNED AN OUTSTANDING ACHIEVEMENT AWARD UNDER THE CATEGORY OF COMMUNITY HOSPITAL CANCER PROGRAMS. THE SENTARA CANCER NETWORK AND SENTARA POTOMAC HOSPITAL ARE THE ONLY CANCER PROGRAMS IN VIRGINIA TO EARN OUTSTANDING ACHIEVEMENT AWARDS FOR 2009. 5. COMPREHENSIVE BREAST HEALTH SERVICESSENTARA IS HOME TO SIX BREAST CENTERS. THREE OF SENTARA'S COMPREHENSIVE BREAST CENTERS ARE ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS WITH THREE ADDITIONAL CENTERS ACCREDITED IN 2011. TO GAIN ACCREDITATION THE CENTERS MUST FOLLOW A MULTIDISCIPLINARY TEAM APPROACH, PROVIDE ACCESS TO CLINICAL TRIAL INFORMATION AND OFFER NEW TREATMENT OPTIONS, AMONG OTHER REQUIREMENTS. THE BREAST CENTERS ARE ALSO AMONG THE ELITE GROUP DESIGNATED AS AN AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE. AFTER RIGOROUS EVALUATION OF STAFF, EQUIPMENT, PHYSICIAN CREDENTIALS, TECHNIQUE AND IMAGE QUALITY, THE CENTERS ARE NOW FULLY ACCREDITED IN THE THREE MAJOR AREAS OF BREAST IMAGING AND CANCER DETECTION, MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND ULTRASOUND-GUIDED BIOPSY.6. WEIGHT LOSS SURGERY EXCELLENCEAFTER A DETAILED REVIEW OF CLINICAL QUALITY AND SAFETY, SURGICAL OUTCOMES, AND OVERALL PERFORMANCE, WEIGHT LOSS SURGERY PROGRAMS AT SENTARA CAREPLEX HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL AND SENTARA POTOMAC HOSPITAL HAVE RECEIVED DESIGNATION AS A WEIGHT LOSS SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. 7. CLINICAL EXCELLENCESENTARA BAYSIDE HOSPITAL WAS AWARDED A 'VOLUNTARY HOSPITALS OF AMERICA (VHA) 2009 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE' FOR ACHIEVING A HIGH LEVEL OF PERFORMANCE IN AMI (ACUTE MYOCARDIAL INFARCTION), HEART FAILURE, PNEUMONIA AND SURGICAL CARE IMPROVEMENT PROGRAM (SCIP) CLINICAL QUALITY INDICATORS AS MEASURED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION. 8. GOLD SEAL OF APPROVALTHE JOINT COMMISSION HAS GIVEN SEVERAL SENTARA HOSPITALS ITS GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION. SENTARA NORFOLK GENERAL EARNED VASCULAR CERTIFICATION. THE JOINT COMMISSION ALSO RECOGNIZED SENTARA VIRGINIA BEACH GENERAL HOSPITAL FOR HEART FAILURE AND ACUTE MYOCARDIAL INFARCTION CARE. 9. EXCELLENCE IN STROKE CARESENTARA IS THE FIRST HOSPITAL IN THE REGION TO OFFER NATIONALLY CERTIFIED LEVELS OF STROKE CARE AT FIVE DISTINCT LOCATIONS. THE SENTARA PRIMARY STROKE CENTERS AT SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL AND SENTARA CAREPLEX HOSPITAL HAVE EARNED THE GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER IS ACCREDITED BY THE DNVHC (DET NORSKE VERITAS HEALTHCARE, INC) AS A CERTIFIED PRIMARY STROKE CENTER BASED ON ITS CONTINUAL INTEGRATION OF QUALITY STANDARDS FOR MANAGEMENT OF STROKE PATIENTS. 10. HMC TOP QUALITY AWARDTHE HEALTHCARE MANAGEMENT COUNCIL (HMC) ISSUED ITS FIRST TOP QUALITY AWARDS AMONG ITS MEMBER HOSPITALS IN 2010. HMC CLIENT HOSPITALS WORK AGAINST A COMPLEX MATRIX OF PERFORMANCE BENCHMARKS TO IMPROVE CLINICAL OUTCOMES, SAFETY, QUALITY, AND FINANCIALS. ONLY SIX HOSPITALS RECEIVED PERFORMANCE AWARDS THIS YEAR. AMONG THE FOUR HONORABLE MENTIONS WAS SENTARA LEIGH HOSPITAL. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)1. THE LEAPFROG HOSPITAL SURVEYTHE LEAPFROG HOSPITAL RECOGNITION PROGRAM (LHRP) RECOGNIZES AND REWARDS HOSPITALS THAT DEMONSTRATE EXCELLENCE OR IMPROVEMENT IN THE PERFORMANCE AREAS OF PATIENT SAFETY, QUALITY, AND RESOURCE UTILIZATION. THE LHRP HAS RECOGNIZED SENTARA CAREPLEX HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA BAYSIDE HOSPITAL, AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER FOR TOP-LEVEL PERFORMANCE DURING 2010. THE ANNUAL SURVEY RECOGNIZED 65 OUT OF A FIELD OF NEARLY 1,200 HOSPITALS ACROSS 45 STATES. THE 2010 LIST INCLUDES UNIVERSITY AND OTHER TEACHING HOSPITALS, CHILDREN'S HOSPITALS AND COMMUNITY HOSPITALS IN RURAL, SUBURBAN AND URBAN SETTINGS. THE SELECTION IS BASED ON THE RESULTS OF THE LEAPFROG GROUP'S NATIONAL SURVEY THAT MEASURES HOSPITALS' PERFORMANCE IN CRUCIAL AREAS OF PATIENT SAFETY AND QUALITY. 2. INFECTION PREVENTIONPREVENTION OF HEALTH CARE-ASSOCIATED INFECTIONS IS A NATIONAL CONCERN, AND SENTARA CONTINUALLY STRIVES TO REDUCE THESE CASES. ALL SENTARA HOSPITALS HAVE BEEN WORKING DILIGENTLY TO REDUCE THE OCCURRENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP), WHICH CAN DEVELOP IN PATIENTS WHO HAVE BEEN ON MECHANICAL VENTILATION FOR 48 HOURS OR MORE. IN 2010, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER MARKED SIX CONSECUTIVE YEARS WITH ZERO CASES OF VAP. FURTHER EMPHASIZING THE SIGNIFICANCE OF THIS ACCOMPLISHMENT, VOLUNTARY HOSPITALS OF AMERICA (VHA), A VOLUNTARY NATIONAL ORGANIZATION FOCUSED ON HEALTH CARE FINANCIAL PERFORMANCE THROUGH CLINICAL EXCELLENCE AND SUPPLY CHAIN MANAGEMENT, PLANS TO "BLUEPRINT" THE PRACTICES AT SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AS A MODEL FOR HOSPITALS ACROSS THE COUNTRY. ADDITIONALLY, CENTRAL LINE BLOODSTREAM INFECTIONS HAVE ALSO BEEN SHARPLY REDUCED. SENTARA BAYSIDE HOSPITAL IS ONE OF ONLY FIVE HOSPITALS IN VIRGINIA AND MENTIONED AMONG THE BEST IN THE COUNTRY FOR PROTECTING PATIENTS IN THE INTENSIVE CARE UNIT AGAINST LIFE-THREATENING CENTRAL LINE BLOODSTREAM INFECTIONS IN CONSUMER REPORTS MAGAZINE. 3. FAMILY INITIATED RAPID RESPONSE SAFETY TEAMIN 2008, SENTARA CAREPLEX HOSPITAL INTRODUCED THE FAMILY INITIATED RAPID RESPONSE SAFETY TEAM (FIRRST), A TOOL WHICH ALLOWS PATIENTS OR FAMILY MEMBERS TO INITIATE AN EMERGENCY CALL TO THE SAFETY RESPONSE TEAM FROM WITHIN THE HOSPITAL IF THEY DETECT SUBTLE CHANGES IN A PATIENT'S CONDITION. FIRRST CREATES A PARTNERSHIP BETWEEN PATIENTS, FAMILIES, VISITORS, NURSES AND PHYSICIANS AND HELPS HOSPITALS COMPLY WITH NATIONAL PATIENT SAFETY GOALS BY ENCOURAGING PATIENTS TO BE ACTIVELY INVOLVED IN THEIR OWN CARE. 4. IMPROVING PATIENT SAFETY THROUGH TECHNOLOGYSENTARA IS CONSTANTLY LOOKING FOR WAYS TO USE TECHNOLOGY TO IMPROVE CARE AND SAFETY.SENTARA HEALTHCARE PROVIDES THE SENTARA ECARE HEALTH NETWORK . THE CLINICAL SYSTEM USES INNOVATIVE TECHNOLOGY TO LINK PATIENT MEDICAL INFORMATION BETWEEN SENTARA HOSPITALS, PHYSICIAN PRACTICES AND OTHER HEALTH CARE SITES OVER A PROTECTED NETWORK, ENABLING THE SECURE SHARING OF PATIENT INFORMATION, INCREASING PATIENT SAFETY AND REDUCING PREVENTABLE MEDICAL ERRORS. 2010 MARKS THE TENTH YEAR THAT SENTARA HAS EMPLOYED ITS EICU REMOTE MONITORING SYSTEM FOR ITS SICKEST HOSPITAL PATIENTS. SENTARA WAS THE FIRST HOSPITAL SYSTEM IN THE COUNTRY TO IMPLEMENT THE EICU SYSTEM, WHICH USES A NETWORK OF CAMERAS, MONITORS, ALERTS, AND TWO-WAY COMMUNICATION LINKS. DOCTORS AND CRITICAL CARE NURSES AT THE EICU COMMAND CENTER MAKE VIRTUAL ROUNDS ON ICU PATIENTS. THIS SENTARA-PIONEERED TECHNOLOGY IS NOW USED TO HELP CARE FOR PATIENTS IN NEARLY 5,000 ICU BEDS NATIONALLY. ANOTHER SAFETY INITIATIVE ADOPTED BY SENTARA IS BEDSIDE MEDICATION VERIFICATION, INCLUDING BAR-CODING TECHNOLOGY. NATIONAL STUDIES HAVE FOUND THAT BEDSIDE VERIFICATION CAN REDUCE HOSPITAL MEDICATION ERRORS BY NEARLY 70 PERCENT. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)11. QUALITY SENIOR CARESENTARA LIFE CARE WAS AWARDED A BRONZE 2010 NATIONAL QUALITY AWARD FROM THE AMERICAN HEALTH CARE ASSOCIATION AND THE NATIONAL CENTER FOR ASSISTED LIVING. A BRONZE AWARD RECOGNIZES LONG TERM CARE PROGRAMS THAT HAVE MADE A SYSTEMATIC COMMITMENT TO QUALITY IMPROVEMENT AND DESIGNED WAYS TO MEASURE PROGRESS. 12. QUALITY ASSURANCE AWARDVIRGINIA BEACH FAMILY PRACTICE HAS BEEN AWARDED RECOGNITION BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE (NCQA) AS A PATIENT CENTERED MEDICAL HOME-LEVEL III, UNDER NCQA'S PHYSICIAN PRACTICE CONNECTIONS PROGRAM. 13. DISABILITY EMPLOYMENT CHAMPIONTHE VIRGINIA DEPARTMENT OF REHABILITATIVE SERVICES AWARDED SENTARA CAREPLEX HOSPITAL WITH A 2010 "DISABILITY EMPLOYMENT CHAMPION" AWARD FOR ITS PARTICIPATION IN VIRGINIA'S FIRST 'PROJECT SEARCH'. THE PROGRAM PUTS RECENT HIGH SCHOOL GRADUATES WITH DISABILITIES INTO TRAINING AND MENTORING PROGRAMS THAT CAN LEAD TO FULL TIME EMPLOYMENT. 14. SUPPORTING CAREER AND TECHNICAL EDUCATIONTHE VIRGINIA DEPARTMENT OF EDUCATION CHOSE SENTARA OBICI HOSPITAL AS A REGIONAL WINNER OF ITS 2009 'CREATING EXCELLENCE' AWARD FOR ITS SUPPORT OF CAREER AND TECHNICAL EDUCATION. OBICI HAS WORKED WITH THE SUFFOLK SCHOOLS FOR FOUR YEARS, PROVIDING STUDENTS IN THE 'INTRODUCTION TO HEALTH OCCUPATIONS' CURRICULUM WITH REAL-WORLD EXPOSURE TO HEALTH CAREERS, INCLUDING A MEDICAL CAMP FOR MORE THAN 100 STUDENTS. 15. CIO AWARD FOR EXCELLENCE IN I.T.SENTARA RECEIVED A PRESTIGIOUS CIO 100 AWARD IN 2009 FROM CIO MAGAZINE. THE 22ND ANNUAL AWARD PROGRAM RECOGNIZES ORGANIZATIONS AROUND THE WORLD THAT EXEMPLIFY THE HIGHEST LEVEL OF OPERATIONAL AND STRATEGIC EXCELLENCE IN INFORMATION TECHNOLOGY. SENTARA BEGAN ITS HOSPITAL IMPLEMENTATION OF SENTARA ECARE IN 2008. SENTARA POTOMAC HOSPITAL'S IMPLEMENTATION IS SET FOR FALL 2011. IN ADDITION, IT HAS BEEN IMPLEMENTING SENTARA ECARE ELECTRONIC MEDICAL RECORD TECHNOLOGY ACROSS ITS NETWORK OF SENTARA MEDICAL GROUP PHYSICIANS. IN ITS HOSPITAL SETTINGS, SENTARA IS ALREADY EXPERIENCING PHYSICIAN ORDER ENTRY RATES THAT EXCEED THE NATIONAL AVERAGE. ADDITIONALLY, THE LENGTH OF TIME FROM DRUGS BEING ORDERED BY A PHYSICIAN TO ADMINISTRATION TO THE PATIENT HAS BEEN REDUCED DRAMATICALLY. SENTARA ECARE IS ALSO THE REASON SENTARA HEALTHCARE HAS BEEN RANKED 21ST ON THE 2009 INFORMATIONWEEK 500 BY INFORMATIONWEEK, A BUSINESS PUBLICATION THAT IDENTIFIES AND HONORS THE NATION'S MOST INNOVATIVE USERS OF INFORMATION TECHNOLOGY. 16. MOST BEAUTIFUL HOSPITALIN JULY 2010, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER RANKED AS THE 9TH MOST BEAUTIFUL HOSPITAL IN THE COUNTRY IN A CONTEST BY SOLIANT HEALTH, A SPECIALTY HOSPITAL STAFFING PROVIDER. WINNERS WERE PICKED BY VISITORS TO WWW.SOLIANT.COM WHO CAST MORE THAN 10,000 VOTES FOR HOSPITALS AROUND THE COUNTRY. B. PATIENT SAFETYSENTARA HEALTHCARE'S FOCUS GOES BEYOND THE BASICS OF MAKING HEALTHCARE SAFE FOR ITS PATIENTS. SENTARA HAS BUILT A STRONG "CULTURE OF SAFETY" TO REDUCE MEDICAL ERRORS BY MODELING SUCCESSFUL PROGRAMS FROM THE NUCLEAR POWER AND AVIATION INDUSTRIES. THIS CULTURE OF SAFETY PROMOTES BEHAVIORS WHICH RESULT IN SAFE, RELIABLE AND EFFECTIVE CARE. THE FOUNDATION OF THIS CULTURE IS A STRONG ACCOUNTABILITY TO PERFORM REGIMENTED BEHAVIORS THAT REDUCE MEDICAL ERRORS. SENTARA STAFF USES GUIDELINES KNOWN AS "BEHAVIOR BASED EXPECTATIONS" OR BBE'S TO ENSURE THE HIGHEST STANDARD OF CARE. THE GOAL IS TO MAKE THESE TOOLS AND TECHNIQUES A HABIT. FOR ITS DEDICATION, SENTARA HAS RECEIVED NUMEROUS AWARDS FOR PATIENT SAFETY AND QUALITY OF CARE STANDARDS. FORM 990, PART VII, COMPENSATION OF ODTKE PART VII: COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORSHOURS DEVOTED TO RELATED ORGANIZATIONSDavid Bernd devoted an average of 46 hours per week to related organizations.Robert Broermann devoted an average of 46 hours per week to related organizations.Howard P. Kern devoted an average of 46 hours per week to related organizations.Kenneth M. Krakaur devoted an average of 41 hours per week to related organizations.Mary Blunt devoted an average of 5 hours per week to related organizations.Michael Gentry devoted an average of 5 hour per week to related organizations.Robert Graves devoted an average of 5 hours to related organizations.Grace R. Hines devoted an average of 46 hours per week to related organizations.Megan Perry devoted an average of 45 hours per week to related organizations.Bertram S. Reese devoted an average of 10 hours per week to related organizations.Mark Szalwinski devoted an average of 5 hours per week to related organizations.Genemarie W. McGee devoted an average of 5 hours per week to related organizations. FORM 990, PART VI, JOINT VENTURE POLICY Form 990 Part VI line 16bThe Sentara Healthcare System has a written policy requiring evaluation of its participation in joint venture arrangements under applicable federal tax law. This policy was approved by management. The organization has also taken steps to safeguard the organization's exempt status with respect to such arrangements. FORM 990, PART VI, DOCUMENT RETENTION POLICY Form 990 Part VI, line 14The organization has a written policy for document retention and destruction which was approved by management. FORM 990, PART VI BOARD MEMBER INDEPENDENCE Board Member IndependenceCore Form Part VI, line 1bBoard members are elected annually by the organization's 501(c)(3) sole member, Sentara Healthcare. The governing board of Sentara Healthcare is a community-based board comprised of 20 voting members, 18 of which are considered independent, as defined in the Form 990 instructions. FORM 990, PART V, FORM W-3 Number of Employees Reported on Form W-3Core Form Part I line 5 and Part V line 2aThe 501(c)(3) sole member of the organization, Sentara Healthcare, acts as common pay agent for the organization and issues all Form W-2s on its behalf. Since the agent has no reporting mechanism to determine W-2s attributable solely to the organization, the number reported represents the average number of the organization's employees paid during each payroll cycle in 2010; which approximates the number of W-2s issued by the agent on behalf of the organization. FORM 990, PART V LINE 1A, FORM 1096 Number Reported in Box 3 of Form 1096Core Form Part V line 1aThe 501(c)(3) sole member of the organization, Sentara Healthcare, maintains an agency relationship with the organization and issues all 1099s on its behalf. The number reported is a best estimate of the 1099s attributable to the organization. The exact number cannot be determined; as some of the 1099s issued by the agent are attributable to more than one entity, and there is no reporting mechanism to determine 1099's attributable solely to the organization. FORM 990, PART IX, OTHER EXPENSES PART IX, LINE 24Due to a software limitation, line 24 (other expenses) does not appear as it should per IRS instructions. Line 24 should appear as below:24a Bad debt expense 139,376,745 24b Purchased & Contracted Services 11,172,79024c Unrelated business income tax 2,111,038 24d Organization dues 1,178,096 24e Taxes & Licenses 528,66424f All other expenses 39,295,066Line 24f does not exceed 10% of the amount on line 25. FORM 990, PART III, PROG. SVS ACCOMPLISHMENTS 2010 FORM 990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTHCAREI. YOUR NOT-FOR-PROFIT HEALTH PARTNERSENTARA HEALTHCARE IS ONE OF THE MOST PROGRESSIVE AND INTEGRATED HEALTH CARE ORGANIZATIONS IN THE NATION, PROVIDING SERVICES TO MORE THAN TWO MILLION HAMPTON ROADS VIRGINIA AND NORTHEASTERN NORTH CAROLINA RESIDENTS AND 370,000 RESIDENTS OF NORTHERN VIRGINIA. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY BY PROVIDING INNOVATIVE SERVICES TO TREAT ILLNESS AND DISEASE AND TO PROMOTE THE IMPROVEMENT OF PERSONAL HEALTH.SENTARA OPERATES MORE THAN 100 CARE GIVING SITES, INCLUDING EIGHT ACUTE CARE HOSPITALS, SIX OUTPATIENT CARE FACILITIES, SEVEN NURSING FACILITIES, THREE ASSISTED LIVING FACILITIES, TWO PACE PROGRAMS, ONE SENIOR ADULT DAY HEALTH CARE CENTER, EIGHT ADVANCED IMAGING CENTERS, AND EMPLOYS 383 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. SENTARA OFFERS A FULL RANGE OF AWARD-WINNING HEALTH COVERAGE PLANS, HOME HEALTH AND HOSPICE SERVICES, PHYSICAL THERAPY AND REHABILITATION SERVICES, URGENT CARE FACILITIES, GROUND MEDICAL TRANSPORT SERVICES, AND MOBILE DIAGNOSTIC VANS. SENTARA ALSO OPERATES NIGHTINGALE - THE REGION'S FIRST AIR AMBULANCE SERVICE, WHICH BEGAN IN 1982 AS THE NATION'S 38TH AIR MEDICAL PROGRAM. NIGHTINGALE HAS FLOWN APPROXIMATELY 16,000 MISSIONS INVOLVING CRITCALLY ILL AND INJURED PATIENTS IN A 125-MILE RADIUS FROM SENTARA NORFOLK GENERAL HOSPITAL, THE REGION'S ONLY LEVEL I TRAUMA CENTER. ADDITIONALLY, SENTARA OPERATES THE REGION'S COMPREHENSIVE SOLID ORGAN TRANSPLANT CENTER WHICH HAS PERFORMED MORE THAN 2,200 TOTAL TRANSPLANTS.II. GROWING THE SENTARA FAMILYIN TODAY'S ECONOMIC ENVIRONMENT, SENTARA BELIEVES IN MAINTAINING A PRUDENT GROWTH INITIATIVE INTO MARKETS WHERE WE CAN ADD TANGIBLE VALUE AND ENHANCE COMMUNITY HEALTH SERVICES. THROUGH AFFILIATIONS WITH OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS WHO SHARE MANY OF OUR VALUES, WE ARE CREATING SERVICE DELIVERY SYSTEMS THAT SERVE COMMUNITY NEEDS AND OUR MISSION. A. SENTARA POTOMAC HOSPITALIN DECEMBER 2009, SENTARA HEALTHCARE FINALIZED ITS AFFILIATION WITH POTOMAC HOSPITAL IN NORTHERN VIRGINIA. SENTARA POTOMAC HOSPITAL (SPH) IS A 183-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN WOODBRIDGE, VA. POTOMAC HOSPITAL'S 1,000+ EMPLOYEES INCLUDE MORE THAN 250 MEDICAL STAFF MEMBERS. IT OFFERS A WIDE RANGE OF MEDICAL SPECIALTIES, A HIGHLY QUALIFIED MEDICAL AND CLINICAL STAFF, AND STATE-OF-THE-ART TECHNOLOGY REQUIRED TO UPHOLD ITS MISSION OF CARING FOR EVERYONE IN PRINCE WILLIAM COUNTY AND ITS SURROUNDING COMMUNITIES. THE SERVICE AREA POPULATION, THAT ENCOMPASSES EASTERN PRINCE WILLIAM, SOUTHERN FAIRFAX AND NORTHERN STAFFORD COUNTIES, EXCEEDS 370,000. RESIDENTS IN NORTHERN VIRGINIA WILL NOW HAVE THE OPTION OF RECEIVING CARDIOVASCULAR CARE CLOSER TO HOME, WITH THE NEW ARRAY OF SERVICES TO BE OFFERED IN THE SENTARA HEART AND VASCULAR CENTER AT POTOMAC HOSPITAL. RESIDENTS WILL ALSO BENEFIT FROM THE CONVENIENT, HIGH QUALITY CARE THAT WILL RESULT FROM THE PARTNERING OF SENTARA MEDICAL GROUP-WHICH BRINGS TOGETHER MULTI-SPECIALTY PHYSICIANS DEDICATED TO PROVIDING QUALITY PATIENT-FOCUSED CARE AND TO RAISING THE STANDARD OF HEALTHCARE IN THE REGIONS THEY SERVE-WITH PRACTICES IN NORTHERN VIRGINIA. B. FUTURE AFFILIATIONS1. RMH HEALTHCAREIN JULY 2010, SENTARA HEALTHCARE ANNOUNCED THE AFFILIATION OF SENTARA WITH RMH HEALTHCARE (FORMALLY ROCKINGHAM MEMORIAL HOSITAL). RMH IS A 238-BED, NOT-FOR-PROFIT INDEPENDENT COMMUNITY HOSPITAL LOCATED IN HARRISONBURG, VA, THAT HAS BEEN PROVIDING THE BEST IN HEALTHCARE SERVICES SINCE 1912. RMH SHARES SENTARA'S FOCUS ON PATIENT SAFETY AND QUALITY. Amended Explanation THE FOLLOWING RETURN ITEMS HAVE BEEN AMENDED:CORE FORM 990 BOX F - THE NAME OF THE ORGANIZATION'S PRINCIPAL OFFICER WAS INADVERTENTLY OMITTED ON THE ORIGINAL RETURN AND HAS NOW BEEN INCLUDED.CORE FORM 990 PART 1 LINE 1 - THE ORIGINAL RETURN INCLUDED A DESCRIPTION THAT WAS TOO LONG FOR THE DATA FIELD TO ACCOMODATE. THE DESCRIPTION HAS BEEN SHORTENED ACCORDINGLY.CORE FORM 990 PART VII COLUMN (B) - HOURS FOR FORMERS WERE NOT SHOWING UP ON THE ORIGINAL RETURN DUE TO LACERTE SOFTWARE PROGRAMMING ERRORS. LACERTE'S MOST RECENT SOFTWARE UPDATE HAS CORRECTED THIS ISSUE.SCHEDULE H PART V SECTION B - THIS OPTIONAL SECTION WAS COMPLETED ON THE ORIGINAL RETURN, BECAUSE LACERTE'S TAX PREPARATION SOFTWARE WOULD NOT ALLOW FOR BLANK ANSWERS. LACERTE'S MOST RECENT SOFTWARE UPDATE HAS CORRECTED THIS ISSUE. THUS, SCHEDULE H PART V SECTION B HAS BEEN LEFT BLANK ON THE AMENDED RETURN.SCHEDULE J PART II - COMPENSATION FOR OFFICER GRACE HINES WAS NOT REPORTED CORRECTLY ON THE ORIGINAL RETURN DUE TO LACERTE SOFTWARE PROGRAMMING ERRORS. LACERTE'S MOST RECENT SOFTWARE UPDATE HAS CORRECTED THIS ISSUE. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The consolidated financial statements for Sentara Healthcare and Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com. The organization's governing documents and conflicts of interest policy are generally not made available to the public. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S LEGAL DEPARTMENT MONITORS TRANSACTIONS INVOLVING POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH. REPORTS ON SUCH TRANSACTIONS ARE MADE TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AS NECESSARY. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The organization is part of the Sentara Healthcare system ("the System"), and as such, uses the System's in-house Tax Department, headed by a licensed certified public accountant, to both prepare and review its Form 990. During the preparation and review process, the Tax Department works closely with other System departments, such as Legal, Compensation and Benefits, Compliance, Finance, and Marketing, to ensure that a complete and accurate return is filed. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors, which serves as the organization's governing body, is elected by its sole member, Sentara Healthcare, a 501(c)(3) organization. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The organization has one class of member, the sole member being Sentara Healthcare, a Virginia nonstock corporation described in Section 501(c)(3) of the Internal Revenue Code. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et DAVID BERND, HOWARD KERN, AND BERTRAM REESE HAVE A BUSINESS RELATIONSHIP THROUGH COMMON OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.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. 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